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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 981–1000 of 10,187, best-graded first.

A

86/100

Wichita Presbyterian Manor

Wichita, KS · Sedgwick County

CMS 5/5 50 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
60%
Serious cites
0

Wichita Presbyterian Manor runs 50 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.69 hours per resident day, roughly 21% above the national average. Weekends dip about 14% below the home's own weekday coverage, so the care a resident gets Saturday and Sunday isn't quite the weekdays' pace. Staff turnover is the sticking point: 59.6% annually against a 45.8% national average, meaning well over half the nursing staff leaves each year. Inspections were last done in May 2025 and the record shows 18 deficiencies, one at harm or jeopardy level and one abuse-related. Strong quality scores don't erase that kind of churn.

A

86/100

Aberdeen Village

Olathe, KS · Johnson County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
5.17 /day
Staff turnover
36%
Serious cites
0

Aberdeen Village runs one of the stronger staffing operations you'll see in Johnson County, 5.17 nurse hours per resident per day, roughly a third more than the national average, and weekend coverage holds within about 7% of weekday levels. Staff turnover sits at 35.7%, well below the 45.8% national figure, which matters for whether your parent sees the same faces week to week. That's the upside. The inspection record is where it gets mixed: 15 deficiencies on file, including one at the harm level and one abuse-related, plus a single $8,021 fine, with the most recent inspection in February 2026. Strong staffing grades and a 4/5 inspection rating don't erase those specific findings, ask about them directly before deciding.

A

86/100

Hoeger House

Olathe, KS · Johnson County

CMS 5/5 34 beds Non-profit Medicaid
Nurse hours
5.55 /day
Staff turnover
63%
Serious cites
0

Hoeger House runs a small operation in Olathe, 34 beds, nonprofit-owned, and the raw nursing hours are genuinely high: 5.55 per resident day against a national average of 3.86. That's real coverage, though weekends dip about 11% below the home's own weekday level, and turnover sits at 62.5% against a national 45.8%, so the people providing that care are changing often. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy, with no abuse citations and a survey as recent as May 2025. Quality and staffing measures both score at the top of CMS's scale, but that turnover number is the thing worth asking about directly.

A

86/100

Colonial Village

Overland Park, KS · Johnson County

CMS 2/5 40 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
63%
Serious cites
0

Colonial Village runs a 40-bed for-profit home in Overland Park, and the staffing numbers are genuinely above average, 4.43 nurse hours per resident day against a national 3.86. Weekends drop about 9% below its own weekday level, though, so coverage thins when families tend to visit. The bigger concern is turnover at 63% against a national 45.8%, meaning most of the people caring for your relative are relatively new. Inspections show 28 deficiencies on record, including one at the harm level and one abuse-related, with a 2/5 inspection rating. The most recent inspection was October 2024, so the record is current.

A

86/100

The Willows At Hamburg

Lexington, KY · Fayette County

CMS 2/5 64 beds For-profit Medicaid
Nurse hours
5.24 /day
Staff turnover
43%
Serious cites
0

The Willows At Hamburg runs 5.24 nurse hours per resident per day, roughly a third more than the national average, and weekend staffing doesn't drop off like it does at many homes. Turnover sits slightly under the national figure. That's the good news, and it's real. The inspection record tells a different story: 7 deficiencies, two of them serious enough to put residents at harm or jeopardy, and two tied to abuse. One fine of $61,627 is on file, and the last inspection was August 2025. A for-profit individual owner, 64 beds. Strong staffing doesn't cancel out what inspectors found, the care hours are there, but the state has documented real problems, including abuse-related ones. Ask about those directly.

A

86/100

Augusta Center For Health & Rehabilitation, Llc

Augusta, ME · Kennebec County

CMS 3/5 72 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
33%
Serious cites
0

Augusta Center for Health & Rehabilitation runs 72 certified beds under corporate for-profit ownership, and its staffing sits modestly above the national average at 3.99 nurse hours per resident per day. That edge is real but thin, and weekends run about 8% lighter than weekdays, worth knowing if your visits tend to fall on Saturdays or Sundays. Staff turnover lands at 33.3%, noticeably better than the 45.8% national figure, which suggests less churn in who's actually showing up to provide care. The current inspection record carries 30 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $10,059. No abuse-related findings appear. The most recent inspection was February 5, 2026, so the picture is reasonably current.

