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.
Warren Barr South Loop runs 210 beds under for-profit LLC ownership, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average, with weekends running about 3% thinner than its own weekdays. That thinness shows up in turnover: 61.5% of staff leave each year, well above the 45.8% national figure. The inspection record carries 65 deficiencies, including 6 at harm or jeopardy level and 3 tied to abuse, plus four fines totaling $240,888. Its last inspection was February 2025, so the record is current, and federal ratings put staffing at 1 out of 5. If you're considering this building, ask specifically who is on the floor on weekends and how they're fixing that turnover.
Aliya Of Crestwood runs about 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage dips another 6% below its own weekdays. Staff turnover sits at 65.3%, well above the 45.8% national figure, which means the people caring for residents are often new to the building. Its current record carries 41 deficiencies, five of them at harm or jeopardy level and one abuse-related, plus two fines totaling $80,372; the last inspection was February 2025. The 3-star inspection and quality ratings look passable on their own, but the staffing number is where this one falls apart.
The Odd Fellow-Rebekah Home runs about 3.64 nursing hours per resident day, roughly 6% under the national average, and weekends drop another 13% below its own weekday staffing. That thin coverage sits alongside a 50.4% annual turnover rate, higher than the 45.8% national figure, so the aides and nurses at the bedside keep changing. Its current record carries 61 deficiencies, including 8 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $244,338. The most recent inspection was November 21, 2025, so the picture is current, not stale, a nonprofit home where the numbers say watch closely before deciding.
Imboden Creek runs about 3.17 nursing hours per resident day, roughly 18% under the national average, and weekend coverage slips another 10% below its own weekday numbers. That thin staffing shows up in the inspection record: 83 deficiencies, seven at harm or jeopardy level, nine abuse-related, and five fines totaling $379,323. Annual turnover sits at 50%, above the national 45.8%, so the people providing care keep changing. The last inspection was January 13, 2026, and the federal government's own ratings give this for-profit corporation one star each for health inspections, quality measures, and staffing, the lowest marks CMS issues on all three.
Bethany Rehab & Hcc runs 90 certified beds in DeKalb, and the numbers behind its recent inspections are worth knowing before you visit. Nurse staffing sits at 3.64 hours per resident day, below the national average, and it thins out further on weekends, dropping about 12% from its own weekday level. Staff turnover is the harder figure, 72.2% annually, well above the national rate, which means the people caring for residents change often. The inspection record shows 68 deficiencies, 13 of them at harm or jeopardy level and three abuse-related, with six fines totaling $365,933. Its last inspection was July 2024. Ask direct questions about consistent weekend coverage and how the home has responded to those findings.
Evercare of Jerseyville runs a for-profit, LLC-owned home of 98 certified beds, and the numbers behind its federal ratings are hard to dress up. Nurse staffing sits at 2.89 hours per resident day, roughly a quarter below the national average, and weekends drop about 14% below the home's own weekday coverage, so the thinnest shifts come when families tend to visit. Staff turnover is 50.8%, above the national rate, and its current inspection record carries 40 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse. Two fines total $143,408, with the most recent inspection dated December 14, 2025.
The Haven of Farmer City runs on 2.64 nurse hours per resident per day, roughly a third below the national average, and weekends drop about 13% below its own weekday level. That thin coverage shows up in the record: 55 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $122,236 fine. Staff turnover sits at 47.6%, slightly above the national figure, so the people providing that care keep changing. Federal ratings give this home 1 out of 5 on both quality measures and staffing, 2 out of 5 on health inspections, and its most recent inspection was March 2026. Corporate-owned, 56 beds. If you're considering it, ask directly how many nurses are on the floor on a Saturday.
Pilgrim Manor runs on about 3.40 nurse hours per resident day, roughly 12% under the national average, and weekends drop another 12% below its own weekday levels. That thin coverage sits behind a staffing rating of 1 out of 5, and it shows up in the workforce itself: 69.3% annual turnover, well above the 45.8% national figure. The inspection record carries 22 deficiencies, six of them serious enough to put residents in harm's way and two tied to abuse, plus three fines totaling $186,253. The most recent inspection was February 25, 2026. This for-profit, limited-liability operation holds a 1-star health inspection rating despite a middling 3-star quality measure score.
Nurse staffing at Life Care Center of Cape Girardeau runs about 8% under the national average, and weekends drop roughly another 12% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover is the harder number to sit with: 68.5% annually against a national average of 45.8%, so most of the people caring for residents are relatively new. The inspection record backs that up, 45 deficiencies, 7 serious enough to put residents at harm or jeopardy, and four fines totaling $149,578. The most recent inspection was in May 2025, so the picture is current, not stale. Ownership is corporate and for-profit.
Lakeview Post Acute runs 3.97 nurse hours per resident day, which edges past the national average of 3.86, but that number hides a staffing churn problem. Turnover sits at 83.3%, nearly double the national rate, and weekend coverage drops about 11% below weekdays, so the aide who knows your mother on Tuesday may be gone by next month. The inspection record is where it gets hard to ignore: 92 deficiencies, 8 at harm or jeopardy level, 5 tied to abuse, and a $176,501 fine, with the last inspection in October 2024. For-profit LLC ownership, and CMS rates staffing and health inspections 1 out of 5.
