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.
Marshall Nursing and Rehabilitation Community runs on 3.34 nursing hours per resident day, about 13 percent under the national average, and weekend coverage dips roughly 15 percent below its own weekday level, so the thinnest staffing lands when families tend to visit. Annual turnover sits at 53.6 percent against a national 45.8 percent, meaning more than half the nursing staff leaves each year. Inspectors have cited 77 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, with two fines totaling $105,860. The most recent inspection was September 2025. The Calhoun County home is for-profit, LLC-owned, and holds 60 certified beds.
Medilodge of Munising runs 3.37 nursing hours per resident day, roughly 13 percent under the national figure, and weekends dip about 15 percent below its own weekday coverage. Staff turnover sits at 57.6 percent against a national 45.8 percent. The inspection record is the heavier problem: 64 deficiencies, including five at the harm or jeopardy level and six tied to abuse, with one fine of $84,659 and a one-star health inspection rating. The most recent inspection was January 7, 2026. For-profit LLC ownership. A CMS staffing rating of three stars doesn't offset that inspection history when you're weighing where a family member will actually live.
Pleasant Hills runs 100 certified beds in Jackson under corporate for-profit ownership, and the numbers show a building under real strain. Nurse staffing sits just under the national average, but weekends drop about 18% below its own weekday level, meaning the coverage families count on Saturday and Sunday is thinner than what the home staffs during the week. Turnover is the bigger signal: 55.3% annually against a 45.8% national average, so nearly six in ten caregivers are leaving each year. That churn shows up in the inspection record, too, 24 deficiencies, four serious enough to put residents in harm's way, two tied to abuse, and four fines totaling $147,937.
St Sophia runs 240 beds in Florissant under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 2.86 nurse hours per resident per day against a national average of 3.86, with weekends about 16% thinner than weekdays. Turnover sits at 68.4%, roughly two-thirds of the nursing staff leaving in a year, well above the 45.8% norm, so the people caring for your relative are frequently new. The inspection record shows 87 deficiencies, including four at the harm level and three tied to abuse, with $69,203 in fines and a January 2025 inspection. Resident quality measures score well, but that's the one bright spot in an otherwise strained picture.
Country Villa runs 148 certified beds in Creve Coeur, and the staffing numbers are where the trouble shows. At 2.99 nurse hours per resident day, it sits roughly 23% under the national average of 3.86, and weekends drop about 18% below its own weekday coverage. Annual turnover hits 66% against a national 45.8%, so the people filling those shifts change often. The 21 deficiencies on record include one at the harm level, though none involve abuse. A recent June 2025 inspection and a four-star health inspection rating suggest the care environment itself has been watched closely. Ownership is for-profit corporate. If you're weighing this one, ask specifically how weekends and evenings are staffed.
The Grand Rehabilitation and Nursing at Mohawk runs on 3.07 nurse hours per resident per day, about a fifth below the national average, and weekends drop roughly 15% below its own weekday staffing. That thin coverage shows up in the numbers: a 50.9% annual turnover rate, above the national 45.8%, and 34 deficiencies on the current record, three of them serious enough to cite harm or jeopardy. Federal inspectors were last in the building on June 30, 2025, and the home carries one fine totaling $17,604. All three CMS ratings, health inspections, quality measures, and staffing, sit at one out of five, which is about as low as the scale goes.
Hudson Park runs on 2.85 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 15% below what the building already staffs on weekdays. That thin coverage sits behind a 59.3% annual turnover rate, well above the 45.8% national figure, so the aides and nurses at the bedside keep changing. Inspectors cited 40 deficiencies, including five tied to abuse, and the last visit was June 2024; CMS gives the home one star each for health inspections and quality measures. For-profit, limited liability ownership rounds out the picture.
Oxford Health and Rehabilitation Center runs 160 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice. At 3.05 nurse hours per resident day, it sits roughly 21% under the national average of 3.86, and weekends drop about 19% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Annual turnover of 60.4% against a national 45.8% means the people caring for your relative are, more often than not, new to the building. Seventeen deficiencies sit on the current record, one tied to abuse, with the most recent inspection in November 2025. All three CMS star ratings, health inspection, quality measures, staffing, come in at the low end.
The Arc At Cincinnati runs 3.56 nurse staffing hours per resident day against a national average of 3.86, and weekends drop about 17% below its own weekday coverage, so the thinnest shifts are when families tend to visit. Annual turnover hits 58.3% compared to 45.8% nationally, meaning many of the people caring for residents are still learning the building. The current inspection record carries 85 deficiencies, including 7 at harm or jeopardy level and 8 tied to abuse, with $233,690 in federal fines. CMS has placed this for-profit LLC home in its Special Focus Facility program, and its last inspection was December 2025.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
Texoma Healthcare Center runs 179 certified beds in Sherman under corporate for-profit ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average, and it thins out further on weekends, dropping about 17 percent below the home's own weekday level. Annual turnover is 93.7 percent, more than double the national rate of 45.8 percent, which means the aides and nurses caring for residents are, on average, not there for long. The inspection record shows 36 deficiencies, including two at harm or jeopardy level and one tied to abuse, with $16,441 in fines. The last inspection was March 19, 2026; the health and quality ratings each land at 3 out of 5, staffing at 1.
