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.
Quincy Healthcare & Sr Living runs 89 certified beds under for-profit LLC ownership, and the numbers worth knowing are the staffing ones. Nurses provide 3.38 hours per resident day, about 12% under the national average, and weekends drop roughly 13% below what the home itself staffs on weekdays, so care thins out exactly when families tend to visit. Annual turnover of 57.6% sits well above the 45.8% national figure. The current inspection record carries 39 deficiencies, four of them at harm or jeopardy level, plus three fines totaling $61,926. The last inspection was July 9, 2025. Ownership and staffing together explain more here than any single rating.
Hillside runs lean on nursing hours, 2.77 per resident day against a national average of 3.86, roughly 28% below, and weekends dip even further below its own weekday levels. The inspection record shows 35 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, with $158,570 in fines across three penalties; the last inspection was in May 2026. Ownership is for-profit through a limited liability company, and staff turnover sits at 44.7%, essentially matching the national rate rather than improving on it. Quality measure and staffing ratings both land at the low end, and the health inspection rating is middling at best.
Mount Vernon Countryside Manor runs on 2.92 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip even lower than its own weekday levels. The staffing star rating sits at 1 out of 5, and turnover runs 49.4% against a national 45.8%, nearly half the nursing staff cycling out in a year. On inspections, the record shows 22 deficiencies, four at harm or jeopardy level and three tied to abuse, with $126,387 in fines across four penalties. The most recent inspection was January 2025. For-profit corporate ownership. If you're weighing this one, ask hard questions about weekend coverage and how they've corrected the abuse-related findings.
Fair Oaks runs leaner than most. At 3.43 nurse hours per resident per day, it sits about 11 percent under the national average, and weekends drop roughly another 12 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Staff turnover is the bigger issue: 61.3 percent a year against a national average of 45.8 percent, meaning most of the people caring for residents are still learning the building.
The inspection record backs that up. Thirty-six deficiencies, four serious enough to cause harm, two tied to abuse, and three fines totaling $71,124. The most recent inspection was September 2025, so the picture is current, not stale. For-profit corporate ownership, 78 beds.
Bria Of River Oaks runs 309 beds in Burnham, and the number that should give you pause is 2.86 nursing hours per resident per day, roughly a quarter below the national average, with weekends thinner still. Turnover sits at 35.6%, which is actually better than average, so the problem isn't a churning workforce; it's that there don't appear to be enough hands scheduled. The inspection record is heavy: 38 deficiencies, 13 of them at harm or jeopardy level, seven tied to abuse, and eight fines totaling $270,248. Its last inspection was July 2024. For-profit corporate ownership. Ask about weekend coverage and the abuse plan before you tour.
Austin Oasis is a 216-bed for-profit home in Chicago, and the federal numbers on it are grim. Staffing earns one star out of five, meaning residents here get fewer caregiving hours than the national average, and that gap is where falls, sores, and missed medications tend to happen. The inspection record shows 68 deficiencies, including 8 that put residents in immediate harm and 13 tied to abuse. Seven fines totaling $607,298 have piled up, with the most recent inspection in March 2025. Low staffing plus a harm-level deficiency pattern is the combination families should weigh hardest. If you're considering this one, ask to see the current plan of correction and how the home is fixing its staffing shortfall.
Shelbyville Healthcare & Senior Living runs well under the national staffing average, 2.87 nurse hours per resident day against 3.86, and it thins out further on weekends, when coverage drops about 9% below its own weekday level. That shortfall shows up in the numbers: 44 deficiencies on the current record, including 2 at the harm level and 4 tied to abuse, with the last inspection in August 2024.
Staff turnover sits at 60% against a national average of 45.8%, meaning roughly six in ten workers left over the year. Federal ratings put staffing and quality measures at 1 out of 5 stars each, with health inspections at 2. All of this sits under a for-profit corporate owner.
Vandalia Healthcare & Senior Living runs 116 certified beds under for-profit LLC ownership, and its staffing is the number to sit with first: 3.06 nurse hours per resident day against a national average of 3.86, roughly a fifth below, with weekends about 8% thinner than weekdays. Turnover sits at 59.5%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The inspection record backs that up: 35 deficiencies, two at harm or jeopardy level, no abuse findings, and one fine of $14,720, with the most recent survey dated November 20, 2025. Quality and staffing each scored one star out of five; health inspections scored three. Families should ask how the home covers weekends and how long its current staff have actually been there.
Aperion Care Hanover runs 125 certified beds under corporate ownership, and the staffing numbers are thin: 3.43 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly 9% below its own weekday coverage. Staff turnover sits at 55.2%, well above the 45.8% national figure, which means the people caring for residents are frequently new to the building. The inspection record is the bigger concern, 57 deficiencies on file, including one at the harm level and four tied to abuse, plus a $53,874 fine. Its most recent inspection was April 2026. If you're weighing this one, ask directly how they've addressed the abuse-related findings.
Warsaw Meadows runs 80 certified beds as a for-profit corporation, and the numbers worth knowing sit in its inspection record and its staffing. State inspectors have cited 29 deficiencies, four of them at a level involving actual harm or jeopardy, and five tied to abuse. Fines total $105,073, and the most recent inspection was September 8, 2025.
