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.
Olympic View Post Acute runs 101 certified beds, and the numbers behind its record deserve a close look before you consider it. Nurse staffing sits at 3.51 hours per resident per day, roughly 9% under the national average, and it thins out further on weekends, about 11% 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 often new to the building. The current inspection record lists 103 deficiencies, including 5 at the harm or jeopardy level and 11 abuse-related, with $144,479 in fines across three penalties. The most recent inspection was May 13, 2025.
St Elizabeth Nursing Home runs on 2.96 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 57.8%, well above the 45.8% national figure, which means caregivers are cycling through faster than residents can build familiarity with them. The inspection record shows 59 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $31,171 and a survey as recent as April 2026. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 2 out of 5.
Avir At Burkburnett runs a 60-bed for-profit home where the nurse staffing line sits at 3.30 hours per resident day, roughly 14% under the national average of 3.86, and it thins out further on weekends, dropping about 14% below its own weekday level. That thin coverage shows up in the staffing star rating, and the 64.9% annual turnover means aides and nurses are cycling through faster than the 45.8% national rate, so the people at the bedside keep changing. The inspection record carries 28 deficiencies, three of them serious enough to put a resident in harm's way, plus two fines totaling $64,646, with the most recent inspection in December 2024.
Rosenberg Health & Rehabilitation Center runs on 2.99 nursing hours per resident per day, roughly a quarter below the national average, and weekend coverage drops another 13% from its already thin weekday level. That staffing gap shows up in the inspection record: 27 deficiencies, 8 of them serious enough to put residents at harm or jeopardy, with four fines totaling $97,334. Staff turnover sits at 61.7%, well above the 45.8% national figure, meaning the aides and nurses who know your family member are likely to leave within the year. It's hospital-district owned, which sometimes signals stability, but the numbers here say otherwise. The most recent inspection was May 2026, so this is a current picture, not an old one.
Llano Nursing and Rehabilitation Center runs on 3.00 nurse staffing hours per resident per day, roughly 22% under the national average of 3.86, and weekends drop about 10% below its own weekday levels. That thin coverage shows up in the numbers: 70.4% annual staff turnover against a national average of 45.8%, and 27 deficiencies on the current record, four serious enough to cause harm or jeopardy and two tied to abuse, with one fine totaling $40,170. The most recent inspection was September 2025. The 4/5 quality measure rating reflects resident care data, but it sits alongside a 1/5 staffing rating, and that gap is worth asking about directly.
Dogwood Trails Manor runs on thin staffing: 3.38 nurse hours per resident day, about 13 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels. That gap matters because fewer aides on Saturday and Sunday means slower responses. The bigger warning sign is turnover, 93.9 percent annually against a national average near 46 percent, meaning most of the staff you'd meet likely weren't there a year ago. Eighteen deficiencies sit on the current record, including two at the harm or jeopardy level and five tied to abuse, with $23,104 in fines. Inspectors last visited in August 2025, and the corporation that owns it is for-profit.
Park Highlands is a hospital-district home in Athens, and its inspection record is genuinely strong, five stars, nine deficiencies with none at the harm level and no abuse findings, and a survey done as recently as May 2025. The trouble is what happens between inspections. Nurses give residents 3.05 hours of care per day against a national average of 3.86, and weekends drop about 14% below the home's own weekday staffing. Nearly nine in ten employees turned over last year, roughly double the national rate, which means the people at the bedside keep changing. Stable hands matter most in a nursing home, and this one struggles to keep them.
Woodland Park runs a hundred beds in Shepherd under hospital district ownership, and the numbers there deserve a close look. Nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, and weekends drop about 8% below what the home itself staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 57.4%, well above the 45.8% national figure, which usually means less continuity for residents who need consistent hands. The current record carries 31 deficiencies, five of them serious enough to involve harm or jeopardy, plus two fines totaling $41,515. The last inspection was July 2025.
The Bradford At Brookside runs lean on nursing staff, 3.39 hours per resident day against a national average of 3.86. Weekends are thinner still, roughly 13 percent below its own weekday coverage. Turnover sits at 65.2%, well above the 45.8% national figure, so the people caring for residents change often.
Against that, the home's most recent health inspection in August 2025 produced a strong four-star result and 31 deficiencies with none at the harm or jeopardy level, though one is abuse-related. State inspectors have looked recently and found no serious harm.
What you're weighing is a home that passes inspection but runs short-staffed with high turnover. Ask about weekend coverage and how long aides typically stay.
Houston Heights Nursing and Rehabilitation Center runs on 3.03 nurse hours per resident per day, about 22% under the national average, and weekend coverage dips roughly 8% below its own weekday level. Staff turnover sits at 59.1% against a national 45.8%, so the people doing the bedside work change often, and a 1-out-of-5 CMS staffing rating reflects that reality. The inspection record shows 23 deficiencies, including six at the harm or jeopardy level and two tied to abuse, with four fines totaling $105,536 and a 2-out-of-5 health inspection rating. The 4-of-5 quality measure score stands out, but it rests on a staffing and inspection foundation that is thin.
