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.
Indian Hills Manor runs on 2.56 nursing hours per resident per day, roughly a third below the national average of 3.86, and staffing thins out further on weekends, dropping about 9% below its own weekday level. That shortfall shows up in turnover: 55.6% of staff left over the past year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 30 deficiencies, including one at the harm or jeopardy level and one abuse-related, and the last inspection in March 2025 produced a one-star health inspection rating to go with one-star marks for staffing and quality measures. It's a for-profit limited liability company, which tells you where the margin gets protected.
Emerald Nursing & Rehab Columbus runs 145 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.57 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays. Turnover is the bigger flag: 60.9% of staff leaving annually against a national 45.8% means caregivers are constantly new, which matters most for residents who need consistent hands. The current record shows 22 deficiencies, two tied to abuse, though none reached harm or jeopardy level. A recent August 2025 inspection is a plus, but quality and staffing measures both land at the bottom.
Adept Nursing & Rehab Of Sutherland is a 60-bed for-profit home in Lincoln County, and the numbers behind its record are worth understanding before you visit. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends run about 14% thinner than weekdays, which matters because that's when many families actually show up. Staff turnover is the harder number: 69.5% of the nursing team leaves within a year, against a national average of 45.8%.
The inspection record is where things get serious. Thirty-nine deficiencies are on file, three at the harm or jeopardy level, two tied to abuse, with $51,637 in fines. CMS has placed the home in its Special Focus Facility program, and a March 2026 inspection is the most recent look regulators have taken.
Adept Nursing & Rehab Of Grand Island runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekend coverage dips even further below its own weekday level. That thin margin matters more when you consider that 76.1% of staff turned over in a year, well above the 45.8% national rate, so the people providing that care are often new to the building. The current inspection record shows 32 deficiencies, including one at the harm level and three tied to abuse, with a $16,801 fine and a May 2025 inspection. The federal ratings land at one star for health inspections and one for staffing.
Nurse staffing at this Williamsville home runs 3.02 hours per resident day, roughly 22% under the national average, and weekends drop about 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 72.7% sits well above the 45.8% national figure, meaning the aides and nurses caring for residents are, more often than not, new to the building. The current record carries 45 deficiencies, including one at the harm-or-jeopardy level and three tied to abuse, plus a $37,138 fine and a December 2024 inspection. For-profit LLC ownership, 142 beds.
Houghton Rehabilitation & Nursing Center runs about 2.69 nurse hours per resident per day, roughly 30% under the national average of 3.86, and weekend coverage dips another 13% below what it manages on weekdays. Staff turnover sits at 57.7%, well above the 45.8% national figure, which means the people caring for residents are changing often. Its current record shows 21 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with a $65,052 fine. The last inspection was in May 2025, so the picture is recent. This is a for-profit limited liability company, 100 beds, with two-out-of-five stars on health inspections, quality measures, and staffing alike.
University Place in Charlotte runs 207 beds under corporate ownership, and the numbers suggest a building under real strain. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and it thins out further on weekends, running roughly 9% below its own weekday level. Staff turnover is 59.1% against a national 45.8%, meaning well over half the nursing staff leaves each year.
The inspection record is heavier than that: 35 deficiencies, two serious enough to involve harm or jeopardy, one tied to abuse, and $276,401 in fines across two penalties. The most recent inspection was July 2025, so the picture is current. Families should ask directly about weekend coverage and how the home keeps experienced nurses on the floor.
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.
Brunswick Rehabilitation And Healthcare Center runs 90 certified beds in Bolivia under for-profit LLC ownership, and the numbers raise real questions. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekend coverage drops about 7% below its own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 80.2%, well above the 45.8% norm, which means the people caring for residents are constantly changing. Its inspection record shows 38 deficiencies, including 2 at the harm level and 3 tied to abuse, plus a $94,140 fine. The most recent inspection was May 2026. Ask hard questions here before deciding.
Community Skilled Healthcare in Warren runs 99 certified beds as a nonprofit corporation, and the numbers are hard to get past. Nurse staffing sits at 3.68 hours per resident per day, about 5% under the national average, and weekends drop roughly 14% below the home's own weekday level, so care thins out exactly when families tend to visit. Staff turnover is 59.8% against a national 45.8%, meaning most of the people caring for residents are relatively new. The current record shows 69 deficiencies, including 3 at harm or jeopardy level and 13 abuse-related, plus $186,582 in fines, and CMS has placed the home in its Special Focus Facility program.
Bridgeville Rehabilitation & Care Center runs 194 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing to notice: 3.39 nurse hours per resident day, about 12% under the national average, with weekends running roughly 7% thinner than weekdays. Turnover sits at 60.5% against a national 45.8%, so residents cycle through a lot of unfamiliar faces. The inspection record is heavier still, 73 deficiencies, four serious enough to reach harm or jeopardy, twelve tied to abuse, and $209,858 in fines across three penalties. A 1-out-of-5 health inspection rating and a recent August 2025 inspection round out the picture.
