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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA, grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 81 to 100 of 10,187, best-graded first.

A

96/100

Neurorestorative

Las Vegas, NV · Clark County

CMS 5/524 bedsFor-profitMedicaid
Nurse hours
7.79 /day
Staff turnover
21%
Serious cites
0

Nurse staffing here runs 7.79 hours per resident day, roughly double the national average of 3.86, an unusual figure that suggests a small, intensely served population in its 24 certified beds. Weekend coverage dips about 9% below weekday levels, worth asking about if your visits fall on Saturdays or Sundays. The nine deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, though nine citations is not zero. Staff turnover sits at 21.4%, less than half the national rate, which matters for whether your family member sees the same faces week to week. The last inspection was February 2026.

A

96/100

Winchester Gardens Health Care Center

Maplewood, NJ · Essex County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
5.47 /day
Staff turnover
38%
Serious cites
0

Winchester Gardens runs about 5.47 nurse hours per resident day, roughly 42 percent above the national average, and its weekend staffing only dips about 7 percent below weekdays, a small gap compared to many homes. Turnover sits at 37.9 percent against a national 45.8, so more of the same caregivers tend to stay. Inspectors found 11 deficiencies, none causing harm or involving abuse, and the last visit was recent, in September 2025. With 30 beds and nonprofit ownership, the numbers point to a home that is well staffed and currently in good standing rather than one coasting on reputation.

A

96/100

Sea View Hospital Rehabilitation Center And Home

Staten Island, NY · Richmond County

CMS 5/5304 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
17%
Serious cites
0

Sea View runs on 4.44 nurse hours per resident day, about 15% above the national average, and its staff turnover is 16.8% against a national 45.8%, that retention is unusual and matters more than any single inspection score. Ten deficiencies sit on the current record, none at harm or jeopardy level, though three are abuse-related, which a family should ask about directly. The last inspection was April 2025, so the picture is recent. Weekend staffing drops roughly 12% below weekday levels, a gap worth asking about if your visits will fall on Saturdays or Sundays.

A

96/100

Fargo Elim Health Care Center

Fargo, ND · Cass County

CMS 3/588 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
35%
Serious cites
0

Nurse staffing at Fargo Elim runs 5.12 hours per resident day, about a third more than the national average, and the low 35% turnover means the people providing that care tend to stick around. Weekends drop roughly 12% below weekday coverage, so ask how that gap gets filled. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating with 14 deficiencies on record, one serious enough to involve harm or jeopardy. No abuse citations, and the most recent inspection was April 2026, so the picture is current. Strong staffing and quality measures sit alongside a rougher regulatory history, worth asking the administrator directly what that harm-level deficiency was and what changed after it.

A

96/100

The Living Center

Enid, OK · Garfield County

CMS 5/550 bedsFor-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
35%
Serious cites
0

The Living Center in Enid runs on a surprisingly strong staffing picture for a 50-bed for-profit: 4.39 nurse hours per resident day, roughly 14% above the national average, with turnover at 35% against a national 45.8%. Weekend coverage dips about 13% below its own weekday staffing, so ask how that plays out on Sundays. The inspection record backs it up, a five-star health inspection rating, a 4/5 on quality measures, and 12 deficiencies on file with none at harm or jeopardy level and nothing abuse-related. Its most recent inspection was May 2025, so the record is current.

A

96/100

Holladay Park Plaza

Portland, OR · Multnomah County

CMS 5/551 bedsNon-profit
Nurse hours
5.00 /day
Staff turnover
33%
Serious cites
0

Holladay Park Plaza runs 5.00 nurse hours per resident day, roughly 29% above the national average of 3.86, and its weekend staffing holds within about 7% of weekday levels, a gap that tends to matter more than families expect, since weekends are when shortfalls usually show up. Staff turnover sits at 32.7% against a national average of 45.8%, so the people caring for residents here tend to stay longer than is typical. The 17 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was in September 2025, so the picture is current.

A

96/100

Willowbrooke Court-Southampton

Southampton, PA · Bucks County

CMS 5/529 bedsNon-profit
Nurse hours
4.00 /day
Staff turnover
15%
Serious cites
0

Willowbrooke Court-Southampton runs a small house, 29 certified beds, under nonprofit ownership, and the numbers back up what that setup often produces. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, and the people providing that care tend to stay: turnover is 15.4% against a national average of 45.8%, which matters more than almost anything else for whether your parent sees the same faces week to week. The current record shows zero deficiencies, none at the harm level, none tied to abuse, and the last inspection was December 2025. One honest caveat: weekend staffing drops roughly 8% below weekday levels, so ask who's actually on the floor on Saturdays.