The Lodge of Saginaw runs on about 3.10 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 9% under its own weekday coverage. Staff turnover sits at 55.3% against a national 45.8%, so aides and nurses cycle through faster than at the typical home. That shows up in the staffing star rating, which CMS puts at 1 out of 5, even while the quality measure score reaches 5. Twenty-three deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus a $15,944 fine. The last inspection was recent, December 2025. For-profit, LLC-owned, 130 beds.
Arcadia Care Peoria Heights runs on 2.94 nurse hours per resident per day, roughly a quarter below the national average, and weekend coverage dips about 6% below its own weekday pace. Staff turnover sits at 52.1%, above the national figure, which matters for a building where 70 deficiencies sit on the current record, including five at the harm level and 13 tied to abuse. Three CMS fines total $259,968, and the home is in the Special Focus Facility program, a designation reserved for the lowest performers. The most recent inspection was January 2026. For-profit ownership through a limited liability company rounds out the picture.
Prairie Oasis runs 3.26 nurse hours per resident per day, roughly 16% under the national average, and weekends drop about 18% below its own weekday staffing. The inspection record backs that up: 67 deficiencies, 12 of them at harm or jeopardy level, 13 abuse-related, and six fines totaling $302,164. Turnover sits at 44.1%, marginally better than the 45.8% national figure but hardly a bright spot given everything else. All three CMS star ratings, health inspections, quality measures, staffing, come in at 1 out of 5, and the last inspection was September 12, 2025. This is a for-profit, individually owned home where the numbers point the same direction.
Legacy Nursing and Rehabilitation of Winnsboro runs 150 certified beds as a for-profit LLC, and the numbers tell a story of thin coverage and high churn. Nurse staffing sits at 3.81 hours per resident day, just under the national average, but weekends drop about 17 percent below the home's own weekday level, meaning the days families visit most are the days with the least help. Staff turnover of 65.3 percent is well above the 45.8 percent national figure, and with 28 deficiencies on record, including three at harm or jeopardy level and two tied to abuse, plus $168,036 in fines, there's a pattern worth asking about before you tour.
The Grand Rehabilitation and Nursing at Barnwell carries 236 certified beds and a for-profit partnership structure, with 69 deficiencies on its current record, including two at the harm or jeopardy level and six tied to abuse. That record is why CMS placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems, and the $160,303 in fines across three actions reflects it. Nurse staffing sits at 2.54 hours per resident day, roughly a third below the national average, and weekends run about 23% lighter than weekdays, a gap that matters most when families visit. Turnover of 42.5% is slightly better than the national figure, but stability at the top doesn't offset what inspections keep finding.
The Grand Rehabilitation and Nursing at Rome runs on 3.09 nurse hours per resident per day, roughly a fifth below the national average, and weekend coverage drops another 18% below its own weekday levels. Its inspection record carries 38 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $76,542 in fines and a 1-out-of-5 rating on all three CMS measures. Staff turnover sits at 40.8%, a bit better than the 45.8% national figure, so the problem here looks less like constant churn than like thin staffing and a serious inspection history that has not been resolved.
Fletcher Rehabilitation and Healthcare Center runs on staffing that falls well short of what most homes provide, about 3.15 nurse hours per resident each day against a national figure closer to 3.86, with weekends noticeably thinner than weekdays. The bigger warning sign is turnover: roughly 78% of staff left over the past year, far above the 46% typical elsewhere, which means the people caring for residents are often new and still learning the building. Inspectors have cited 43 deficiencies, two involving actual harm and two tied to abuse, and fined the home twice for a combined $62,868. That record, paired with a one-star inspection history, is what drives the grade down.
The Palms runs 204 beds in Corpus Christi under corporate for-profit ownership, and its nurse staffing sits at 2.93 hours per resident day, roughly a quarter below the national average of 3.86. Weekends are thinner still, about 18 percent lighter than the home's own weekday coverage, and annual turnover of 51.2 percent means the aides and nurses showing up are often new to the building.
The inspection record is the heavier concern: 60 deficiencies, five serious enough to put residents in harm's way, and 11 tied to abuse. Four fines total $79,987. Federal quality measures land at 1 out of 5 stars, and the most recent inspection came in December 2025, recent enough that this picture reflects how the home operates now, not years ago.
The Lennwood Nursing And Rehabilitation runs 124 certified beds in Dallas under county government ownership, and the staffing numbers are where the trouble starts. At 2.90 nurse hours per resident day, it sits roughly a quarter below the national average of 3.86, and weekends drop another 17% beneath its own weekday level. Turnover tells a similar story: 68.6% annually, against 45.8% nationally, which means the aides and nurses your relative sees may not be there in six months. The current record shows 24 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, with two fines totaling $29,969. The last inspection was August 29, 2024.
Oak Ridge Manor runs 114 beds in Brownwood under for-profit LLC ownership, and its inspection record is genuinely decent, a four-star health inspection rating, fifteen deficiencies with none rising to harm or jeopardy, and a survey completed in late December 2025. The problem sits in the staffing column, where the home earns one star. Nurses provide 3.29 hours per resident day against a national average of 3.86, weekends drop about 19% below the home's own weekday coverage, and annual turnover hits 96.4% when the national figure is 45.8%. That's a workforce cycling through nearly completely each year. Two abuse-related deficiencies and a $129,761 fine round out a record where care appears adequate on paper but the people delivering it keep leaving.
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?