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.
Windsor Rehabilitation and Healthcare Center runs on 3.10 nurse hours per resident day, about a fifth below the national average, and weekend coverage drops roughly 14% below what the home staffs on weekdays. Staff turnover sits at 79.3%, more than seven in ten workers leaving annually against a national rate near 46%, while 52 deficiencies sit on the current record, including five at the harm or jeopardy level and seven tied to abuse. Two fines total just under $250,000, and the last inspection was January 2026. Corporate-owned and running lean on direct care, this is a home where you'd want to visit unannounced, on a weekend, and ask who is actually on the floor.
Bluebonnet Point Wellness runs on 2.80 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 12% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 97.8% against a national 45.8%, meaning nearly the entire nursing workforce cycles out each year. The current record shows 34 deficiencies, six serious enough to cause harm or jeopardy and one tied to abuse, with five fines totaling $181,947. Inspectors last visited in August 2025. With 119 certified beds under corporate for-profit ownership, ask specifically who is on duty nights and weekends before you decide.
Pinewood Health and Rehabilitation runs 2.79 nursing hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday numbers, so coverage is thinnest exactly when families tend to visit. The 63% annual turnover means most of the aides working there this year likely won't be there next year, which matters more than any single rating. On the federal record, there are 50 deficiencies, 11 serious enough to involve harm or jeopardy, five tied to abuse, and $210,094 in fines. CMS has placed the home in its Special Focus Facility program, a designation reserved for the poorest performers. The most recent inspection was February 19, 2025.
Maryville Living Center runs 3.19 nurse hours per resident day against a national average of 3.86, and weekends drop another 11% below its own weekday level, so the hours your family member gets on a Saturday are thinner than the weekday number suggests. Staff turnover is 68.9% against a national 45.8%, meaning roughly two of every three caregivers left within a year. The current record carries 42 deficiencies, including five at the harm or jeopardy level and five tied to abuse. Fines total $22,337, and the last inspection was June 19, 2025.
Greenview runs on 2.86 nurse hours per resident day, well under the 3.86 national average, and weekends drop about 9% below what the home already provides on weekdays. Nearly 70% of nursing staff turned over in a year, against a 45.8% national figure, with a for-profit LLC operating the 128 beds. The current inspection record carries 45 deficiencies, nine of them at harm or jeopardy level and six tied to abuse, and the home has been fined five times for $73,108 total. Its last inspection was March 19, 2025.
Metropolis Rehab & Hcc runs on 3.48 nurse hours per resident per day, roughly 10% under the national average, and weekend coverage drops about 15% below what it manages on weekdays. Staff turnover sits at 55.3% against a national 45.8%, so the aides and nurses cycling through have less time to learn residents' routines. The inspection record is the harder part: 58 deficiencies, 16 of them serious enough to put residents in harm's way, five tied to abuse, and $361,369 in fines across five penalties. Federal ratings put the home at one star for health inspections, quality measures, and staffing alike. A for-profit corporation owns it, and the most recent inspection was May 2025.
St. Peters Rehab and Healthcare Center carries a record that families should look at closely before deciding. The home is in CMS's Special Focus Facility program, a designation reserved for nursing homes with a persistent pattern of poor inspections, and the numbers behind that status are hard to read any other way: 101 deficiencies on the current record, six of them at the harm or jeopardy level, three tied to abuse, and four fines totaling $168,026. Staffing sits about 14% under the national average, weekends run roughly 18% thinner than weekdays, and annual turnover hits 67% against a 45.8% national figure, meaning the aides and nurses who do stay are often new.
Lampstand runs 140 beds in Bryan under for-profit LLC ownership, and the staffing numbers are the first thing to sit with. At 3.33 nurse hours per resident day, it's roughly 14% under the national average, and weekends drop about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the harder fact: 97.3% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, almost certain to change within the year. Behind those numbers sit 48 deficiencies on the current record, four of them serious enough to reach harm or jeopardy level, plus $31,460 in fines. The most recent inspection was April 2026.
Roswell Center for Nursing and Healing runs 268 certified beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average, and weekends drop another 13% below what the home already provides on weekdays, so the thinnest coverage lands exactly when families tend to visit. Staff turnover is 61.7% against a national 45.8%, meaning most of the people caring for residents are still learning the building. Inspectors have cited 24 deficiencies, five serious enough to put residents at harm or jeopardy, and one fine of $206,486. No abuse citations appear on the current record.
Lakeside runs 3.12 nurse hours per resident per day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. Weekends are thinner still, about 13% below its own weekday coverage, and 60.6% of staff turned over in a year versus 45.8% nationally, so the people providing that care keep changing. The inspection record shows 38 deficiencies, 11 serious enough to cause harm or jeopardy, 2 tied to abuse, and $199,461 in fines across three penalties. The most recent inspection was March 2025, so the picture is current. A for-profit corporation owns the 95-bed building. Staffing, quality measures, and inspection results each land at the low end of CMS's scale.
