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.
Nathan Richard Health Care Center runs on 1.72 nurse hours per resident per day, less than half the national average of 3.86, and weekend staffing dips slightly further. That thin coverage shows in the numbers: a 68.6% annual turnover rate, well above the 45.8% national figure, and a 1-out-of-5 CMS staffing rating. Its inspection record carries 38 deficiencies, including three at the harm or jeopardy level and two tied to abuse, plus a $69,107 fine. State inspectors last visited in February 2025. For-profit corporate ownership, 68 certified beds, and a two-star inspection and quality history round out the picture.
Grand Manor runs on about 2.00 nurse staffing hours per resident day, roughly half the national average of 3.86, and weekends drop another 20% below its own weekday level. That thin coverage shows up in the record: 46 deficiencies, including 2 at the harm or jeopardy level and 3 tied to abuse, plus a $99,988 fine. Inspectors were last on site September 13, 2024, and the federal ratings sit at 2 for health inspections, 2 for quality measures, and 1 for staffing. The for-profit limited liability company that owns it has kept the building certified, but the numbers describe a home where residents get substantially less nursing time than most places in the country.
Belleview Care Center runs 90 certified beds in Saint Joseph under for-profit corporate ownership, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip roughly 7% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 59.8% against a national 45.8% means the aides and nurses your relative sees are cycling out faster than usual, which matters for anyone who needs consistent hands-on care. Add a two-out-of-five inspection rating, 53 deficiencies on the current record (two at harm level, six abuse-related), and $31,330 in fines across two actions, and the picture is a home that has struggled on multiple fronts at once.
Autumn Care of Waynesville runs on thinner staffing than most homes: 3.43 nurse hours per resident day against a national average of 3.86, with weekends falling about 11% below its own weekday level. That gap matters, because turnover sits at 69.8%, well above the 45.8% national figure, meaning the aides and nurses on those shifts are frequently new to the building. The inspection record is heavier still: 25 deficiencies, five of them at harm or jeopardy level and five abuse-related, with a $107,387 fine and a May 2025 inspection. This is a for-profit limited liability company, and the pattern across staffing and enforcement is consistent.
Glenbridge runs on thinner nurse staffing than most homes, 3.53 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when coverage drops about 12% below its own weekday level. Annual turnover sits at 60.6%, well above the 45.8% national figure, so the people caring for residents are often new to the building. The inspection record shows 41 deficiencies, including one at the harm or jeopardy level and one abuse-related, with three fines totaling $32,349. The most recent inspection was in March 2026. For-profit, limited liability ownership. If you're considering this one, ask specifically about weekend nurse coverage and how they've addressed the abuse-related finding.
Smithfield Manor runs 160 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.46 hours per resident day against a national average of 3.86, and weekends run roughly 12% thinner than weekdays, so the coverage gaps aren't random, they follow a pattern. Staff turnover of 64.3% is well above the 45.8% national figure, which matters because caregivers who leave take familiarity with your family member with them.
Then there's the inspection history: 21 deficiencies on the current record, four at harm or jeopardy level, two tied to abuse. Three fines add up to $263,607. That combination, thin weekend coverage, heavy turnover, and serious cited deficiencies, is what a family should weigh before deciding.
The Carrolton Of Dunn runs on 2.88 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 11% below its own weekday staffing. That thin coverage shows up in a 61% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses around your family member change constantly. The inspection record is worse: 37 deficiencies, four serious enough to cause harm or jeopardy, three tied to abuse, plus $54,999 in fines across three penalties. Ownership is a for-profit LLC, and the most recent inspection was November 2025. With a 1/5 staffing rating and 1/5 health inspection rating, the numbers here point to a home struggling on the basics.
The staffing numbers at West View look decent on paper, 3.94 nurse hours per resident day, a bit above the national average, but that average hides a problem: weekend coverage drops roughly 9% below weekday levels, and annual turnover runs 59% against a national 45.8%. Consistent hands matter more than the headline figure, and here they aren't staying. The inspection record is the harder read: 26 deficiencies, 8 of them serious enough to involve harm or jeopardy, plus 2 abuse-related findings and $130,764 in fines across 5 penalties. A 1-star health inspection and 1-star quality measure rating, with the most recent inspection just weeks old, tells you regulators keep finding the same problems in a for-profit limited liability operation.
Avantara Arrowhead runs on 3.52 nursing hours per resident day, about 9% under the national average, and weekends dip roughly 7% below its own weekday staffing. That thin coverage sits alongside a 76.1% annual turnover rate, well above the 45.8% national figure, meaning the aides and nurses at the bedside are frequently new. The current inspection record shows 37 deficiencies, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and five fines totaling $82,863, with the last inspection in September 2025. For-profit, LLC-owned, 68 beds. The pattern across staffing, turnover, and inspection history is what drives the low marks.
Orchardview runs on thin staffing. At 3.39 nurse hours per resident per day, it sits about 12% under the national average of 3.86, and the weekend numbers don't drop further, so there's no extra coverage cushion when census or acuity spikes. The bigger red flag is turnover: 70.8% annually, against a national average of 45.8%. That's a building where most of the people caring for your relative will be gone within a year.
