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.
Avir At San Angelo runs on 2.99 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 9% below what it manages on weekdays. The inspection record shows 36 deficiencies, seven of them at the level where residents were actually harmed or put in jeopardy, and five tied to abuse. Four fines total $217,215, and the last inspection was March 6, 2025. This is an individually owned for-profit home, and the federal star ratings sit at 1 for health inspections, 1 for staffing, and 2 for quality measures. When staffing is thin, harm-level findings stack up, and fines reach six figures, the pattern is worth taking seriously before you visit.
Berrien Oaks runs about 2.93 nursing hours per resident per day, roughly a quarter below the national average, and weekends are thinner still. Staff turnover sits near 73%, well above the 45.8% national figure, so the people caring for residents change often. The 14 deficiencies on record include none flagged as causing harm and none tied to abuse, and the most recent inspection was in April 2025, so the record is current. Still, all three CMS star ratings land at the low end: two for health inspections, one for quality measures, one for staffing. It's a for-profit LLC with 108 certified beds.
Jasper Point of Journey runs 60 beds in Pickens County under for-profit LLC ownership, and the numbers on the clinical side are thin. Nurses provide 3.21 hours per resident day against a national average of 3.86, and weekends drop about another 10% below what the home already staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 71.7% versus 45.8% nationally, which means most of the aides you meet will likely be gone within a year. Inspectors have logged 29 deficiencies, two of them serious enough to put residents at risk of harm, and cited the home most recently in November 2025. No abuse deficiencies appear on the record.
Rose Garden Of Pana runs 105 beds as a for-profit, individually owned home, and the staffing numbers are the first thing I'd flag: 2.71 nurse hours per resident day, about 30% under the national average of 3.86. Weekends drop roughly another 12% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The record shows 29 deficiencies, including 3 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $120,442. Turnover sits at 45%, essentially matching the national rate. The last inspection was February 2026. With a 1/5 staffing rating and 1/5 quality measures against a 3/5 inspection score, the pattern is consistent: this home has real problems, and staffing is where they start.
Loft Rehabilitation & Nursing runs 92 certified beds in Eureka under corporate for-profit ownership, and the numbers that stand out most aren't close calls. Nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average, and weekends drop about 5 percent below its own weekday level. Annual turnover hits 65.1 percent against a national 45.8 percent, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is heavy: 61 deficiencies, 13 at harm or jeopardy level, 11 abuse-related, and four fines totaling $438,940. The last inspection was August 2024. A 4/5 quality measure score doesn't offset a 1/5 on both health inspections and staffing.
Jerseyville Nsg & Rehab Center runs on 2.65 nursing hours per resident per day, roughly a third below the national average of 3.86, and weekend coverage drops about 9% below its own weekday level. Annual turnover sits at 64.9% against a national 45.8%, so the people caring for residents are frequently new. The inspection record is where things get serious: 49 deficiencies, 13 of them at harm or jeopardy level, 7 tied to abuse, and seven fines totaling $413,648. Ownership is for-profit, through a limited liability company. Staffing and health inspection scores each land at 1 out of 5 stars, despite a 3 out of 5 on quality measures. If you're considering this home, ask directly how they're addressing the harm-level findings and what weekend coverage actually looks like.
Taylorville Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. The inspection record is heavy: 42 deficiencies, including 8 at the harm or jeopardy level and 6 tied to abuse, with two fines totaling $247,115. Staff turnover sits at 36.4%, better than the 45.8% national figure, so retention isn't the core problem here, the numbers point to thin coverage and a long, serious citation history. The last inspection was August 2025.
Nurse staffing at Effingham Healthcare runs 2.92 hours per resident day against a national average of 3.86, roughly a quarter less time with a caregiver than the typical home. Weekends are thinner still, about 14% below what the building itself staffs on weekdays. Turnover sits at 39.4%, a bit better than the 45.8% national figure, and it's the only number here that reads favorably.
The inspection record is the harder part: 46 deficiencies, seven serious enough to involve harm or jeopardy, five tied to abuse, and three fines totaling $132,532. The last inspection was September 2024, so that record is recent. For-profit corporate ownership, 62 beds.
If you're considering Bria of Cahokia for a family member, the numbers tell a hard story. Nurse staffing sits at 3.25 hours per resident day, about 16 percent under the national average, and drops further on weekends. Staff turnover runs 51 percent, above the national rate, which means the people caring for your relative are likely to keep changing. The inspection record is the part that worries me most: 89 deficiencies, 23 of them serious enough to put residents in harm's way, and 20 tied to abuse. Seven fines totaling just under $687,000 have piled up, with the most recent inspection in April 2025. For-profit, limited liability ownership.
Allure Of Sterling runs 130 beds under corporate ownership, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so the raw coverage number looks fine until you notice weekends dip about 3% below the home's own weekday level. Turnover is the harder fact: 52.6% of staff leave annually, well above the 45.8% national figure, which means the people showing up are often new. The inspection record carries 39 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus a $118,360 fine. The most recent inspection was December 2025, so the picture is current, not stale.