A

96/100

Willowbrooke Ctskdcarectr At Fortwashingtonestates

Fort Washington, PA · Montgomery County

CMS 5/59 bedsNon-profit
Nurse hours
5.50 /day
Staff turnover
20%
Serious cites
0

Willowbrooke is a nine-bed nonprofit home in Fort Washington, and its numbers read like a place that runs calm. Nurse staffing sits at 5.50 hours per resident day, roughly 42 percent above the national average, and weekends dip only about 7 percent below its own weekday level, a small gap by industry standards. Staff turnover is 20 percent against a national 45.8 percent, meaning aides and nurses tend to stay. One deficiency on the current record, none at harm level, no abuse findings, and an inspection dated February 2026. With nine beds, the administrator likely knows every resident by name.

A

96/100

Juniper Village At Bucks County Rehab And Skd Care

Bensalem, PA · Bucks County

CMS 5/517 bedsFor-profit
Nurse hours
5.83 /day
Staff turnover
31%
Serious cites
0

Juniper Village At Bucks County runs 5.83 nurse hours per resident per day, roughly half again the national figure of 3.86, and its 5 out of 5 staffing rating reflects that. Weekend coverage dips only about 6% below weekdays, so care doesn't evaporate on Saturdays. Staff turnover sits at 31%, well under the 45.8% national average, a sign people tend to stay. The tradeoff is a longer deficiency record: 19 citations, including one abuse-related, though none rose to harm or jeopardy level, and the most recent inspection was June 2025. With 17 beds and corporate ownership, it's small enough that a single bad hire or thin shift matters more than it would at a larger building.

A

96/100

Upmc Northwest Transitional Care Unit

Seneca, PA · Venango County

CMS 5/516 bedsNon-profit
Nurse hours
8.73 /day
Staff turnover
35%
Serious cites
0

UPMC Northwest's transitional care unit runs on unusually heavy staffing, 8.73 nurse hours per resident day against a national average of 3.86, and it holds five stars in that category. Weekend coverage dips about 11% below its own weekday level, which matters most for a 16-bed unit where one call-off changes the whole shift. Turnover sits at 34.5%, better than the 45.8% national figure. The current record shows five deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. The last inspection was August 2025, so the picture is recent.

A

96/100

Transitional Care Unit At Nazareth Hospital

Philadelphia, PA · Philadelphia County

CMS 5/528 bedsNon-profit
Nurse hours
5.96 /day
Staff turnover
19%
Serious cites
0

Nazareth Hospital's transitional care unit runs 28 beds and staffs them at 5.96 nurse hours per resident day, roughly half again the national figure of 3.86. That staffing edge is the main story here: turnover sits at 19 percent against a national average near 46, meaning the people caring for your family member tend to stay. Weekend coverage dips about 11 percent below weekdays, which is normal but worth asking about. The home carries 10 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. A nonprofit corporation operates it.

A

96/100

Richfield Healthcare And Rehabilitation Center

Richfield, PA · Juniata County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
31%
Serious cites
0

Richfield Healthcare runs 40 certified beds under for-profit LLC ownership, and the nurse staffing number is the first thing worth noting: 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so ask how that gap gets covered. Staff turnover sits at 31.1%, well below the national 45.8%, which suggests people stay. The 27 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was January 22, 2026. Quality and staffing both draw five stars from CMS; health inspection draws three.

A

96/100

Ann's Choice

Warminster, PA · Bucks County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.62 /day
Staff turnover
27%
Serious cites
0

Ann's Choice in Warminster runs on nonprofit ownership and about 4.62 nurse staffing hours per resident day, roughly 20% above the national average of 3.86. Weekend staffing dips about 7% below its own weekday level, and annual turnover sits at 26.7% against a national 45.8%, so the people caring for residents tend to stay. The home's current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Staffing and quality measures both rate 5 out of 5 from CMS, and the health inspection rating is 4. That combination, low turnover, no serious deficiencies, and staffing well above average, is the substance behind the high marks.

A

96/100

Brightwater Skilled Nursing Center

Myrtle Beach, SC · Horry County

CMS 4/567 bedsFor-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
34%
Serious cites
0

Brightwater runs leaner on turnover than most homes, 33.7% against a national 45.8%, and its nurse staffing sits well above average at 5.58 hours per resident day. That combination matters more than any single rating, since it suggests the people here tend to stay and there are enough of them. Weekend coverage dips about 9% below weekdays, worth asking about if a family member needs more help on Saturdays and Sundays. The tradeoff shows up in inspections: 17 deficiencies on the current record, including two at the harm level and three tied to abuse, with a $7,342 fine and a survey completed April 30, 2025. For-profit LLC ownership. Ask directly how those abuse-related findings were resolved.

