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.
Riverdell Care Center runs about 2.82 nurse hours per resident each day, roughly 27% below the national average of 3.86, and weekend coverage drops another 16% below its own weekday level. Staff turnover sits at 69.4% against a national average of 45.8%, so the people around your family member change often. The good news: inspectors gave it four stars and found no abuse or harm-level deficiencies, though 10 total issues remain on the record, with the most recent inspection in December 2024. The quality measure rating tells a different story from the inspection score, and that gap between a clean-ish inspection and thin, unstable staffing is what the numbers actually show.
Brent B Tinnin Manor runs 60 beds in Ellington under individual for-profit ownership, and the staffing numbers are the place to start. At 3.20 nurse hours per resident day, it sits about 17% under the national average, and weekends drop roughly 23% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 74.5% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent survey was March 2025.
Eldon Nursing & Rehab runs on 3.36 nurse hours per resident per day, roughly 13% under the national average, and weekends dip about 16% below what the home staffs on weekdays. That thin coverage sits behind a CMS staffing rating of 1 out of 5, and it's hard to keep anyone long-term: annual turnover is 77.6% against a national 45.8%, meaning most of the people caring for residents are new to the building. The record shows 32 deficiencies, including 4 at harm or jeopardy level and 5 abuse-related, with three fines totaling $79,671. Inspectors were last in on February 26, 2026. Individual for-profit ownership.
Carrie Elligson Gietner Health Care Center runs 130 certified beds in Saint Louis, and the numbers behind its record aren't reassuring. Nurse staffing sits at 2.48 hours per resident day, roughly 36% under the national average of 3.86, and weekends run about 13% thinner than weekdays, so coverage is lightest exactly when families tend to visit. The inspection history carries 55 deficiencies, seven of them at the harm or jeopardy level and five tied to abuse, along with two CMS fines totaling $92,561. The most recent inspection was in June 2024. Corporate for-profit ownership and a one-star inspection and staffing rating round out a picture worth weighing carefully against other options.
St Joe Manor runs 155 certified beds in Bonne Terre under for-profit LLC ownership, and its most recent inspection in February 2025 produced 28 deficiencies, none at the harm level, but one tied to abuse, which is the kind of citation families should ask about directly. Staffing tells a starker story than the inspection record: the home earns just 1 of 5 stars for staffing, and annual turnover hits 73.3% against a national average of 45.8%, meaning roughly three of every four employees leave within a year. High turnover at that scale usually shows up as inconsistent caregivers and less experienced hands on the floor. Worth weighing carefully against the quality measure rating of 1 out of 5.
Bluebird Wellness and Rehabilitation runs on 2.96 nurse staffing hours per resident day, roughly a quarter below the national average, and weekends drop about 18% below what the home itself staffs Monday through Friday. Turnover sits at 62.3% against a national 45.8%, so the aides and nurses present on any given shift are often new to the building.
The inspection record backs up the numbers: 84 deficiencies, eight of them serious enough to put residents in harm’s way and four tied to abuse, plus a $234,836 fine. CMS gave its lowest marks to both staffing and health inspections. At 188 beds under for-profit LLC ownership, this is a home where the people providing care are stretched thin and frequently replaced.
Emerald Nursing & Rehab Lancaster is a 293-bed for-profit home in Lincoln, and the numbers behind its record are worth knowing before you tour. Nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, and it drops another 10 percent on weekends when families tend to visit. Staff turnover is 73.5 percent against a national 45.8, most of the people caring for your relative this year likely won't be there next year. The inspection history shows 57 deficiencies, four at harm or jeopardy level, two tied to abuse, and $79,725 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Continuing Healthcare of Gahanna runs 94 beds under for-profit LLC ownership, and the staffing numbers tell a story on their own: 3.11 nurse hours per resident day against a national average of 3.86, with weekends dipping another 12% below its own weekday levels. That thin coverage sits alongside 111 deficiencies on the current record, including 8 at the harm or jeopardy level and 11 tied to abuse. Staff turnover of 55.8% runs well above the 45.8% national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. One fine of $170,581 is on file, and the most recent inspection was April 21, 2026.
Shelby Oaks Post Acute runs on 3.51 nurse staffing hours per resident day, about 9% under the national average, and weekends drop roughly 17% below what the home staffs during the week. That thin coverage shows up in the numbers: 59.7% annual turnover, against a national average of 45.8%, meaning most of the people caring for residents weren't there a year ago. The inspection record is worse, 22 deficiencies, two at harm or jeopardy level, two tied to abuse, and $83,589 in fines. The last inspection was January 8, 2026, so the record is recent, not stale. This is a for-profit LLC with a one-star health inspection rating and a one-star staffing rating.
Normandy Terrace is a 320-bed for-profit home in San Antonio, and the numbers that stand out are about people. Nurse staffing sits at 3.01 hours per resident day, roughly 22 percent under the national average, and weekends run about 18 percent thinner than weekdays. Staff turnover is 95.8 percent, more than double the national figure, meaning the aides and nurses caring for residents are, in large part, new or on their way out. The inspection record shows 49 deficiencies, six at the harm or jeopardy level and four abuse-related, with five fines totaling $287,359. A 1-out-of-5 inspection rating and a 1-out-of-5 staffing rating back that up. If you're considering this home, ask hard questions about who's on the floor at night and on weekends.