Piedmont Hills runs 126 certified beds under for-profit limited liability ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.24 hours per resident day against a national average of 3.86, and weekends drop about 6% below what the home already provides on weekdays. Staff turnover is 47.3%, a bit above the national 45.8%. The inspection record shows 52 deficiencies, including 7 at harm or jeopardy level and 4 tied to abuse, with five fines totaling $217,827 and a February 2026 inspection. All three CMS star ratings, health inspections, quality measures, staffing, sit at 1 out of 5.
Deer Park runs 140 certified beds in Nebo under for-profit LLC ownership, and the staffing numbers tell a hard story: 3.41 nurse hours per resident day against a national average of 3.86, with weekends running about 10% thinner than weekdays already. Staff turnover sits at 78.5%, far above the 45.8% national figure, which means the people caring for residents are constantly changing. The inspection record is worse: 39 deficiencies, 10 at harm or jeopardy level, 6 abuse-related, five fines totaling $273,467, and federal placement in the Special Focus Facility program as of the June 2025 inspection. Ask direct questions about who's on duty nights and weekends.
Kirtland Woods of Journey runs on 2.99 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekend shifts are thinner still. That staffing level comes with a 77.7% annual turnover rate, well over the national 45.8%, meaning the aides and nurses your family member sees are constantly changing. The inspection record is where things get serious: 54 deficiencies, four at harm or jeopardy level, five tied to abuse, and two fines totaling $314,178. It's a for-profit LLC with 177 beds, and its most recent inspection was May 5, 2026. If you're considering this one, ask hard questions about direct-care coverage on evenings and weekends before you decide anything.
Maplewood runs 160 beds in Jackson under for-profit LLC ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day against 3.86 nationally. That number looks fine until you see who's delivering it: turnover runs 66.7% a year, well above the 45.8% national figure, and weekends drop about 11% below the home's own weekday level. Inspections tell a harder story. The current record carries 26 deficiencies, five at harm or jeopardy level and three tied to abuse, with a $93,678 fine and a 2/5 health inspection rating. Quality measures score 1/5.
Premier Rehab And Healthcare At Berlin runs 115 certified beds under for-profit LLC ownership, and the staffing number that looks fine at first glance, 3.91 nurse hours per resident day, barely above the national average of 3.86, hides a rougher reality. Weekend staffing drops about 12% below its own weekday level, and annual turnover sits at 72.9% against a national average of 45.8%, meaning most of the people caring for residents this year won't be there next year. The inspection record is the harder part: 67 deficiencies, 9 serious enough to involve harm or jeopardy, 7 tied to abuse, and $307,847 in fines across three actions. CMS gave it 2 out of 5 stars for health inspections, 2 for staffing, and 1 for quality measures.
Barre Gardens is a 96-bed for-profit partnership home in Washington County, and the numbers behind its record are hard to read past. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends run about 9% thinner than weekdays, and that staffing is being delivered by an unstable workforce, with annual turnover near 79% against a national average closer to 46%. The inspection record is what stands out most: 53 deficiencies, three at harm or jeopardy level, one abuse-related, and $142,045 in fines, all serious enough that CMS has placed the home in its Special Focus Facility program. Its most recent inspection was June 25, 2025.
Focused Care At Sherman runs on 3.17 nurse hours per resident day, roughly 18% under the national average, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a 75% annual turnover rate, well above the national 45.8%, so the people caring for residents are often new to the building. Its current record carries 45 deficiencies, including 7 at harm or jeopardy level and 6 tied to abuse, plus one fine of $82,570, with the most recent inspection in May 2025. The quality measure rating of 3/5 is the one area that looks closer to average, but staffing and inspection ratings both sit at 1/5.
Avir At Weston runs 120 certified beds in Temple under individual for-profit ownership, and the staffing numbers are where the trouble starts. At 3.03 nurse hours per resident day, it sits roughly 21% below the national average of 3.86, and weekend coverage drops about 12% below its own weekday level, so the thinnest shifts get even thinner. Staff turnover hits 83.3% against a national average of 45.8%, meaning most of the people caring for residents are new to the building. The inspection record backs that up: 29 deficiencies, six at harm or jeopardy level, one abuse-related, and four fines totaling $154,589. The most recent inspection was June 13, 2025.
Peach Tree Place runs on 2.65 nurse hours per resident day, about a third less than the national average, and weekend coverage drops roughly 14% below what it manages on weekdays. Staff turnover hits 92% a year, double the national rate, so the people caring for residents are, more often than not, new to the building. The inspection record shows 29 deficiencies, five involving actual harm or jeopardy to residents and five tied to abuse. One fine on file totals $229,570. Ownership is a for-profit corporation, and the most recent state inspection dates to March 2024.
Odin Health and Rehab runs 3.02 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than typical. Weekends drop another 24% below the home's own weekday level, and 61.3% of staff left over the past year, well above the 45.8% national figure. The inspection record shows 53 deficiencies, 12 at harm or jeopardy level and 5 tied to abuse, with three fines totaling $435,072. Ownership is for-profit corporate, and the last inspection was May 2025. Quality measures score mid-range, but staffing and inspections sit at the bottom.
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?