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.
Kadima Rehabilitation & Nursing At Lititz runs 42 beds, and the numbers behind its standing are worth knowing before you visit. Nurse staffing sits at 3.46 hours per resident day, about 10% under the national average, and it thins out further on weekends, when coverage drops roughly 11% below the home's own weekday level. Staff turnover is the starkest figure: 82.1% annually against a national rate near 46%, meaning most of the people caring for residents are relatively new to the building. The current inspection record carries 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Inspectors last visited on July 18, 2025.
Wallingford Skilled Nursing and Rehabilitation Center runs 193 certified beds under corporate ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average, and weekends drop about 7% below what the home itself staffs on weekdays, so coverage thins exactly when families tend to visit. Turnover is the harder signal: 62.8% annually against a 45.8% national average, meaning most of the people caring for residents are relatively new to the building. Then there's the inspection record: 50 deficiencies, three at harm or jeopardy level, six abuse-related, and $282,733 in fines. The most recent inspection was December 2024.
Carlisle Skilled Nursing and Rehabilitation Center is a 150-bed for-profit home that Medicare flags for its worst-performing tier, the Special Focus Facility program. The numbers behind that: a one-star rating across all three CMS categories, 63 deficiencies on record including four involving harm or jeopardy and two tied to abuse, plus $40,055 in fines. Nurse staffing sits at 3.19 hours per resident day, about 17% under the national average, and weekends run roughly 9% thinner than weekdays. Staff turnover is 61.3% a year, well above the 45.8% national figure, meaning the people caring for residents are constantly new. If you're considering this place, ask hard questions about who's actually on the floor.
Kadima Rehabilitation & Nursing At Campbelltown runs 53 beds in Palmyra, and the numbers here are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and it thins out further on weekends, about 8% below the home's own weekday level. Meanwhile, annual turnover hits 84.1% against a national average of 45.8%, so the aides and nurses cycling through the building rarely stay long.
The inspection record tells the same story: 74 deficiencies, two at harm or jeopardy level, four tied to abuse, and a one-star rating across health inspections, quality measures, and staffing. CMS has placed it in the Special Focus Facility program, which it reserves for the country's most persistently troubled homes.
Midtown Oaks runs 3.52 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 7% below its own weekday level. Staff turnover sits at 57.4% against a 45.8% national figure, so the aides and nurses cycling through are often new to the building. The inspection record carries 108 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, with two fines totaling $99,042 and a health inspection rating of 1 out of 5. The most recent inspection was February 27, 2026. A for-profit LLC operates the 120-bed home. If you're considering this one, ask directly how they're fixing weekend staffing and what's changed since that February survey.
Smyrna Care Center runs on thin staffing even by industry standards, 3.22 nurse hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday numbers. That gap matters more when you look at turnover: 65% of staff leave each year, well above the 45.8% national figure. The inspection record is the harder read. Thirty deficiencies, six of them serious enough to put residents in harm's way, and one tied to abuse. The last full inspection was February 2020, more than five years ago. Corporate ownership, 125 beds. Families deserve to know all of this before deciding.
The Mckendree Post Acute & Rehabilitation is a 180-bed nonprofit home in Hermitage that CMS has placed in its Special Focus Facility program, a designation reserved for homes with a persistent record of poor inspections. The numbers explain why: 37 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus a single fine of $252,242. Staffing sits at 3.50 nurse hours per resident day, about 9% under the national average, and weekends run roughly 12% thinner than weekdays. Annual turnover is 58% against a national 45.8%. Its last inspection was October 2023. If you're considering this home, ask what's changed since then.
Granbury Care Center runs on 2.71 nurse staffing hours per resident day, roughly 30% under the national average, and weekends drop another 13% below its own weekday level. That thin coverage shows up in the numbers: a staff turnover rate of 94.2%, where the national figure sits near 46%, meaning most of the people caring for residents this year likely won't be there next year. The home carries 37 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse, plus $37,501 in fines. Inspectors were last out in February 2026, and the health inspection rating sits at 2 out of 5.
Graham Oaks runs on 2.99 nurse hours per resident per day, roughly a fifth below the national average, and weekends are thinner still, about 14 percent lighter than its own weekdays. That staffing picture comes with a 94.4 percent annual turnover rate, more than double the national figure, meaning the aides and nurses your family member sees are, more likely than not, new to the building within the year. The inspection record shows 21 deficiencies, three serious enough to put residents in harm's way and four tied to abuse, with $34,690 in fines. A for-profit LLC owns it. The most recent inspection was January 2025.
Harrisonburg Health & Rehab Center runs on thin staffing. At 3.17 nurse hours per resident day, it sits about 18 percent below the national average, and weekends drop roughly another 14 percent beneath its own weekday level. That shortfall shows in the numbers: 60 percent annual turnover, well above the 45.8 percent national figure, and a one-out-of-five CMS staffing rating.
The inspection record is heavier still, 75 deficiencies, four at harm or jeopardy level, 10 abuse-related, plus two fines totaling $128,943. The last inspection was May 2022, so the record is old. Federal ownership doesn't change any of this. If you're considering it, ask what's changed since that inspection and how they cover weekends.