Grandview Nursing And Rehabilitation in Danville carries one of the heavier regulatory loads in Pennsylvania. The 172-bed for-profit home has 117 deficiencies on its current record, including 8 at the harm or jeopardy level and 5 tied to abuse, and CMS has placed it in the Special Focus Facility program, the agency's watchlist for homes with a pattern of persistent problems. Staffing sits at 3.82 nurse hours per resident day, slightly under the national figure, and drops about 15% on weekends. Turnover runs 50.9% against a 45.8% national average, meaning roughly half the nursing staff leaves each year. Four fines totaling $157,241 round out the record.
Harmar Village runs on thin nurse coverage, 3.64 hours per resident day, roughly 6% under the national average, with weekends about 13% leaner than weekdays, exactly when families tend to visit and notice. The bigger red flag is the workforce itself: 71.8% annual turnover against a 45.8% national average means most caregivers you meet this year probably won't be there next year. Its record shows 119 deficiencies, including five at harm or jeopardy level and ten tied to abuse, plus six fines totaling $75,890. Ownership is a for-profit limited liability company, and the most recent inspection was April 2026.
Forest Acres runs lean on nurses, 2.88 hours per resident day against a national average of 3.86, roughly a quarter below what CMS considers typical, and weekends drop about 7% further from its own weekday levels. That thin coverage shows up in the numbers: 64.9% of staff left over the past year, versus 45.8% nationally, and the current record carries 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse. A single $82,018 fine and a May 2025 inspection round out the picture at this for-profit, limited-liability home. The quality measure rating looks good on paper, but staffing is what families actually feel day to day.
Lake Emory runs about 3.12 nursing hours per resident per day, roughly 19% under the national average of 3.86, and weekend coverage dips below its own weekday level. Staff turnover sits at 60.5% against a national 45.8%, which means more than half the nursing staff turns over in a year. The current inspection record shows 14 deficiencies, three serious enough to cause harm, four related to abuse, and two fines totaling $13,627. Ownership is corporate for-profit. A recent August 2025 inspection keeps the record current, but the staffing shortfall, high turnover, and harm-level findings together describe a home where care is thin.
Avantara Saint Cloud runs a 78-bed for-profit home in Rapid City under an LLC, and the numbers raise real questions. Nurse staffing sits at 3.12 hours per resident day, about 19% under the national average of 3.86, and weekends drop roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families often visit. Staff turnover is 57.3% against a national 45.8%, meaning more than half the nursing team turns over in a year. On the current record: 17 deficiencies, three at harm or jeopardy level, two tied to abuse, and $24,751 in fines. The most recent inspection was January 2026.
Holston Rehabilitation and Care Center runs 204 beds in Kingsport, and the staffing numbers are where I'd start. At 3.63 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover is 68.1%, well above the 45.8% national figure, which usually means less continuity for residents. The current record shows 23 deficiencies, including one at the harm level and two abuse-related, plus a $16,720 fine. Inspections were recent, in November 2025, and the health, quality, and staffing ratings all land at two stars or lower.
The nurse staffing numbers at Downtown Health and Rehabilitation Center run about 16% under the national average, and weekends drop roughly another 13% below the home's own weekday level. That matters because more than nine in ten caregivers left over the past year, a 93.6% turnover rate against a national figure near 46%. The current inspection record carries 50 deficiencies, including three at the harm or jeopardy level and 11 tied to abuse; fines total $36,418. Fort Worth's hospital district operates the 161-bed home, and its last inspection was March 12, 2026. Low staffing stars and repeated turnover rarely sit apart from inspection trouble.
Oakmont Healthcare And Rehabilitation Of Humble runs 134 certified beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.27 hours per resident day against a national average of 3.86, weekends run roughly 13% thinner than weekdays, and annual turnover is 91.4%, about double the national rate. That churn matters because it's hard to deliver consistent care when the staff keeps leaving. The inspection record backs that up: 31 deficiencies, 9 of them serious enough to involve harm or jeopardy, plus three fines totaling $418,615. Quality measures score well, but quality scores rest on staffing that clearly isn't stable right now.
Augusta Nursing and Rehabilitation runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends dip about 14% below its own weekday level. That thin coverage has produced a citation record of 81 deficiencies, including 7 at harm or jeopardy level and 9 tied to abuse, plus one fine of $203,292. Staff turnover sits at 58.1% against a 45.8% national average, and the last inspection was February 2023. The quality measure score looks strong, but it reflects charted care processes rather than the staffing and compliance problems stacked against them.
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?