A

96/100

Southern Utah Veterans Home - Ivins

Ivins, UT · Washington County

CMS 5/5108 bedsFor-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
37%
Serious cites
0

Southern Utah Veterans Home in Ivins runs on unusually heavy staffing, 5.79 nurse hours per resident per day against a national average of 3.86, roughly half again as much hands-on care as the typical home. That shows up in the numbers that matter: weekend coverage dips only about 7% below weekdays, and annual turnover of 36.6% sits well under the 45.8% national rate, so the people caring for residents tend to stay. Twelve deficiencies are on the current record, none at the harm level and none abuse-related, with the most recent inspection in May 2025. The one soft spot is inspection history, which lands mid-pack.

A

96/100

Judson Park Health Center

Des Moines, WA · King County

CMS 5/596 bedsNon-profitMedicaid
Nurse hours
4.60 /day
Staff turnover
21%
Serious cites
0

Judson Park Health Center runs on unusually deep staffing for a 96-bed nonprofit: 4.60 nurse hours per resident day, roughly 19 percent above the national average, with weekend coverage dipping only about 10 percent below its own weekday level. Turnover sits at 21.1 percent against a national 45.8 percent, so the people caring for residents tend to stay. The tradeoff shows up in its inspection history, 57 deficiencies on record, three tied to abuse, though none at the harm or jeopardy level, and the most recent inspection was August 2025, so the picture is current. Quality and staffing measures both rate at the top of CMS's scale, while health inspections land mid-range.

A

96/100

Fairmont Medical Center

Fairmont, WV · Marion County

CMS 5/530 bedsNon-profit
Nurse hours
5.33 /day
Staff turnover
33%
Serious cites
0

Fairmont Medical Center runs 30 beds as a nonprofit, and the staffing numbers are the first thing that stands out: 5.33 nurse hours per resident day against a national average of 3.86. That's roughly 38% more hands-on time than the typical home, though weekends dip about 12% below its own weekday level, so coverage isn't perfectly flat. Turnover sits at 33.3%, better than the 45.8% national figure. Six deficiencies are on the current record, none at the harm level and none abuse-related, with the last inspection in August 2025. All three CMS star ratings, inspections, quality measures, and staffing, come in at 5 out of 5.

A

96/100

Rennes Health And Rehab Center-Appleton

Appleton, WI · Outagamie County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
34%
Serious cites
0

Rennes Health and Rehab Center in Appleton runs about 4.65 nursing hours per resident each day, roughly 21 percent above the national average, and its weekend staffing dips only about 11 percent below weekdays. The six deficiencies on its current record include none at the harm or jeopardy level and no abuse citations; the most recent inspection was in August 2025. Staff turnover sits at 34 percent, well below the national 45.8 percent. It's a for-profit corporation, which is worth knowing, but the staffing, turnover, and inspection record here are the stronger signals. Ask about weekend coverage on the specific unit your family member would live on.

A

96/100

Manzanita Healthcare Center

Carmichael, CA · Sacramento County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.75 /day
Staff turnover
31%
Serious cites
0

Manzanita Healthcare Center runs on 4.75 nurse hours per resident day, roughly a quarter more than the national average, and its staff tends to stay, turnover of 30.6% is well below the 45.8% typical elsewhere. Weekend coverage dips about 9% from weekday levels, worth asking about if your family visits on Saturdays. The tradeoff shows up in its record: 46 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in April 2026. Sacramento County families weighing this one should read those inspection reports directly rather than rely on the staffing numbers alone.

A

96/100

Webster House

Palo Alto, CA · Santa Clara County

CMS 5/5145 bedsNon-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
21%
Serious cites
0

Webster House runs on 5.05 nurse hours per resident per day, which is about a third more staffing than the typical California nursing home manages. The tradeoff is weekends, when hours drop roughly a quarter below the weekday pace, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 20.6%, less than half the national rate, so the people caring for residents tend to stay. Twenty-three deficiencies on the current record sounds like a lot until you see none involved harm or jeopardy, and none were abuse-related. The last inspection was in January 2025, so the picture is recent.

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?
Deerfield Health Care Center in Urbandale, IA, grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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