Colville Health and Rehabilitation of Cascadia carries a federal Special Focus Facility designation, which CMS reserves for homes with a persistent record of poor care. The current inspection history backs that up: 54 deficiencies, six of them at the level where a resident was actually harmed or put in immediate jeopardy, and five tied to abuse. Staffing runs about 11% below the national average, and weekends drop roughly 22% below the home's own weekday coverage. With turnover at 67% against a national 45.8%, the people at the bedside keep changing. Two fines totaling $68,351 are on record, and the most recent inspection was in May 2025. For-profit corporate ownership. If you're considering this one, ask hard questions.
Longmeadow Healthcare Center runs on 2.70 nurse hours per resident day, roughly 30% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. That thin coverage shows up in the numbers: 85.9% annual turnover, nearly double the national rate, plus 35 deficiencies on record, eight serious enough to cause harm or jeopardy and five tied to abuse, with $50,595 in fines across three penalties. The 120-bed for-profit home, owned by a limited liability company, was last inspected May 6, 2025, and its health inspection score sits at the bottom of CMS's scale. Ask about weekend nurse coverage and how they've corrected the abuse-related findings before you decide.
The Oaks At Radford Hills runs a 116-bed for-profit operation in Abilene, and the numbers that matter most here are staffing and turnover. Nurses provide 2.82 hours of care per resident per day against a national average of 3.86, and weekend coverage drops roughly another 17% below the home's own weekday level. Staff turnover sits at 79.7%, more than seven in ten workers leaving annually, compared with 45.8% nationally. On the inspection side, the record shows 53 deficiencies, four at harm or jeopardy level and four tied to abuse, with $163,651 in fines across two penalties. The most recent inspection was March 2026. Low staffing and high turnover tend to matter more day to day than a favorable quality-measure score.
Castle Pines runs 3.35 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 14% below its own weekday staffing. That thin coverage shows up in the federal ratings: one star for staffing, two for quality measures, three on health inspections. The current record carries 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, along with three fines totaling $53,155. The last inspection was May 2025, so the picture is recent. Corporate-owned and certified for 120 beds, this is a home where the numbers point to a persistent staffing gap rather than a one-time slip.
Piggott Healthcare & Senior Living runs 105 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.10 hours per resident day, roughly 20 percent under the national average of 3.86, and weekends run about 11 percent leaner than weekdays, so the hours when families tend to visit are also the thinnest. Staff turnover is 63.3 percent against a national average of 45.8 percent, meaning most of the people caring for residents in any given year weren't there the year before. The current inspection record shows 28 deficiencies, including one at the harm level and three tied to abuse, with a $12,649 fine and a September 2025 inspection. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five.
The numbers at Woodstock Center are hard to dress up. Nurse staffing sits at 3.04 hours per resident per day against a national average of 3.86, and weekends run thinner still, about 8% below the home's own weekday level. Staff turnover is 63.9%, well above the 45.8% national figure, which means the people caring for residents are, more often than not, fairly new to the building.
Its current inspection record carries 20 deficiencies, five of them serious enough to involve harm or jeopardy, and five tied to abuse. CMS gave it 2 out of 5 stars on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was August 2025, so that record is current, not stale.
Nurse staffing at Lake City Center runs 2.84 hours per resident day, roughly 27 percent under the national average, and weekends drop about 9 percent below its own weekday level. Turning over more than half its nursing staff in a year, 56.6 percent against a national 45.8, makes consistency harder to maintain. The building carries 21 deficiencies on its current record, none reaching harm or jeopardy and none abuse-related, and its last inspection was April 19, 2026. A 242-bed for-profit LLC, it earned 1 of 5 stars from CMS on both staffing and quality measures, 2 of 5 on health inspections. That combination of thin coverage and high turnover is what families should weigh.
Aperion Care Oak Lawn runs on thin staffing, about 3.08 nurse hours per resident each day, roughly a fifth below the national average, and weekends drop even further below its own weekday levels. That's a problem when you consider the inspection record: 62 deficiencies, seven of them serious enough to put residents at risk of harm, and 13 tied to abuse. More than half the nursing staff turns over in a year, well above the national rate of 45.8%, which makes consistent care hard to sustain. Federal fines total just over $52,000 across four penalties, and the most recent inspection was in January 2026. For-profit ownership under a limited liability company rounds out a picture where the numbers consistently point the same direction.
Helia Southbelt Healthcare runs 156 certified beds in Belleville under individual for-profit ownership, and the numbers behind its record are hard to read any other way. Nurse staffing sits at 3.14 hours per resident per day, roughly 19% under the national average, with weekends about 3% thinner than weekdays, so coverage is stretched before you even get to the harder measures. Inspectors have cited 65 deficiencies, including 6 at harm or jeopardy level and 7 tied to abuse, and the fines total $240,982. Staff turnover of 37.8% is actually below the national figure, which may be the one bright spot; the last inspection was in September 2025.
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?