Nurse staffing comes to 3.35 hours per resident day, roughly 13% under the national average, with weekends about 4% thinner than weekdays. Annual turnover runs 54.7%, against a national 45.8%. CMS rates the health inspection side 1 out of 5, staffing and quality measures 2 out of 5 each.
If you're weighing this one, ask about the abuse citations directly, and ask how the weekend shift is covered.
The corporate-owned home on East 6th Street has been cited 42 times on its current record, including four deficiencies where residents were actually harmed and two tied to abuse. Fines total $70,521 across three separate penalties. Staffing looks decent on paper, 4.04 nurse hours per resident day, slightly above the national average, but 72.2% of the staff turned over in a year, well past the 45.8% norm, and weekends run about 10% thinner than weekdays. That combination is hard to sustain. The most recent inspection, in January 2026, didn't fix it; the health and quality ratings both sit at the bottom. For a 45-bed building in Reno County, that's a lot of enforcement for a small census.
Orchard Gardens runs on 2.63 nurse hours per resident per day, roughly a third less than the national average, and weekend coverage drops about 9% below what it manages during the week. Turnover sits at 66.1% against a 45.8% national figure, so the people around your relative are frequently people who just arrived. The current inspection record lists 50 deficiencies, including three at the harm level and three tied to abuse, with two fines totaling $26,795 and a one-star inspection rating from CMS. The last inspection was April 2025. Its limited liability ownership structure means the company behind it is the entity accountable for all of this.
Clearwater Nursing & Rehabilitation Center runs 55 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.31 hours per resident day against a national average of 3.86, weekends run about 14% thinner than weekdays, and annual turnover hits 70% where the national figure is 45.8%. Its current inspection record carries 63 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, plus three fines totaling $214,803. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care. If you're considering this one, ask hard questions and look closely at the most recent inspection, dated June 2026.
Nicholasville Nursing and Rehabilitation runs on thin staffing. At 3.19 nurse hours per resident day, it sits about 17% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover tells its own story: 83.1% a year, nearly double the 45.8% national figure, meaning most of the people caring for residents are new to the building. The state's most recent inspection, in August 2025, left 25 deficiencies on record, one tied to abuse; none rose to the level of immediate harm. Federal ratings land at 2 out of 5 for health inspections and quality measures, and 1 out of 5 for staffing.
Oc Reading Center is a for-profit LLC home with 123 beds, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends run roughly 5% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Annual turnover is 57.1% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current inspection record carries 52 deficiencies, including 4 at harm or jeopardy level and 3 tied to abuse, plus a $54,360 fine. The most recent inspection was December 31, 2025.
Maple Grove Wellness & Rehabilitation runs 144 beds in Fenton under corporate ownership, and the staffing numbers are the first thing to notice: 2.61 nurse hours per resident per day, roughly a third below the national average, with a staffing star rating of 1 out of 5. Turnover sits at 70.7% against a national average near 46%, and weekend coverage drops about 9% below the home's own weekday level, so the gaps aren't evenly spread across the week. On the inspection side, 53 deficiencies are on the current record, including one at the harm level and one tied to abuse, and the most recent inspection was August 2025.
Rancho Rehab And Healthcare Center runs on about 3.30 nurse staffing hours per resident day, roughly 15 percent under the national average, and weekends drop another 15 percent below its own weekday levels. Staff turnover sits at 78.3 percent, well above the 45.8 percent national figure, so the people providing care keep changing. The current inspection record carries 52 deficiencies, three of them at the harm or jeopardy level and three abuse-related, with $28,060 in fines and a March 2025 inspection behind it. For-profit operation under an LLC, 120 certified beds. Families should ask directly who's on duty on weekends and how long the current director of nursing has been in place.
Aspire Senior Living New Florence runs on 2.84 nurse hours per resident day, about a quarter below the national average, and it thins out further on weekends, roughly 12% less coverage than its own weekdays. That staffing level earned a 1 out of 5 from CMS, and it shows in the numbers: 87.7% annual turnover, nearly double the national rate, meaning the people caring for your relative are largely new and likely to leave. The current record carries 35 deficiencies, three at harm or jeopardy level and one abuse-related, plus a $28,486 fine. Inspections were recent, in November 2025, with 2 out of 5 on both health inspections and quality measures.
Columbia Manor runs on 2.56 nurse hours per resident per day, roughly a third below the national average, and weekend coverage dips about 6% below its own weekday level. That thin staffing shows up in the numbers: 82% annual turnover, more than double the national rate, and a one-star CMS staffing rating. Inspections turned up 29 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy, and the most recent visit was August 2025, so the record is current. The quality measure rating sits at 2 out of 5. For-profit, limited liability ownership. Ask about direct-care staffing on evenings and weekends before you decide.
Emerald Nursing & Rehabilitation Mercy runs 174 beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, roughly 15% below, and weekends drop about 13% below the home's own weekday levels, while annual turnover hits 64.8% against a 45.8% national figure. The inspection history is the heavier weight: 71 deficiencies on the current record, six at harm or jeopardy level, one abuse-related, and $61,867 in fines across three events. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
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?