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.
Evercare of Swansea runs on thin staffing. At 2.98 nurse hours per resident day, it sits about 23% under the national average of 3.86, and weekends drop roughly 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover is 60.3%, well above the 45.8% national figure, meaning the aides and nurses around your relative are likely to change often. The inspection record is heavy: 70 deficiencies, nine at harm or jeopardy level, eleven abuse-related, and three fines totaling $285,149, with the most recent inspection in October 2024. For-profit individual ownership. If you're considering this one, ask hard questions about weekend coverage and who's actually on the floor.
Barry Healthcare & Sr Living runs 76 certified beds under corporate for-profit ownership, and the numbers worth knowing are the staffing and inspection ones. Nurses provide 3.14 hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip another 8% below what the home manages on weekdays. Turnover sits at 45.8%, right at the national figure. The current record carries 21 deficiencies, four of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $71,275. Its last inspection was January 16, 2026. CMS rates quality measures and staffing at one star each, with three stars for health inspections.
Nurse staffing at Arc at Bradley runs 2.74 hours per resident day, roughly 29 percent under the national average of 3.86, and it thins out further on weekends. That shortage shows up in the numbers that matter: 38 deficiencies on the current record, five serious enough to put residents in harm's way, one tied to abuse, and $24,622 in fines across two cases. Staff turnover sits at 60.3 percent against a national average of 45.8 percent, so the people providing care keep changing. The last inspection was in May 2024, and the 1-out-of-5 staffing rating alongside a 2-out-of-5 quality rating tells you where the trouble concentrates.
Colby Operator, LLC runs a 40-bed for-profit partnership home, and the numbers around its staff are the first thing to notice. Its 3.86 nurse hours per resident day lands right at the national average, but weekends run about 13 percent thinner than weekdays, and annual turnover sits at 65.3 percent against a national 45.8, that's a lot of churn for a small building. The inspection record shows 26 deficiencies, including one at the harm level and one abuse-related, plus a $40,381 fine; the most recent inspection was June 2025. Quality and staffing measures both come back at one star out of five.
Bonner Springs Nursing & Rehab Center runs on 2.84 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop another 12% below its own weekday level. That thin coverage sits behind a 1-out-of-5 rating on staffing, and the workforce numbers explain why: 82.4% annual turnover, nearly double the national rate. Inspectors cited 59 deficiencies on the current record, four serious enough to put residents in harm's way, three tied to abuse, with $39,696 in fines. The last inspection was April 2025. This is a small for-profit LLC home with a 1-out-of-5 record on all three CMS measures, staffing, health inspections, and quality.
Medicalodges Paola runs on 1.90 nurse staffing hours per resident per day, roughly half the national figure, and weekends drop about 12% below what the home already provides on weekdays. Annual turnover sits at 55.6% against a national average of 45.8%, so the staff you meet may not be there in a year. The inspection record shows 27 deficiencies, five of them serious enough to put residents at risk of harm, two tied to abuse. Kansas inspectors cited the home most recently in July 2025, and three fines totaling $78,225 sit on the books. Its three CMS star ratings, health inspections, quality measures, staffing, all land at two out of five.
Colonial Oaks is owned by a limited liability company and carries 21 deficiencies on its current record, three of them serious enough to involve harm or jeopardy, plus three tied to abuse. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a pattern of persistent problems. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and it thins out further on weekends. Annual turnover runs 72.5 percent against a national 45.8 percent. A $66,170 fine is on record, and the last inspection was June 5, 2025. With 120 certified beds, that staffing and turnover picture matters across every shift.
Oc Milford Gardens runs on 3.37 nurse hours per resident day, about 13 percent under the national average, and weekend coverage dips further below its own weekday level. Staff turnover sits at 81.4 percent against a national figure near 46 percent, so most of the people caring for residents are new or on their way out. The current inspection record carries 27 deficiencies, three of them at the harm or jeopardy level and three tied to abuse, plus a $148,051 fine. The most recent inspection was in early March 2026, so the record is recent, not stale.
Butler Rehab runs 98 certified beds as a for-profit LLC, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86, with weekends running another 13% below its own weekday levels. Turnover tells a harder story: 73.6% of nursing staff leave annually, against a national average near 46%, which means roughly three of every four caregivers are new to the building each year. Its current record carries 33 deficiencies, three tied to abuse, with the most recent inspection dated February 2026. The low quality-measure score reflects how residents are actually doing day to day, not just paperwork.
Carriage Square runs on thinner staffing than most homes its size, 3.50 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which matters when a resident needs help on a Sunday. More striking is the churn: 77% annual turnover, well above the 45.8% national figure, so the people caring for your family member are frequently new. The inspection record backs that up. Fifty-six deficiencies, including two at harm or jeopardy level and five tied to abuse, with a $48,685 fine and a March 2025 inspection. A for-profit limited liability company operates it. Worth asking the administrator directly what's changed since then.