A

86/100

St Andre Health Care Facility

Biddeford, ME · York County

CMS 5/5 96 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
34%
Serious cites
0

St. Andre runs leaner than most places on turnover, about a third of its staff leaves each year against a national rate closer to 46%, which matters more than any single inspection score. Nurse hours per resident land at 4.24 a day, roughly a tenth above the national average, though weekends dip about 10% below what the home staffs during the week. Its record shows 11 deficiencies, none involving harm or abuse, and the most recent state visit came in June 2025. The one soft spot in the federal data is quality measures, where it scores near the bottom.

A

86/100

Maine Veterans Home - Scarborough

Scarborough, ME · Cumberland County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
36%
Serious cites
0

Maine Veterans Home in Scarborough runs a tight ship on the staffing side, 4.84 nurse hours per resident day, roughly a quarter above what's typical nationally, and its recent inspection history backs that up. State surveyors found nine deficiencies at the last visit in November 2024, but none rose to the level of actual harm or jeopardy, and there's nothing abuse-related on the record. Turnover sits at 36.4%, meaningfully better than the 45.8% national figure, though weekend coverage does dip about 13% below weekday levels, which is worth asking about. The one soft spot is the quality measure score, which lags at 2 out of 5 stars even as inspections and staffing both hit the top mark.

A

86/100

Future Care Old Court

Randallstown, MD · Baltimore County

CMS 5/5 141 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
35%
Serious cites
0

Future Care Old Court runs 3.63 nurse hours per resident day, roughly 6% under the national average of 3.86, and weekends drop about 10% below its own weekday staffing. Turnover sits at 35.3%, better than the 45.8% national figure, which matters because consistent caregivers tend to know residents and catch changes early. The health inspection record is strong, a 5/5 CMS rating with no deficiencies at the harm or jeopardy level. But the current file holds 22 deficiencies total, three tied to abuse, and it's a for-profit corporate home. The last inspection was March 17, 2026. Ask about those three abuse-related citations and how weekend coverage is actually staffed before deciding.

A

86/100

Future Care Cherrywood

Reisterstown, MD · Baltimore County

CMS 5/5 151 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
53%
Serious cites
0

Future Care Cherrywood sits in Reisterstown with 151 certified beds and a for-profit LLC structure, and its staffing works out to 3.85 nurse hours per resident day, essentially dead even with the national average. The catch is weekends, when coverage drops about 11% below its own weekday pace. Staff turnover runs 53.3% against a national 45.8%, so people are leaving faster than usual. Inspections tell a mixed story: a recent October 2025 visit and strong marks on health inspection and quality measures, but 66 deficiencies on record, including eight tied to abuse and one at the harm level. That combination, good survey scores alongside a long deficiency history and steady churn, is what pulls the grade down from perfect.

A

86/100

Lorien Health Systems Mt Airy

Mount Airy, MD · Carroll County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
5.01 /day
Staff turnover
35%
Serious cites
0

Lorien Health Systems Mt Airy runs on unusually heavy staffing, 5.01 nurse hours per resident day, roughly 30% above the national figure, and its workers tend to stay, with turnover at 34.8% against a national 45.8%. Weekend coverage does dip about 12% below weekday levels. The inspection record is decent but not spotless: 42 deficiencies on file, none at harm or jeopardy level, one abuse-related, with the most recent inspection in August 2025. Quality measures are the weak spot here, though the corporation that owns it keeps the place well staffed. For a 62-bed home, the hands-on care is the real story.

A

86/100

Jeffrey & Susan Brudnick Center For Living

Peabody, MA · Essex County

CMS 5/5 180 beds Non-profit Medicaid
Nurse hours
4.58 /day
Staff turnover
27%
Serious cites
0

Jeffrey & Susan Brudnick Center for Living runs on real staffing depth: 4.58 nurse hours per resident day, roughly 19% above the national average, with weekend coverage dipping only about 6% below its own weekday levels. Turnover sits at 27.2% against a national average of 45.8%, which matters more than any single inspection score because consistent caregivers notice changes in residents sooner. The current record shows 19 deficiencies, one serious enough to reach harm or jeopardy, and a single fine of $10,194. The last inspection was April 2026, so the picture is recent rather than stale. For a 180-bed nonprofit, the numbers describe a home that's well staffed and mostly clean on paper, with one incident worth asking about directly.

A

86/100

Madonna Manor Nursing Home

North Attleboro, MA · Bristol County

CMS 4/5 129 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
15%
Serious cites
0

Madonna Manor is run by a church-affiliated nonprofit, and its staffing numbers stand out for the right reason: 4.03 nurse hours per resident day, a bit above the national average, and turnover of 14.7% against a national rate near 46%. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your visits fall on Saturdays or Sundays. The inspection record is the counterweight, 29 deficiencies on file, five of them at harm or jeopardy level and one abuse-related, with two fines totaling $119,373. Its last inspection was September 2025, so the picture is current. Stable caregivers, meaningful citations.