The inspection record backs that up. Nineteen deficiencies on file, four of them serious enough to involve harm or jeopardy, five tied to abuse. Three fines totaling $94,905. The most recent inspection was January 2025, so the record is current, not stale. All three CMS star ratings, health inspections, quality measures, and staffing, land at 2 out of 5.
Cedar Ridge Center runs on 3.22 nurse staffing hours per resident day, roughly 17% under the national average of 3.86, and weekends drop about 23% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 60.4% against a national 45.8%, which means the people caring for your relative are often new to the building. The inspection record shows 100 deficiencies, 10 of them at harm or jeopardy level and 9 abuse-related, plus five CMS fines totaling $149,858. Being placed in the Special Focus Facility program is CMS's own signal that this home needs close watching.
If you're weighing Lakeside for someone you love, the staffing numbers are the place to start. At 3.13 nurse hours per resident day, this for-profit home runs roughly 19% below the national average, and weekends drop about 12% below its own weekday level. Annual turnover sits at 82.2% against a national average of 45.8%, which means the people caring for your family member are likely to change often. The record shows 44 deficiencies, three at harm or jeopardy level and six tied to abuse, with the most recent inspection in April 2025. That's a lot of history for a 93-bed building.
Arcadia Care Watseka runs 123 beds in Iroquois County under for-profit LLC ownership, and the staffing numbers are thin: 3.40 nurse hours per resident day, roughly 12% under the national average, with weekends about 10% below its own weekdays. Turnover sits at 55.4% against a 45.8% national rate, so the people caring for residents keep changing. The current record shows 74 deficiencies, 9 at harm or jeopardy level and 19 abuse-related, plus five fines totaling $421,200. CMS has placed it in the Special Focus Facility program, and the most recent inspection was February 2026. If you're considering this one, ask hard questions about who's actually on the floor nights and weekends.
Forest City Rehab has 213 beds and a for-profit LLC owner, and the numbers behind its record are hard to read as anything but trouble. Nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average, and weekends drop about 16% below its own weekday level, so the thinnest coverage happens when families tend to visit. Inspectors have cited 65 deficiencies, including 10 at harm or jeopardy level and 11 tied to abuse, with four fines totaling $192,920. Staff turnover at 41% is actually a touch better than the 45.8% national figure, but that's the lone bright spot in an otherwise rough record, and the most recent inspection closed in November 2025.
Fairfield Senior Living & Rehabilitation runs 104 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.05 nurse hours per resident day, it's about a fifth below the national average of 3.86, and weekend coverage dips even further below its own weekday level. The inspection record is heavier than that gap alone suggests: 45 deficiencies, eight of them serious enough to put residents at harm or jeopardy, four tied to abuse, and eight fines totaling $126,045. The most recent inspection was July 2025, so this is current, not stale. When resident care measures and staffing both sit at the low end, the pattern usually reflects how the building is run day to day.
Eastview runs lean on nurses: 3.30 hours per resident day against a national average of 3.86, and weekends drop roughly 17% below what the home staffs on weekdays. That gap matters most when families visit on Saturdays and Sundays. The inspection record shows 60 deficiencies, including five at the harm level and 13 tied to abuse, plus four fines totaling $139,731, the state last inspected in November 2024. Turnover at 43.2% is slightly better than average, so the problem isn't retention so much as how few hands are scheduled. This is a for-profit limited liability company with 63 certified beds, and the staffing and quality scores both sit at the bottom of CMS's scale.
Parkview Manor runs on 2.80 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 8% thinner than weekdays. The inspection record shows 46 deficiencies, including six at the harm or jeopardy level and seven tied to abuse, with one fine totaling $93,473 and a last inspection dated August 2025. This is a for-profit corporation operating 62 certified beds, and the numbers behind each CMS rating, one star for health inspections, one for staffing, two for quality measures, point the same direction.
Holton Health Care Center runs on 2.82 nursing hours per resident per day, well under the national figure of 3.86, and weekend coverage dips about 9% below what the home staffs on weekdays. Its inspection record shows 60 deficiencies, seven of them serious enough to involve harm or jeopardy, three tied to abuse, and four fines totaling $201,614, with a CMS inspection in August 2025 and a spot in the federal Special Focus Facility program, which flags homes with a persistent pattern of poor care. For-profit ownership under a limited liability company means the people who set the budget aren't the ones on the floor at 2 a.m.
White Oak Post Acute Care in Baton Rouge carries 84 deficiencies on its current record, ten of them serious enough to involve actual harm or jeopardy, and five tied to abuse. CMS has fined the home five times for a total of $616,151, and it currently sits in the Special Focus Facility program, the agency's watchlist for the homes with the most persistent problems. Staffing runs 3.33 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below the home's own weekday level. Annual turnover hits 68.7%, well above the 45.8% national figure. For-profit, LLC-owned, 176 beds, inspected most recently in December 2025.
Legacy Nursing At St. Christina runs 140 certified beds in Pineville under for-profit LLC ownership, and the staffing numbers tell the story before anything else does. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 20% below its own weekday level, so the thinnest coverage lands when families tend to visit. The inspection record backs that up: 61 deficiencies, seven at harm or jeopardy level, eleven tied to abuse, and five fines totaling $646,937. Staff turnover of 48.1% edges past the national 45.8%. All three CMS star ratings, health inspections, quality measures, staffing, sit at one out of five, with the most recent inspection dated February 2026.
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?