Edgewood Manor is a for-profit LLC home in Raytown with 91 certified beds, and the numbers that matter most here are the staffing ones. At 2.61 nurse hours per resident per day, it runs roughly a third below the national average of 3.86, weekends dip even further, and 70% of staff turned over in a year, well above the 45.8% norm. Its inspection record carries 72 deficiencies, including 6 at harm or jeopardy level and 10 tied to abuse, plus two fines totaling $84,557. The last inspection was October 2024. Quality measures score mid-range, but thin, churning staffing and that deficiency history are what families should weigh.
Windsor Estates of St Charles runs on thin staffing: 3.53 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. That shortfall shows up in the workforce itself, 71.4% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents weren't there a year ago. The inspection record is heavier still: 77 deficiencies, 13 involving harm or jeopardy, 4 tied to abuse, and 8 fines totaling $229,906. The last inspection was in March 2024. This is a for-profit limited liability company, and the numbers suggest care that has been under-resourced and under-scrutinized for a while.
Lakeview runs lean on nursing hours, 3.13 per resident per day, about 19% under the national average, and weekends are thinner still, roughly 12% below its own weekday staffing. That shortfall shows up in turnover: 57.5% of staff left over the year, well above the 45.8% national rate, and CMS gives the home one star each for staffing and quality measures, even though its inspection rating sits at four. The record carries 32 deficiencies, including one at the harm level and two tied to abuse, plus a $49,335 fine. A recent inspection date doesn't erase what's underneath it.
Yellowstone River runs on 3.15 nurse hours per resident per day, about 18% below the national average, and weekends drop roughly 11% below what the home itself staffs on weekdays. That matters because turnover sits at 71.8% against a national average of 45.8%, most of the people caring for residents are new, and the ones on duty Saturday and Sunday are stretched thinnest. The current record carries 58 deficiencies, six serious enough to endanger residents, four tied to abuse, plus $99,463 in fines. The last inspection was August 2025. For-profit, individually owned, 160 beds. Ask about weekend coverage and how long aides have actually worked there.
Meridian Center runs 199 certified beds in High Point under for-profit limited liability ownership, and the numbers there deserve a hard look before you consider it. Nurse staffing sits at 2.95 hours per resident day, roughly a quarter below the national average, and weekends drop about 6% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover hits 56.6% against a national 45.8%, meaning more than half the nursing workforce turns over in a year, and CMS gives the home one star each for staffing and health inspections. The current record shows 29 deficiencies, four at harm or jeopardy level, two tied to abuse, plus five fines totaling $88,566.
Greenville Health and Rehabilitation Center runs on thinner staffing than most homes you'd compare it to, 3.40 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. That gap matters more when you see turnover at 66.4%, well above the 45.8% national figure, because residents lose familiar caregivers often. Its inspection record carries 41 deficiencies, three of them serious enough to put residents in harm's way, plus two tied to abuse, and two fines totaling $64,002. The 1-out-of-5 inspection and staffing ratings reflect those numbers directly. The last state visit was June 11, 2025, so the record is current, not stale. For-profit corporate ownership is the backdrop here, not the whole story.
River Bend runs on 3.13 nurse hours per resident day, roughly 19 percent under the national average, and weekends drop about 9 percent below what it manages on weekdays. The bigger warning sign is turnover: 86.4 percent of staff left over the past year, nearly double the national rate, which means the people caring for your relative are likely new to the building and still learning it. On the current record are 52 deficiencies, seven serious enough to involve harm or jeopardy, 11 tied to abuse, and six fines totaling $147,579. Ownership is a for-profit limited liability company, which tells you where the margin pressure comes from.
Marietta Heights runs nurse staffing at 4.16 hours per resident day, roughly 8% above the national average, so the raw coverage number looks fine on paper. But weekends drop about 20% below its own weekday levels, and annual turnover sits at 70.8% against a national 45.8%, meaning the people providing that care are cycling through fast. The record shows 132 deficiencies, 13 of them at harm or jeopardy level and 8 abuse-related, plus $439,979 in CMS fines across four events. That combination landed it in the Special Focus Facility program. If you're considering this home, ask specifically how weekend coverage is staffed and what's changed since the March 2026 inspection.
Jersey Shore Skilled Nursing and Rehabilitation runs 120 beds under corporate ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and weekends dip another 6% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Staff turnover is 73.2% against a national 45.8%, so the people providing that care are largely new to the building and to each other. Inspectors have cited 61 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, with $46,196 in fines. All three CMS star ratings, health inspection, quality measures, and staffing, sit at 1 out of 5.
Castle Hills Rehabilitation and Care Center is a for-profit, limited liability operation with 143 certified beds in San Antonio. Nurse staffing runs about 2.96 hours per resident per day, roughly 23 percent below the national average, and weekends fall about 15 percent under its own weekday levels. Every CMS star category here lands at 1 out of 5: health inspections, quality measures, and staffing. The deficiency record shows 72 citations, eight of them at harm or jeopardy level and two tied to abuse, with four fines totaling $112,386 and a recent inspection on September 12, 2025. That combination of thin staffing, low inspection scores, and serious deficiencies is what any family should weigh before choosing this home.
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?