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.
Brookfield Health Care Center runs on 2.74 nurse hours per resident per day, roughly 29% below the national average, and weekend coverage slips about 5% below its own weekday level. Annual staff turnover sits at 78.4%, well above the national 45.8%, so the people caring for residents here change constantly. The current record shows 43 deficiencies, including four at the harm or jeopardy level and two tied to abuse. Its last inspection was June 12, 2025. Under a for-profit limited liability company, this 60-bed home carries CMS ratings of one star for health inspections, two for quality measures, and one for staffing.
Cedar Hills runs 94 certified beds under corporate ownership, and the numbers here are worth a slow look. Nurse staffing sits at 3.43 hours per resident day against a national average of 3.86, and weekend coverage drops another 8 percent below its own weekday level, so the thinnest shifts land when families visit least. Staff turnover is the real tell: 65.9 percent annually, well above the 45.8 percent national figure, meaning the people caring for your relative are likely new to the building and to the job. Inspectors have logged 53 deficiencies, including two tied to abuse and one at the harm level, with a $11,333 fine on record.
The Greens at Gastonia runs 162 beds under corporate ownership, and the numbers show real strain. Nurse staffing sits at 3.25 hours per resident day, roughly 16 percent below the national average, and weekends run about 12 percent thinner than weekdays, so coverage dips exactly when families tend to visit. Staff turnover hits 75.6 percent against a national average near 46 percent, meaning most of the people caring for residents are new to the building. The inspection record carries 53 deficiencies, including three at the harm level and one tied to abuse, plus $130,657 in fines. A May 2025 inspection is recent, but recent isn't the same as clean.
Carecore At Mentor runs on 2.98 nurse hours per resident day, roughly a quarter below the national average, and weekends are thinner still, about 11% below its own weekday staffing. That gap matters because needs don't take weekends off. The workforce itself is unstable: 72.2% annual turnover against a national 45.8%. Inspectors have cited 32 deficiencies, six at harm or jeopardy level, one tied to abuse, and fined the home $35,457. Its last inspection was July 2024. A for-profit LLC operation with one-star ratings on both health inspections and staffing, and the record is recent enough to reflect how it runs now.
Majestic Gardens runs 169 beds under corporate ownership, and the staffing numbers are where the trouble starts. At 3.36 nurse hours per resident day, it sits about 13% under the national average, and weekends drop roughly 11% below its own weekday coverage. Staff turnover hits 68.5%, well above the 45.8% national figure, so caregivers are cycling through constantly.
The inspection record is worse: 37 deficiencies on file, including 4 at the harm or jeopardy level and 5 tied to abuse. CMS has levied 9 fines totaling $810,404 and placed the home in its Special Focus Facility program, a designation reserved for the country's most persistently troubled homes. The most recent inspection was September 11, 2025.
Pebble Creek runs on thin staffing, and the numbers show it. At 3.38 nurse hours per resident per day, it sits about 13% under the national average, and weekends drop roughly another 11% below its own weekday level, so care gets thinnest exactly when families tend to visit. Meanwhile, annual turnover hits 97.4%, more than double the national rate, which means the people providing that care are constantly changing.
The inspection record is worse: 65 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse. Federal fines total $145,184 across two penalties, and the last inspection was May 2024, with a 1/5 health inspection rating and 1/5 staffing rating. For-profit, limited liability ownership. Ask direct questions about weekend coverage and turnover before considering this one.
Greendale Park Nursing and Rehab runs 105 certified beds under for-profit LLC ownership, and the staffing picture is more complicated than the headline number. Total nurse coverage of 4.14 hours per resident day sits about 7% above the national average, but weekends drop roughly 9% below the home's own weekday level, so the coverage families see on a Tuesday isn't what they get on a Saturday. Turnover runs 78% against a national average of 45.8%, meaning the people at the bedside change constantly. The inspection record shows 78 deficiencies, 10 at harm or jeopardy level and 6 abuse-related, with $184,477 in fines across two events and a survey completed January 27, 2026.
Navasota Nursing & Rehabilitation runs 2.49 nursing hours per resident per day, roughly 36% under the national average of 3.86, and weekend staffing drops about 18% below its own weekday levels. The current inspection record carries 47 deficiencies, six of them serious enough to put residents in harm's or jeopardy's way, two tied to abuse, with six fines totaling $105,594. All three CMS star ratings, health inspections, quality measures, and staffing, sit at one out of five. Corporate for-profit ownership holds the license on 172 certified beds, and the most recent inspection was June 5, 2025.
Reunion Plaza runs on 3.01 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 14% below its own weekday numbers. Staff turnover sits at 64.5%, well above the 45.8% national figure, which means the people caring for your family member are often new and still learning the building. The inspection record shows 86 deficiencies, seven of them serious enough to put residents in harm's way, plus one tied to abuse. Three fines add up to $283,086, and the most recent inspection came in February 2026. For-profit corporate ownership, a one-star health inspection rating, and a one-star staffing rating all point the same direction.
If you're weighing Lancaster Nursing & Rehabilitation for someone you love, the federal numbers are worth sitting with. Nurse staffing runs about 3.30 hours per resident day, roughly 14% under the national average, and weekends dip another 14% below what the home itself staffs on weekdays. Staff turnover sits near 93%, more than double the national rate, meaning the aide who knows your mother this month may be gone the next. The inspection record shows 37 deficiencies, three involving actual harm or jeopardy and three tied to abuse, with $56,554 in fines and a survey as recent as October 2024. For-profit, LLC-owned, 120 beds. The pattern here is thin coverage and heavy churn, and that's what drives the low marks.