Arcadia Care Morris runs leaner than most homes, and the numbers show it. Nurse staffing sits at 3.42 hours per resident day against a national average of 3.86, and weekends drop another 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. Half the staff turned over in a year, above the 45.8% national figure, which matters because unfamiliar aides miss changes in a resident's condition. Its inspection record carries 37 deficiencies, six serious enough to involve harm or jeopardy, plus $96,340 in fines; the last full inspection was October 2024. A for-profit limited liability company owns the 123-bed building.
Loft Rehab Of Peoria runs 120 beds under for-profit LLC ownership, and the numbers behind its record are worth knowing. Nurse staffing sits at 3.23 hours per resident per day, roughly 16% under the national average, and weekends run about 15% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover is 61.5% against a national 45.8%, meaning the people caring for residents are, more often than not, new to the building.
The inspection record is heavier still: 68 deficiencies on file, including 5 at the harm or jeopardy level and 9 tied to abuse, plus three fines totaling $235,553. The most recent inspection was August 2024. Ask about weekend staffing and turnover before you decide.
Arcadia Care Havana runs on thinner nursing coverage than most homes in the country, 3.17 nurse hours per resident day against a national average of 3.86, and weekends drop even further below its own weekday level. That shortfall shows up in the numbers: a 57.4% annual turnover rate, well above the national 45.8%, and 95 deficiencies on the current record, 12 of them serious enough to put residents in harm's way and 19 tied to abuse. Three fines totaling $412,962 have accumulated, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The last inspection was March 21, 2025.
La Bella Of Edwardsville runs on 2.91 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops about 13% below its own weekday level. That thin staffing shows in the numbers: 71.7% annual turnover, against 45.8% nationally, and 1 out of 5 stars from CMS on staffing. The inspection record carries 40 deficiencies, eight at harm or jeopardy level and five tied to abuse, with $138,697 in fines across five penalties; the last inspection was May 2024. Ownership is for-profit, a limited liability company. The 4-star quality measure rating reflects resident assessment data, not the hands available to deliver care.
Arcadia Care Jacksonville runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop even further below its own weekday numbers. That thin coverage shows up in the inspection record: 39 deficiencies, three of them at the harm or jeopardy level, including two tied to abuse, and $84,491 in fines. Staff turnover sits at 50.9%, higher than the 45.8% national figure, which means caregivers are leaving faster than residents can get to know them. The last inspection was in November 2024, so the picture is current. Corporate-owned and 113 beds, this is a home where the numbers themselves tell you to ask hard questions before trusting the care.
Aperion Care International runs 218 beds on the South Side, and the staffing numbers are where the trouble starts: 3.14 nurse hours per resident day, roughly 19% under the national average, with weekends about 12% thinner than weekdays. A 48.1% annual turnover rate sits slightly above the national figure of 45.8%, which means the people providing that already-lean care are frequently new. The inspection record is heavy, 71 deficiencies, eight at harm or jeopardy level, seven tied to abuse, and five fines totaling $106,504. State inspectors last visited in May 2024. With a for-profit limited liability company at the helm, the pattern suggests a building where corners get trimmed at the bedside.
Helia Healthcare Of Energy runs 98 certified beds as a for-profit corporation, and the nurse staffing number is the first thing I'd flag: 2.88 hours per resident day, roughly a quarter below the national average of 3.86. Weekend coverage dips about 6% under its own weekday level, and annual turnover sits at 61.3% against a national 45.8%, that's a lot of churn on top of thin coverage. The inspection record backs it up: 64 deficiencies, 11 at harm or jeopardy level, 8 abuse-related, and 7 fines totaling $293,967. With a 1-out-of-5 inspection rating and the most recent survey dated January 2026, ask hard questions before touring.
Chesterton Manor runs on thin staffing. At 3.22 nurse hours per resident per day, it sits about 17% under the national average, and weekends drop roughly 11% below what the home already provides on weekdays. That gap matters most when a resident needs help between Friday night and Monday morning.
Turnover tells a related story: 69.4% of staff left over the past year, against a national average of 45.8%. When two of every three caregivers are new or leaving, consistency is hard to build. The inspection record shows 33 deficiencies, including one tied to abuse. State inspectors last visited in March 2025, and the federal star ratings come back low across staffing, quality measures, and health inspections.
Harvest Acres runs thin on nurses, 3.47 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday level. That's a problem in a 35-bed building, where there's no cushion when someone calls in. Turnover sits at 70.4%, well above the 45.8% national figure, so the people around your family member keep changing. The inspection record is the harder read: 50 deficiencies, six serious enough to involve harm or jeopardy, three tied to abuse, and a $136,500 fine. The most recent inspection was in December 2025, so the record is current, not stale. A for-profit LLC operates it.
Tanglewood runs on 2.78 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about another 10% from that already thin level. Staff turnover sits at 71.2% against a national 45.8%, so the people left are often the newest ones. The inspection record shows 45 deficiencies, three serious enough to cause harm, two tied to abuse, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of homes with a pattern of poor inspections. Two fines total $227,440. The quality star rating looks better, but that's mostly self-reported data; the staffing and inspection scores reflect what surveyors actually found.
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?