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.
Lincoln County Nursing & Rehab runs on 2.45 nurse hours per resident day, roughly a third below the national average, and weekends get about 10 percent less attention than weekdays. Staff turnover sits at 74.2 percent against a national 45.8 percent, so the people caring for your relative are likely to be new and soon to be gone. The record shows 115 deficiencies, nine of them serious enough to put residents in harm's way, five tied to abuse, and $235,414 in federal fines. CMS has placed the home in its Special Focus Facility program, which it reserves for the country's most persistently troubled nursing homes. The most recent inspection was May 2024.
Springfield Skilled Care Center runs on 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 17% below its own weekday coverage. Staff turnover sits at 79% against a national 45.8%, which means the people caring for residents are, more often than not, new to the building. The inspection record shows 97 deficiencies, including 5 at harm or jeopardy level and 6 tied to abuse, with two fines totaling $189,066. Corporate-owned and Medicare-certified for 120 beds, its last inspection was February 2025. A 1/5 inspection rating and 1/5 staffing rating are the numbers families should weigh hardest here.
Cooney Healthcare and Rehabilitation runs 90 certified beds in Helena under for-profit LLC ownership, and the numbers behind its record are hard to read charitably. Nurse staffing sits at 2.63 hours per resident day, roughly a third below the national average, and weekends drop about 15% below what the home itself manages on weekdays. Annual turnover of 77.6% means most of the people caring for residents are relatively new, against a national rate near 46%. The current inspection record carries 76 deficiencies, 11 of them serious enough to involve harm or jeopardy and 10 tied to abuse, with five fines totaling $247,212. CMS has placed it in the Special Focus Facility program, which is reserved for the country's most persistently troubled homes.
Twin Oaks runs on thin staffing: 2.97 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below what the home already provides on weekdays. The bigger red flag is turnover, 98% annually, more than double the national figure, meaning the aide or nurse who knows your mother this month is statistically unlikely to be there next year. Its current record carries 34 deficiencies, including 2 at harm or jeopardy level and 4 abuse-related, plus a $174,431 fine. A December 2025 inspection is recent, so the picture isn't stale. The corporate owner is for-profit, and the numbers suggest a building where care depends heavily on who happens to be on shift.
Legacy Transitional Care & Rehabilitation runs 186 beds in Atlanta under corporate for-profit ownership, and the staffing numbers are the first thing that stands out: 2.97 nurse hours per resident per day against a national average of 3.86. Weekends drop about 11% below the home's own weekday level, and annual turnover sits at 56.1%, well above the national 45.8%. The inspection record backs up the concern, 41 deficiencies, three at harm or jeopardy level, three abuse-related, and six fines totaling $121,894. CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of poor care.
Goldwater Care Danville runs on thin staffing: 3.38 nurse hours per resident day, about 12% under the national average, and weekends drop another 12% below its own weekday levels. Annual turnover sits at 55.7%, roughly ten points above the national figure, so the people left on the floor are often new. The inspection record backs that up, 78 deficiencies, 12 of them at harm or jeopardy level, 8 tied to abuse, and six fines totaling $494,449. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of serious problems. The last inspection was April 4, 2025.
Landmark of Oak Lawn runs 143 certified beds under for-profit LLC ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 2.74 hours per resident day, roughly 29% under the national average, and weekends dip about 6% below the home's own weekday level. Staff turnover hits 67% against a national average near 46%, while the current inspection record carries 57 deficiencies, nine of them at harm or jeopardy level and eight tied to abuse, plus five fines totaling $308,189. CMS rates the home 1 star on staffing and 2 stars each on health inspections and quality measures, with the most recent inspection dated December 2024. If you're weighing this one, that combination, thin staffing, high turnover, repeat serious deficiencies, deserves hard questions before a move-in.
If you're weighing Sunny Acres for someone in your family, the staffing numbers are the first thing to look at. At 2.96 nurse hours per resident per day, this home runs about a quarter below the national average, and weekends dip even further below its own weekday level. Turnover sits near 65%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record is heavier: 48 deficiencies, seven of them serious enough to put residents in harm's way, six tied to abuse, and three fines totaling just under $294,000. The state's most recent look came in March 2025.
The Guest House in Shreveport runs on 2.67 nurse hours per resident per day, roughly a third below the national average, and weekends drop about another 10% below its own weekday pace. Staff turnover sits at 65.8% against a national rate of 45.8%, so the people left are often the newest. The current record carries 41 deficiencies, six of them at harm or jeopardy level and four tied to abuse, plus four fines totaling $267,179. Its last inspection was April 2025. For-profit, LLC-owned, 177 beds, with a one-star health inspection rating and a one-star staffing rating. That combination is what drives the grade down.
Four Seasons Living Center runs 239 certified beds in Sedalia under corporate for-profit ownership, and the staffing numbers tell the clearest story: 1.57 total nurse hours per resident day against a national average of 3.86. That's about 59% below what residents elsewhere typically receive, and weekends run roughly 9% thinner than the home's own weekdays. Staff turnover sits at 71.1%, well above the 45.8% national figure, meaning the people providing care are constantly changing. The inspection record shows 60 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $25,605 and the most recent inspection dated December 8, 2025.
