ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 961–980 of 10,187, best-graded first.

A

86/100

Aviata At Harts Harbor

Jacksonville, FL · Duval County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
33%
Serious cites
0

Aviata At Harts Harbor runs 180 certified beds in Jacksonville under corporate for-profit ownership, and its inspection history shows 25 deficiencies on the current record, none at the harm or jeopardy level, but two tied to abuse. That's a mixed picture worth asking about directly. Nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 7% below the home's own weekday coverage. The better news: staff turnover is 33%, meaningfully lower than the 45.8% national figure, which suggests a more stable workforce than many peers. Its last inspection was April 2026, so the record is recent.

A

86/100

Nspire Healthcare Lauderhill

Lauderhill, FL · Broward County

CMS 2/5 109 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
24%
Serious cites
0

Nspire Healthcare Lauderhill runs a 109-bed for-profit home in Broward County, and the staffing story here is mixed. Nurses provide 3.26 hours per resident day, roughly 16% below the national average of 3.86, though weekend coverage barely dips below weekday levels and the staff turnover rate of 23.9% sits well under the national 45.8%, a sign people stay. The home's record shows 34 deficiencies from its last inspection in September 2024, none at harm or jeopardy level and none abuse-related, which matters more than the raw count. Below-average daily hours with low turnover and clean harm-level findings is the real tradeoff to weigh when you visit.

A

86/100

Heartland Nursing & Rehab Center

Boynton Beach, FL · Palm Beach County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
24%
Serious cites
0

Heartland runs about 3.72 nurse hours per resident day, roughly 4% under the national average, and weekend coverage dips about 6% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover is the standout: 23.9% against a national average near 46%, meaning the aides and nurses who care for your relative are more likely to still be there next year. Fifteen deficiencies sit on the current record, one abuse-related, none at the harm or jeopardy level, with the most recent inspection in March 2025. It's a for-profit LLC, 120 beds, and the numbers point to steady, well-staffed care rather than a spotless record.

A

86/100

Park Ridge Nursing Center

Jacksonville, FL · Duval County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
50%
Serious cites
0

Park Ridge Nursing Center runs on a for-profit LLC model with 104 certified beds in Jacksonville. Its nurse staffing sits at 4.00 hours per resident day, about 4 percent above the national average of 3.86, though weekends dip roughly 11 percent below its own weekday coverage. Annual turnover is 49.5 percent, higher than the national 45.8 percent, so continuity of caregivers is a fair question to raise. On the inspection side, the record shows four deficiencies with none at the harm or jeopardy level and none abuse-related, and the most recent inspection was March 2026. That combination, solid clinical marks, clean inspection history, but meaningful turnover, is what a family should weigh when deciding.

A

86/100

Chatsworth At Pga National

Palm Beach Gardens, FL · Palm Beach County

CMS 5/5 62 beds For-profit
Nurse hours
4.01 /day
Staff turnover
20%
Serious cites
0

Chatsworth At Pga National runs 4.01 total nurse staffing hours per resident day, a bit above the 3.86 national average, and weekend coverage dips about 9% below its own weekday level, worth asking about if you're planning visits or admissions around weekends. Staff turnover sits at 20%, well under the 45.8% national rate, so the people caring for your relative are more likely to still be there next year. The current record shows 4 deficiencies, none at the harm level and none abuse-related, with the last inspection in April 2025 and a 5-star health inspection rating. Its quality measure score is only 3 stars, so clinical outcomes don't match the strong inspection and staffing marks.

A

86/100

Clifford Chester Sims State Veterans Nursing Home

Panama City, FL · Bay County

CMS 5/5 120 beds Government Medicaid
Nurse hours
5.28 /day
Staff turnover
45%
Serious cites
0

Clifford Chester Sims, the state-run veterans home in Panama City, runs on 5.28 nursing hours per resident day, roughly 37% more than the national average, and that shows up as five stars for staffing. Weekend coverage dips about 10% below weekdays, so ask how that plays out on a Saturday. Turnover sits at 45%, essentially the national rate, which is unremarkable for a workforce this size. The health inspection record is where it separates itself: five stars, three deficiencies total, none at harm or jeopardy level, none abuse-related, and a clean April 2025 inspection. The catch is quality measures, where two stars suggests outcomes don't fully track the staffing investment.