Rock Creek runs on 2.84 nursing hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up in turnover: 90.3% of staff left over the past year, double the national rate of 45.8%. The current record carries 36 deficiencies, two serious enough to involve harm or jeopardy, plus $82,579 in fines across two events. Inspectors last visited in August 2025. Corporate-owned and Medicare-certified for 120 beds, the home scores 1 out of 5 on CMS staffing and 2 on health inspections, while its quality measure rating sits at 3.
The Rio at Mission Trails runs 124 beds under hospital district ownership in San Antonio, and its nurse staffing sits just under the national average, 3.71 hours per resident day against 3.86. That small gap is not the real story. Weekend staffing drops roughly 16% below its own weekday level, and annual turnover hits 97.2%, more than double the national rate of 45.8%, meaning the aides and nurses at your mother's bedside are, statistically, almost certain to be new within the year. On inspections, the home carries 32 deficiencies, three at harm or jeopardy level and four abuse-related, with two fines totaling $153,825.
Crescent City Care Center runs on thinner nursing coverage than most homes in the country, 3.53 nurse hours per resident day against a national average of 3.86, and it thins out further on weekends. Keeping nurses is the bigger problem: turnover sits near 69%, well above the 45.8% national figure, and the federal staffing rating reflects it at 1 out of 5. The inspection record is heavier still: 69 deficiencies on file, including three at the harm level and four tied to abuse, with two fines totaling $205,566. CMS has placed this for-profit, limited-liability home in its Special Focus Facility program, a designation reserved for the homes with the most persistent problems. If you're considering it, ask what's changed since the June 2024 inspection.
Jesup Ridge of Journey LLC runs 72 certified beds as a for-profit corporation, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.38 hours per resident day, about 13% under the national average, and weekends drop roughly 14% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is 58.8% against a national average of 45.8%, meaning more than half the caregiver workforce turns over in a year. The current inspection record carries 21 deficiencies, four at harm or jeopardy level and three abuse-related, plus a $45,968 fine. The most recent inspection was May 30, 2025.
Gold City Health And Rehab runs 102 certified beds in Dahlonega under for-profit limited liability ownership, and the numbers from its current CMS record tell a fairly consistent story. Nurse staffing sits at 2.76 hours per resident day against a national average of 3.86, and weekend coverage dips about 7% below its own weekday level, so care is thinnest exactly when families tend to visit. Staff turnover is 61.4%, well above the 45.8% national figure, and the home carries 23 deficiencies, five of them abuse-related, plus a $52,548 fine. Its last inspection was September 28, 2025, so the record is recent. Ask about direct-care hours on weekends before you decide.
Crystal Pines runs 110 beds in Crystal Lake under corporate ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.15 hours per resident day, roughly 18 percent under the national average, and it thins out further on weekends, so coverage is lightest exactly when families tend to visit. Staff turnover is 55.7 percent against a national 45.8, meaning more than half the nursing crew turns over in a year. The inspection history shows 47 deficiencies, seven at harm or jeopardy level and six tied to abuse, plus five fines totaling $152,720; the most recent inspection was June 2024. Ask about weekend coverage and how they've addressed the abuse-related findings before you decide.
Shelbyville Manor runs a nonprofit operation with 109 certified beds, and its nurse staffing sits at 4.28 hours per resident day, about 11% above the national average of 3.86. That's the strongest number here. The rest is harder to swallow: weekend staffing drops roughly 8% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, so the people providing that care are cycling through fast.
The inspection record is the real concern. Forty-three deficiencies are on file, six of them at the harm or jeopardy level and six abuse-related, with two fines totaling $77,985 and a May 2025 inspection that rated 2 out of 5 stars. Quality measures came in at 1 out of 5.
La Bella Of Cahokia runs 150 beds and carries 63 deficiencies on its current record, 15 of them serious enough to cause harm or jeopardy and 18 tied to abuse. It's a for-profit partnership and one of the homes CMS has flagged for its Special Focus Facility program, which is reserved for the country's most persistent poor performers. Nurse staffing sits at 3.36 hours per resident day, about 13% under the national average, and weekends run thinner still. Staff turnover is 48.9%, with three fines totaling $702,001. Inspectors last visited in April 2024. If you're considering this one, ask hard questions and visit unannounced.
Avantara Evergreen Park runs 242 certified beds under for-profit LLC ownership, and the numbers behind its record are worth sitting with. Nurse staffing sits at 3.46 hours per resident day, roughly 10% under the national average, and weekends drop about 8% below what the home itself provides on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover of 61.4% against a 45.8% national average means most of the people caring for residents are relatively new. On inspections, CMS rates the home 2 out of 5, with 58 deficiencies on the current record, 10 at harm or jeopardy level and 4 abuse-related, plus eight fines totaling $292,244 and a May 2025 inspection.
Sunrise Skilled Nur & Rehab runs about 3.18 nurse hours per resident day, roughly 18% under the national average, and weekends drop another 14% below its own weekday level. Staff turnover sits at 56.8% against a national 45.8%, so the people caring for your family member are changing often. The current record carries 24 deficiencies, including 3 at the harm or jeopardy level and 4 abuse-related, plus two fines totaling $256,825. It's a for-profit limited liability company, last inspected July 2024. The low staffing rating reflects what that turnover and thin coverage actually mean day to day.
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?