Sarcoxie Health Care Center runs on nurse staffing that lands at 1.49 hours per resident day, a little over a third of the national figure, and weekends drop roughly another quarter below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover sits at 84%. The current inspection record carries 24 deficiencies, including two at the harm or jeopardy level and five tied to abuse, and the most recent survey was in March 2025. With 40 beds and corporate for-profit ownership, the numbers point to a home where day-to-day care depends on a small, constantly changing staff.
Lawson Manor runs on about 3.02 nurse hours per resident per day, roughly 22 percent under the national average, and weekends drop another 9 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 73.6 percent against a national 45.8, meaning most of the people caring for your relative are new to the building. The current record carries 62 deficiencies, three serious enough to involve harm or jeopardy and six tied to abuse, plus a $51,856 fine. Ownership is for-profit, through a limited liability company, and the last inspection was June 9, 2025.
Skyline Heights is a for-profit home in Billings with 150 beds, and the numbers behind its record are hard to argue with. Nurse staffing sits at 3.26 hours per resident day, about 16 percent under the national average, and weekends run roughly 11 percent thinner than weekdays. Staff turnover is 74.7 percent against a national average of 45.8 percent, most of the people caring for your relative likely won't be there in a year. The current inspection record carries 63 deficiencies, seven at the harm or jeopardy level and five tied to abuse, plus six fines totaling $418,996. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent pattern of poor care.
Mountain Ridge Center runs 86 certified beds in Franklin under Genesis Healthcare, a for-profit corporation, and the staffing numbers are where the trouble starts. At 3.40 nurse hours per resident day it sits about 12% under the national average, and weekends dip roughly 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover of 67.5% is well above the 45.8% national figure, meaning many of the people caring for residents are still learning the building. Inspections in April 2025 turned up 16 deficiencies, one abuse-related, with a single fine of $16,702. No harm-level citations appear on the current record, but the quality measure rating of 1 out of 5 doesn't inspire confidence.
A family calling about Pembroke Center should know a few numbers before anything else. The home runs 3.37 nurse hours per resident per day, about 13% under the national average of 3.86, and weekend staffing drops roughly 9% below its own weekday level. Annual turnover is 68.4%, well above the 45.8% national figure, so the people caring for residents change often.
Its inspection record shows 41 deficiencies, including 4 at the harm or jeopardy level and 5 tied to abuse. Three fines total $37,339, and the most recent inspection was November 21, 2025. Corporate-owned and operating under a low-rated history across inspections, quality measures, and staffing, this home carries real risk on paper.
The Waters of Smyrna runs on 2.99 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips further below its own weekday level. That thin staffing sits alongside 69.3% annual turnover, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. Its record shows 36 deficiencies, including three at the harm or jeopardy level and six tied to abuse, plus a $97,773 fine. The last inspection was in August 2022, so that record has had time to age without a fresh look.
Norfolk Health Care Center runs on 3.13 nursing hours per resident day, roughly 19% under the national average, and weekend coverage drops about 14% below what it manages on weekdays. That thin staffing sits alongside a 72.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents are new to the building. The inspection record shows 51 deficiencies, including one at the harm level and one tied to abuse, plus a $102,245 fine, and the last full inspection was in July 2021. Corporate-owned, 180 beds, and the federal stars land at one for health inspections and one for staffing.
Nurse staffing at Rivers Edge runs about 12% under the national average, and weekends are thinner still, roughly 15% below the home's own weekday coverage. That's a real problem when the same record shows 68.2% annual turnover, far above the 45.8% norm, because thin weekend shifts land on aides who may be new to the building. The inspection history is the louder signal: 107 deficiencies, six at harm or jeopardy level, 21 tied to abuse, and four fines totaling $406,985. For-profit corporate ownership, 58 beds, and a December 2025 inspection that's already on the books. Ask about weekend coverage, abuse-prevention training, and what's changed since that visit.
Focused Care At Pasadena runs on 2.95 nursing hours per resident per day, roughly a quarter below the national average, and weekends drop about 14% below what the home staffs on weekdays. That thin coverage shows up in the inspection record: 32 deficiencies, six of them serious enough to put residents in harm's way, three tied to abuse, and $131,012 in fines. Staff turnover sits at 76.6% against a national 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The corporation that owns it has drawn a 1-star inspection rating and a 1-star staffing rating, with the most recent survey dated February 2026.
Carlinville Rehab & Hcc runs on 3.14 nurse hours per resident day, roughly 19% under the national average, and weekends drop about 15% below what the home already provides on weekdays. Turnover sits at 62.9% against a national 45.8%, so the aides and nurses who know your parent are often the ones walking out the door. The current record carries 38 deficiencies, six of them serious enough to put residents in harm's way and ten tied to abuse, plus two fines totaling $171,737. Inspectors were last in on June 26, 2025. This is a for-profit LLC, and the numbers say the money isn't going toward the bedside.
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?