A

86/100

Arabella Health & Wellness Of Carrabelle

Carrabelle, FL · Franklin County

CMS 5/5 74 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
38%
Serious cites
0

Arabella Health & Wellness of Carrabelle runs 74 certified beds under corporate for-profit ownership, and its staffing sits about 13% under the national average at 3.37 nurse hours per resident day, with weekends roughly 5% thinner than weekdays. Still, turnover is 37.7%, well below the 45.8% national figure, which suggests the staff who are there tend to stay. The inspection record is clean where it counts: four deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was in March 2026. So you're looking at a home that runs lean on hours but has held onto its people and avoided serious findings.

A

86/100

Solaris Healthcare Celebration

Kissimmee, FL · Osceola County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

Solaris Healthcare Celebration runs 120 beds in Kissimmee under for-profit LLC ownership, and the numbers on its current record are mostly steady. Nurse staffing sits at 4.08 hours per resident day, about 6% above the national average, though weekend coverage dips roughly 7% below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover of 42.7% is a touch better than the national 45.8%, and the home carries 19 deficiencies with none at the harm or jeopardy level and none abuse-related. Its last inspection was February 2026, so the record is recent.

A

86/100

Stevens Park Health And Rehabilitation

Augusta, GA · Richmond County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
44%
Serious cites
0

Stevens Park is a small nonprofit home in Augusta, 42 beds, and its inspection record is clean where it counts. Three deficiencies on file, none at the harm or jeopardy level, none related to abuse, and the most recent inspection was September 2025. Staff turnover sits at 43.9%, slightly better than the national 45.8%, and the staffing star rating is 5/5. The catch is the raw hours: 3.81 per resident day, just under the national 3.86, with weekends running about 8% lighter than weekdays. For a family weighing this one, the short version is that oversight looks solid and retention is decent, but the day-to-day direct care margin is thin, especially on Saturdays and Sundays.

A

86/100

Vista Park Health And Rehabilitation

Douglas, GA · Coffee County

CMS 5/5 168 beds Non-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
31%
Serious cites
0

Vista Park runs on 4.14 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 31.1% sits well below the 45.8% national figure, so people tend to stay. Weekends thin out roughly 13% against its own weekday coverage, which is worth asking about. Five deficiencies on record, none causing harm or tied to abuse, and a September 2025 inspection is recent. The nonprofit ownership and 5/5 health inspection rating round out a picture of a home that's been kept in decent order.

A

86/100

Pu'uwai 'O Makaha

Waianae, HI · Honolulu County

CMS 4/5 93 beds For-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
28%
Serious cites
0

Pu'uwai 'O Makaha runs on a for-profit LLC structure with 93 certified beds, and its nurse staffing sits at 4.26 hours per resident day, roughly 10% above the national average of 3.86. That cushion matters, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Annual turnover of 27.6% is well under the national 45.8%, which suggests a steadier workforce than most places. The tradeoff shows up in its record: 37 deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $65,455. No abuse citations appear, and the last inspection was July 2025.

A

86/100

Wynscape Health & Rehab

Wheaton, IL · Du Page County

CMS 5/5 209 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
50%
Serious cites
0

Wynscape runs a 209-bed nonprofit home in Wheaton with nurse staffing at 4.24 hours per resident day, roughly 10% above the national average, though weekends dip about 12% below its own weekday levels, so ask how coverage holds up on Saturdays and Sundays. Staff turnover sits at 50%, a bit above the 45.8% national figure. Inspections are recent and strong, but the current record still carries 12 deficiencies, including one at the harm or jeopardy level and one tied to abuse. The high inspection and quality ratings reflect real strengths; the deficiency record is where the risk lives.

A

86/100

Odebolt Specialty Care

Odebolt, IA · Sac County

CMS 3/5 38 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
31%
Serious cites
0

Odebolt Specialty Care is a small nonprofit home, 38 beds, and its staffing picture is genuinely strong: 3.73 nurse hours per resident day, close to the national average, with weekend coverage running about 9% lighter than weekdays. Turnover sits at 31%, well below the 45.8% national figure, which matters for how well aides know the residents. The trouble is the inspection record: 20 deficiencies, three of them serious enough to put residents at risk of harm, and one fine of $14,433. The most recent inspection was March 12, 2026. Consistent hands, a thinner record on safety.