Whitesboro Health And Rehabilitation Center runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about another 10% below its own weekday levels. That thin coverage shows in the numbers: 90.9% annual staff turnover, double the national rate, with a 1-out-of-5 CMS staffing rating and 2-out-of-5 on quality measures. Inspectors last visited in May 2025 and cited 15 deficiencies, four of them serious enough to put residents at harm or jeopardy, including one abuse-related finding. Two fines totaling $30,253 are on record. For-profit corporate ownership, three inspection stars, and a resident population of up to 95, this is a home where you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
North Pointe runs on thin staffing. At 3.15 nurse hours per resident day, it sits about 18% under the national average, and weekends drop roughly another 11% below its own weekday level, so the thinnest coverage lands when families tend to visit. The bigger signal is turnover: 94.5% of nursing staff leaving in a year, against a national average of 45.8%. That's a building where almost everyone you meet is new. The inspection record backs it up, 27 deficiencies, 8 serious enough to cite harm or jeopardy, 7 tied to abuse, and three fines totaling $36,475. State inspectors were last in on April 17, 2025. For-profit, individually owned, 126 beds.
Brentwood Terrace runs on 3.04 nurse hours per resident per day, roughly a fifth below the national average, and weekends drop another 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 92.9%, more than double the national rate, which means the people caring for your relative are, statistically, likely to be gone within the year. The inspection record is the harder read: 51 deficiencies, eight serious enough to cause harm or jeopardy, seven tied to abuse, and a single $234,447 fine. The most recent inspection was June 2025.
Evercare Of Breese runs 112 certified beds under a for-profit LLC, and the staffing numbers are the first thing to notice: 2.70 total nurse hours per resident day against a national average of 3.86, roughly 30% below. Weekend coverage drops about another 10% below its own weekday level, so the thinnest shifts get thinner. The inspection record carries 13 deficiencies, 5 of them at harm or jeopardy level, with 5 fines totaling $177,557. Quality measures scored 1 out of 5 stars. The last inspection was January 31, 2025, so the record is recent, not stale. Five harm-level findings and a staffing shortfall that size are the two facts worth weighing hardest.
Bria of Elmwood Park carries one of the heaviest regulatory loads in Cook County. Its record shows 100 deficiencies, including 26 that put residents in immediate harm or jeopardy and 16 tied to abuse, and CMS has placed it in the Special Focus Facility program, a designation reserved for the small share of homes with a pattern of persistent problems. Fines total $616,979 across 10 penalties. Nurse staffing sits slightly under the national average, and weekends run about 16% thinner than weekdays, with 48.5% annual turnover. All three CMS star ratings, inspections, quality measures, staffing, sit at the lowest tier, and the most recent inspection was February 2025.
Chicago Ridge SNF runs 231 beds on 2.26 nurse hours per resident day, roughly 41 percent under the national average of 3.86, and weekends drop about 17 percent below its own weekday coverage. The inspection record is heavy: 119 deficiencies, 24 of them at harm or jeopardy level and 19 abuse-related, plus five fines totaling $883,180. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care. Staff turnover sits at 46.8 percent, slightly above the 45.8 percent national figure, and its last inspection was September 27, 2024. It's a for-profit limited liability company, and all three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5.
Nurse staffing at Integrity Hc Of Marion sits at 3.36 hours per resident day, about 13 percent under the national average, and weekends run roughly 16 percent leaner than weekdays. Staff turnover is 53.4 percent against a national 45.8 percent, so the people providing care keep changing. The current inspection record carries 56 deficiencies, including 7 at the harm or jeopardy level and 7 tied to abuse, with three fines totaling $468,729. All three CMS star ratings, health inspections, quality measures, and staffing, come in at 1 out of 5. The most recent inspection was June 16, 2025.
Axiom Healthcare of Harrisburg runs 68 certified beds under corporate ownership, and the numbers behind its federal record are hard to read charitably. Nurse staffing sits at 3.48 hours per resident day against a national average of 3.86, and weekends drop roughly 22% below what the home itself staffs on weekdays, so the thinnest coverage lands when families are most likely to visit. Annual turnover of 51.5% outpaces the already-high national rate of 45.8%, meaning more than half the nursing staff leaves each year. The inspection history shows 25 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $92,920 fine and a March 2025 inspection.
Center Home Hispanic Elderly in Chicago carries 77 deficiencies on its current record, 13 of them serious enough to involve harm or jeopardy, and seven tied to abuse. That's not a paperwork problem. On the staffing side, nurses provide 2.86 hours per resident per day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, so coverage gaps widen exactly when families tend to visit. Staff turnover sits at 45.8 percent, matching the national rate, which means the churn here isn't unusual, but it compounds thin hours. Eight fines totaling $428,860 and a January 2026 inspection round out a record where the pattern is consistent across every measure.
Manchester Rehab and Healthcare Center is a 137-bed for-profit in Ballwin, and the numbers behind its record are worth walking through. Nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average, and weekends drop about another 10 percent below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Its current inspection file carries 53 deficiencies, including two at the harm or jeopardy level and four tied to abuse, plus a single $197,132 fine. Federal ratings give it one star each for staffing and quality measures and two for health inspections, with the most recent inspection in May 2025.
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?