The numbers here are hard to dress up. Nurse staffing sits at 3.23 hours per resident day, well under the national average of 3.86, and it thins out further on weekends, not the pattern you want when families visit less and oversight is lighter. Staff turnover is the bigger tell: 62.2% against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago.
Then there's the inspection record, 59 deficiencies, four of them at harm or jeopardy level, twelve tied to abuse, and two fines totaling $108,698. That last inspection was April 2023, so this record has had time to stand.
Westwood Center runs 60 certified beds in Bluefield under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.80 hours per resident day, a bit under the national average, but weekends drop roughly 13% below what the home staffs on weekdays, so the thinnest coverage lands when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current inspection record carries 46 deficiencies, six at harm or jeopardy level and one abuse-related, plus three fines totaling $159,612. Its last inspection was August 2024.
Rosedale runs on thin nursing coverage: 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 13% below its own weekday level. Turnover compounds it, nearly two-thirds of staff leave each year against a national rate of about 46%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 101 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $73,788 fine. The last full inspection was September 2023, so that record is getting old, which isn't the same as getting better.
Woodstock Valley runs on 2.98 nurse hours per resident per day, about a quarter below the national average, and weekends drop another 14% below its own weekday staffing. The current inspection record carries 115 deficiencies, including five at the level where residents were actually harmed or put in immediate jeopardy, plus eight tied to abuse. CMS has placed it in the Special Focus Facility program, reserved for the homes with the longest-running patterns of poor care, and the two fines on record total $174,324. Staff turnover at 43.6% is roughly in line with the national average, so the problem isn't churn alone. It's thin coverage layered on repeated, serious inspection failures.
Bayshore Nursing & Rehab runs 112 certified beds in Glendale under for-profit LLC ownership, and the numbers say more about it than any single rating could. Staffing sits at 3.96 nurse hours per resident day, just above the national figure, but weekends drop about 10% below the home's own weekday level, and 56.4% of staff left over the past year against a national rate of 45.8%. The inspection record is where the concern concentrates: 140 deficiencies, 14 at harm or jeopardy level, 15 tied to abuse, and CMS has placed the home in its Special Focus Facility program after a September 2025 inspection. Families deserve to weigh that record carefully.
Franklin Heights runs on 3.07 nurse hours per resident per day, roughly a fifth less than the national average, and weekends drop another 14 percent below its own weekday levels. Staff turnover sits at 96.2 percent, more than double the national figure, so the people caring for residents are, statistically, almost all new. The inspection record is heavier: 77 deficiencies, five involving harm or jeopardy, 11 tied to abuse, and two fines totaling $191,503. State inspectors were last on site in July 2025. Ownership is a for-profit partnership. With 132 certified beds, that ratio of direct care to residents, especially on weekends, is the number worth asking about when you visit.
Southern Specialty Rehab & Nursing runs 144 beds in Lubbock under corporate ownership, and its staffing numbers look decent at first glance, 3.99 nurse hours per resident day, just above the national average. But that average hides a churn problem: turnover sits at 98.7%, more than double the national rate, meaning the aides and nurses at your mother's bedside are likely new to the building and still learning it. Weekend coverage drops about 6% below weekday levels, so the shifts when families visit least are the thinnest. The inspection record is harder to explain away: 30 deficiencies, three at harm or jeopardy level, three tied to abuse, and two fines totaling $36,652, with the most recent inspection in June 2026.
Vidor Health & Rehabilitation Center runs 144 certified beds under for-profit LLC ownership, and its staffing numbers are the first thing to notice: 2.88 total nurse hours per resident per day, roughly a quarter below the national average of 3.86. Weekend coverage slips about 10% below the home's own weekday level, and annual turnover sits at 93.5% against a national rate near 46%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record backs up the concern: 37 deficiencies on file, four at harm or jeopardy level, four abuse-related, and two fines totaling $58,904, with a one-star health inspection rating and a one-star staffing rating.
The Hillcrest of North Dallas runs on 2.66 nursing hours per resident day, roughly a third less than the national average of 3.86, and weekend coverage drops about 13% below what the home staffs on weekdays. Annual turnover sits at 68.3% against a national 45.8%, so the aides and nurses at the bedside keep changing. Its inspection record shows 44 deficiencies, including 6 at the harm or jeopardy level and 3 tied to abuse, with $221,052 in fines across three penalties and a 1-out-of-5 inspection rating; the most recent survey was July 31, 2025. Ownership is a for-profit corporation. The quality measure stars don't offset what staffing and inspections show.
The Reserve at Appling runs on 2.98 nursing hours per resident day, roughly a quarter below the national average, and weekends drop about 20% below what the home itself staffs on weekdays. That thin coverage sits alongside a 58.5% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses cycling through are often new to the building. Its CMS ratings land at one star for staffing and one for quality measures, with a two-star inspection record, 25 deficiencies, and five fines totaling $19,321. Nothing on the current record rises to harm or jeopardy, and the most recent inspection was in August 2025. A for-profit LLC operation at 100 certified beds.
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?