A

86/100

Bloomfield Care Center

Bloomfield, IA · Davis County

CMS 3/5 91 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
32%
Serious cites
0

Bloomfield Care Center runs 91 certified beds under corporate for-profit ownership, and the numbers here mostly hold up. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average, and turnover of 31.8% is well below the 45.8% norm, that stability matters more than people realize. Weekend coverage does dip roughly 10% below weekday levels, so ask how that plays out on Saturdays. Nine deficiencies on record, none at harm or jeopardy level and none abuse-related, with a November 2025 inspection that's still recent. Quality measures land mid-range, inspections and staffing both stronger. Worth a visit, with questions about weekend shifts.

A

86/100

Accura Healthcare Of Bancroft

Bancroft, IA · Kossuth County

CMS 5/5 25 beds For-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
39%
Serious cites
0

Accura Healthcare of Bancroft runs about 4.61 nurse hours per resident day, roughly 19% above the national figure, and that staffing shows up in the numbers CMS cares about. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on Saturdays. Staff turnover sits at 39.3%, better than the 45.8% national rate, which matters in a 25-bed home where residents know their caregivers by name. The current record shows seven deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025. Quality measure scores come in at 2 out of 5, the weakest part of the picture.

A

86/100

Accura Healthcare Of Aurelia, Llc

Aurelia, IA · Cherokee County

CMS 3/5 41 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
38%
Serious cites
0

Accura Healthcare of Aurelia runs 41 certified beds under for-profit, limited-liability ownership in Cherokee County. Nurse staffing sits at 3.79 hours per resident day, slightly under the national average of 3.86, and weekends run about 11% thinner than weekdays, worth knowing if your family visits mainly on Saturdays and Sundays. Staff turnover is 37.8%, actually better than the 45.8% national figure, which suggests less churn than many peers. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and two tied to abuse; the most recent inspection was January 29, 2026, so that record is fresh. Quality measures and staffing both earned 4 of 5 stars, while health inspections landed at 3.

A

86/100

Fieldstone Of Dewitt

De Witt, IA · Clinton County

CMS 4/5 70 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
35%
Serious cites
0

Fieldstone Of Dewitt runs on 4.06 nurse hours per resident day, a bit above the national average of 3.86, and weekend coverage dips roughly 7% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Annual turnover sits at 34.9%, well below the 45.8% national figure, so the people caring for residents tend to stick around, which matters more than any single inspection score. The home carries four deficiencies on its current record, none at the harm level and none abuse-related, with a health inspection from July 2025. Quality measures land mid-range while staffing and inspections score higher.

A

86/100

Creekside

Grundy Center, IA · Grundy County

CMS 5/5 55 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
33%
Serious cites
0

Creekside runs on 4.12 nurse hours per resident day, roughly 7% above the national average, and its staff turnover of 33.3% is well below the 45.8% national figure, two signs of a stable, adequately staffed building. Weekend coverage dips about 7% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is thin: one deficiency total, none at harm level, none abuse-related, with the most recent survey in December 2025. The weaker spot is the 2/5 quality measure rating, so ask what specific clinical measures are dragging that down.

A

86/100

Mount Carmel Bluffs

Dubuque, IA · Dubuque County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
29%
Serious cites
0

Mount Carmel Bluffs runs on 4.32 nurse hours per resident day, about 12 percent above the national average, and its staff tends to stay, 29 percent turnover against a national 45.8. That steadiness shows up in the inspection record: seven deficiencies, none at the harm level, none tied to abuse, with a survey completed in late February 2026. The trade-off is quality measures, where the home scores low despite the strong staffing. Weekend coverage slips roughly 10 percent below its own weekday level, so ask how that gap gets filled. It's a for-profit limited liability company with 60 beds.

A

86/100

Good Samaritan-Olathe

Olathe, KS · Johnson County

CMS 3/5 128 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
29%
Serious cites
0

Good Samaritan Society - Olathe runs a nonprofit home with 128 certified beds, and its staffing is the strongest part of the picture: 3.90 nurse hours per resident day, just above the national average, with a 5/5 CMS staffing rating. Turnover sits at 28.9% against a national 45.8%, so workers tend to stay. The trouble is the inspection record, 37 deficiencies, one at the harm level and two tied to abuse, with the most recent survey in July 2025. Weekend staffing also drops about 13% below weekdays. Strong retention and thin weekend coverage can coexist, and here they do.

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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

Before you shortlist