Hillsboro Rehab & Hcc runs on 3.02 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. Staff turnover sits at 60.8% against a national 45.8%, meaning nearly two of every three caregivers left within a year. Its record shows 67 deficiencies, 15 at harm or jeopardy level and 14 abuse-related, plus three fines totaling $317,250 and a September 2024 inspection. Low staffing, high turnover, and repeat serious findings tend to reinforce each other in a building this size.
Nurse staffing at Arc at Sangamon Valley runs about 25% under the national average, 2.91 hours per resident day against 3.86, and weekends dip roughly 8% below what the home itself provides on weekdays. When aides and nurses leave at a 72.6% annual rate, well above the 45.8% national figure, that thin coverage gets harder to hold steady. The inspection record carries 82 deficiencies, 14 of them at harm or jeopardy level and 13 tied to abuse; federal fines total $583,051 across five penalties, and the most recent inspection was September 2024. Nonprofit ownership hasn't translated into stronger numbers here.
Serenity Estates of Lincolnshire runs on 2.97 nurse hours per resident per day, roughly a quarter below the national figure, and it thins out further on weekends. That staffing picture is hard to separate from a 99% annual turnover rate, meaning the aides and nurses in the building are largely new to it, more than double the churn seen at the typical U.S. home. The inspection record is heavier still: 61 deficiencies, ten serious enough to involve harm or jeopardy, six tied to abuse, and $343,139 in fines across eight penalties. The most recent state visit was April 2025. A for-profit limited liability company operates the 144-bed home.
Strafford Care Center runs on thin staffing: 3.16 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday levels. The workforce is churning hard, 82.3 percent annual turnover against a national average of 45.8, which matters because 76 deficiencies sit on the current record, including 14 tied to abuse and one at the harm or jeopardy level. Inspectors were last in on April 21, 2025, and a $52,456 fine stands against the limited-liability company that owns the place. Every CMS rating category here, health inspections, quality measures, staffing, comes in at one out of five. Families weighing this home should start by asking who's actually on the floor on a Saturday.
Gregory Ridge is a 116-bed for-profit home in Kansas City, and the numbers behind its record are hard to argue with. Nurse staffing sits at 2.37 hours per resident day, roughly 39% below the national average, and it thins out further on weekends. Staff turnover runs 68.4% a year against a national average of 45.8%, which means the people caring for residents are, more often than not, new or on their way out.
That instability shows up in the inspection record: 100 deficiencies, 15 of them at harm or jeopardy level, 18 abuse-related, and six fines totaling $708,002. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Vintage Health Care Center runs on 3.23 nurse hours per resident day, roughly 16 percent under the national average, and weekends drop about 13 percent below its own weekday staffing. Annual turnover sits at 96.6 percent, more than double the national figure, meaning the aides and nurses caring for your relative are, statistically, likely to be new or on their way out. The inspection record backs that up: 57 deficiencies, seven serious enough to put residents in harm's way, one tied to abuse, and four fines totaling $252,370. Federal regulators have placed it in the Special Focus Facility program, a designation reserved for the country's most persistently troubled homes.
Renwick Nursing and Rehab runs on 3.22 nursing hours per resident day, roughly 17 percent under the national average, and weekends drop about 12 percent below its own weekday staffing. Turnover sits at 67.7 percent against a national 45.8, so the aides and nurses who remain are likely covering for a constantly changing crew. The current record carries 52 deficiencies, seven of them serious enough to involve harm or jeopardy, two tied to abuse, and six fines totaling $202,040. All three CMS ratings come in at one star, with the last inspection logged in October 2024. For a 120-bed for-profit limited liability company, those numbers describe a home where short staffing, high churn, and repeated citations reinforce each other.
Evercare At Stearns runs on thin coverage: 3.07 nurse hours per resident per day against a national average of 3.86, with weekends about 13% leaner than weekdays. Staff turnover sits at 75.9%, well above the 45.8% typical nationally, so the people caring for residents keep changing. The inspection record backs that up: 34 deficiencies, 13 of them serious enough to put residents at harm or jeopardy, and 14 tied to abuse. Four fines total $279,894, and the most recent inspection was April 2025. A for-profit limited liability company owns the 109-bed home. The federal ratings land at two stars for health inspections and one star each for quality measures and staffing.
Goldwater Care Clinton runs on 3.34 nurse hours per resident per day, about 14% under the national average, and weekends drop roughly another 10% below its own weekday levels. Staff turnover sits near 70%, well above the 45.8% national figure. The inspection record is the harder problem: 116 deficiencies, 8 of them at harm or jeopardy level, 11 tied to abuse, and $286,544 in fines. CMS has placed it in the Special Focus Facility program, a designation reserved for the country's poorest performers, and the last inspection, on February 18, 2026, produced ratings of one star across health inspections, quality measures, and staffing.
Woodland Manor runs on thinner staffing than most homes nationally, and the gap widens on weekends, when coverage drops about 11% below its own weekday level. That matters more than the raw hours suggest, because nearly 70% of the nursing staff turned over in a year, well above the national rate, so the people providing care keep changing. The inspection record backs up the concern: 50 deficiencies, five serious enough to put residents in harm's way, and four tied to abuse, with $114,339 in fines. A recent November 2025 inspection gives some current picture, but three one-star ratings across health, quality, and staffing describe a home struggling on every measure at once.
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?