A

86/100

Cambridge Rehabilitation & Nursing Center

Cambridge, MA · Middlesex County

CMS 4/5 83 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
34%
Serious cites
0

Cambridge Rehabilitation & Nursing Center runs 83 certified beds under for-profit LLC ownership, and the numbers here are mostly steady rather than standout. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average of 3.86, with weekends dipping about 6% below the home's own weekday levels, so coverage thins out when families tend to visit. Turnover is the brighter spot: 33.8% against a national average of 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in June 2025 turned up 22 deficiencies, none at harm or jeopardy level, though two were abuse-related.

A

86/100

Life Care Center Of Nashoba Valley

Littleton, MA · Middlesex County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
39%
Serious cites
0

Life Care Center Of Nashoba Valley runs on 4.22 nurse hours per resident day, about 9% above the national average, and its staff turnover of 38.5% sits below the national 45.8%, both signs of a steadier operation than most. Weekend staffing drops roughly 13% from weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 15 deficiencies, none at the harm or jeopardy level, though one is abuse-related, worth a direct question. Inspectors were last in on August 14, 2025. For-profit, LLC-owned, 120 beds.

A

86/100

Pope Nursing Home

Weymouth, MA · Norfolk County

CMS 2/5 49 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
33%
Serious cites
0

Pope Nursing Home runs a 49-bed for-profit outfit in Weymouth with staffing that beats the national average, 4.14 nurse hours per resident day against 3.86, and turnover at 32.5% is notably better than the 45.8% typical elsewhere. Weekend coverage, though, drops about 11% below its own weekday level, so care can thin out when families visit. The tradeoff shows up in inspections: 23 deficiencies on the current record, including one abuse-related citation, though none reached harm or jeopardy level, and the last state visit was April 2025. Ownership is corporate, and the health inspection rating sits at 2 out of 5 even as staffing scores 4. Ask about weekend coverage and that abuse citation specifically.

A

86/100

Medilodge Of Clare

Clare, MI · Clare County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
47%
Serious cites
0

Medilodge Of Clare runs a 92-bed for-profit operation, and the staffing numbers are basically at the national mark, 3.89 nurse hours per resident day against 3.86, so there's no real cushion there, and weekends dip about 15% below its own weekdays, which is when families tend to visit and notice. Turnover sits at 46.8%, slightly above the national 45.8%. The inspection record shows 10 deficiencies, including one at the harm level and one tied to abuse, plus a single fine of $10,059. The last inspection was April 2026, so the picture is current. Strong marks on quality measures and inspections, but that harm-level finding and the weekend staffing gap are what you'd want to ask about directly.

A

86/100

The Laurels Of Mt. Pleasant

Mt. Pleasant, MI · Isabella County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
22%
Serious cites
0

The Laurels of Mt. Pleasant runs a for-profit operation with 100 certified beds, and its last health inspection was in June 2025, recent enough that the record reflects current conditions. Eight deficiencies show up on that record, but none rose to the level of harm or jeopardy, and there's nothing abuse-related, which matters more than the raw count. Nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average, and weekends run about 12% thinner than weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. The real bright spot is turnover: 21.9% against a national average of 45.8%, meaning aides and nurses here tend to stay.

A

86/100

Regency At Chene

Detroit, MI · Wayne County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
31%
Serious cites
0

Regency At Chene runs 160 beds in Detroit under individual for-profit ownership, and its staffing sits just above the national average, 3.94 nurse hours per resident day against 3.86, though weekends drop about 10% below its own weekday levels. Turnover is 30.8%, notably better than the 45.8% national figure, which suggests workers tend to stick around. The concerning part is the inspection record: 49 deficiencies, three of them at harm or jeopardy level, plus one fine of $15,593, with the last inspection in May 2025. Quality measures score well, but that health inspection rating of 2 out of 5 is where the real story lives.

A

86/100

Regency At Canton

Canton, MI · Wayne County

CMS 3/5 141 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
28%
Serious cites
0

Regency At Canton runs about 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 12% below its own weekday coverage. That gap matters more than the headline number, since care doesn't pause on Saturdays. Inspectors have cited 21 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, plus two fines totaling $32,938, a record consistent with its 2-out-of-5 inspection rating. The counterweight is staff retention: turnover sits at 28.3% against a 45.8% national average, which likely explains the 4-out-of-5 staffing rating. Its quality measures score is perfect, but that's self-reported data. This for-profit, individually owned home was last inspected in June 2025. Ask about weekend coverage and those abuse citations directly.

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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