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.
The numbers at Cypress At Lake Providence are hard to explain away. Nurse staffing sits at 2.59 hours per resident per day, roughly a third below the national average, and it thins out further on weekends, about 19% less coverage than during the week. That matters in a building where more than two-thirds of the nursing staff turned over in the past year, well above the national rate. The inspection record shows 69 deficiencies, including 11 tied to abuse and 3 serious enough to put residents in harm's way, with $74,456 in fines. A corporation owns it and takes profit out. If you're weighing this one for someone you love, ask what the daily aide coverage actually looks like.
North Village Park runs on 1.60 nurse hours per resident per day, roughly 59% below the national average, and weekends drop about 17% below its own weekday numbers. Staff turnover sits near 70%, well above the 45.8% national figure. On its current record: 129 deficiencies, 25 involving harm or jeopardy, 26 abuse-related, and 11 fines totaling $521,334. This is a for-profit LLC of 183 certified beds with a one-star health inspection rating, a one-star staffing rating, and a place in CMS's Special Focus Facility program. Its most recent inspection was December 12, 2025.
Meramec Nursing runs on 2.79 nurse hours per resident day, roughly 28% below the national average, and weekends drop about 16% below what the home already provides on weekdays. Staff turnover sits at 76.9% against a national figure of 45.8%, meaning most of the people caring for your family member this year likely won't be there next year. The inspection record shows 26 deficiencies, two serious enough to put residents in harm's way and one tied to abuse, plus $46,449 in fines. A 1-out-of-5 quality measure score alongside a 1-out-of-5 staffing score tells you the federal data itself flags concerns here across multiple dimensions, not just one.
Bentwood runs 116 certified beds in Florissant under for-profit LLC ownership, and the numbers that stand out most are about people. Nurse staffing sits at 3.28 hours per resident day against a national average of 3.86, and weekends run about 17 percent thinner than weekdays, which matters because that's when families often visit and when problems can go unnoticed. The bigger signal is turnover: 77.3 percent of staff leaving in a year, well above the 45.8 percent national figure. On the record are 60 deficiencies, four of them serious enough to involve harm or jeopardy, plus three tied to abuse, and two fines totaling $107,465. The most recent inspection was February 24, 2026.
Arbor Hills runs 150 beds in Ferguson under for-profit LLC ownership that changed hands less than a year ago. Nurse staffing sits at 3.37 hours per resident day against a national average of 3.86, and weekends dip about 18% below the home's own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 79.8% is far above the 45.8% national figure, meaning the aides and nurses your relative sees are likely to keep changing. The current record carries 65 deficiencies, including 7 at harm or jeopardy level and 10 abuse-related, plus $282,840 in fines across two penalties. A February 2026 inspection is recent, but the pattern behind it isn't.
Prairie Village runs 126 beds under corporate ownership, and the numbers that stand out most are about people, not beds. Nurse staffing sits at 3.84 hours per resident day, just under the national average, but weekends drop roughly 24% below what the home staffs on weekdays, so the coverage your family member gets depends heavily on which day they need it. Annual turnover of 65.2% means most of the aide staff you'd meet this year won't be there next year, against a national rate near 46%. The inspection history carries 22 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $131,684. The last full inspection was April 2024.
Lincoln Village Healthcare runs 126 beds under for-profit LLC ownership, and the numbers behind its record are hard to dress up. Nurse staffing sits at 3.47 hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Staff turnover hits 77.2% against a national 45.8%, meaning most of the people caring for residents weren't there a year ago. The current record carries 82 deficiencies, including 9 at the harm or jeopardy level and 14 tied to abuse, with six fines totaling $348,066. The last inspection was January 30, 2025.
Quail Run in Trumann runs 92 beds under corporate ownership, and the staffing numbers are the real story here: 4.32 nurse hours per resident day, about 12 percent above the national average of 3.86. But that weekday strength softens on weekends, when coverage drops roughly 18 percent below its own weekday level. The inspection record is clean, zero deficiencies of any kind, including nothing at the harm or jeopardy level and no abuse-related findings, and the most recent survey came in May 2025, so it's current. For a for-profit home, that combination of above-average staffing and an unblemished survey record is not common. Worth asking about weekend coverage when you visit.
The Daniel K Akaka State Veterans Home is state-run, which matters less for the grade than what inspectors actually found. Eight deficiencies appear on the current record, and while none rose to the level of harm or jeopardy, one is abuse-related, a category worth asking about directly, since it covers everything from mishandling to resident-to-resident incidents. The most recent inspection closed out in April 2026, so the picture is current rather than stale. There's no staffing or turnover figure here to weigh against the national average, and without it the record is mostly a deficiency count and a recent walkthrough.
Axiom Gardens Of Mount Vernon carries 18 deficiencies on its current record, and three of those are abuse-related, a category families should ask about directly. Two more were serious enough to be cited at the harm or jeopardy level, meaning an inspector determined residents were actually endangered, not just at risk. The 106-bed home is run by a for-profit corporation, inspected last on March 17, 2025, and it's been fined three times for a combined $37,500. That pattern of repeat fines alongside abuse citations suggests problems that inspections have flagged before and that the home hasn't fully corrected. When you tour, ask what changed after those abuse findings and who supervises residents with behavioral needs.
Future Care Annapolis runs 4.97 total nurse staffing hours per resident day, roughly 29 percent above the national average of 3.86, and it carries no deficiencies at all on its current record, none at the harm or jeopardy level, none tied to abuse. Its most recent inspection was November 13, 2025, so the picture is fresh rather than stale. The one number that gives pause is weekend staffing, which runs about 11 percent below the home's own weekday level. That's a common pattern in nursing homes, but it matters for a family whose visits or care concerns land on Saturdays and Sundays. The corporate, for-profit ownership is worth knowing, though nothing in the record shows it dragging down care here.
Raintree Village runs a small house, 40 beds, and staffs it well above the national average at 4.92 nurse hours per resident day. That cushion matters most on weekends, and here it thins by about 14% against the home's own weekday coverage, which is worth asking about directly since that's when families tend to visit and notice. The inspection record is thin: one deficiency on file, nothing at the harm or jeopardy level, no abuse citations, and the most recent state visit came in May 2025. Corporate ownership doesn't tell you much on its own, but combined with that staffing and citation picture, the numbers suggest a home that has been running clean.
Ignite Medical Resort St Peters runs 91 certified beds as a for-profit limited liability company, and its nurse staffing sits at 4.12 hours per resident day, roughly 7% above the national average of 3.86. That's a real edge on paper, but weekends dip about 19% below the home's own weekday level, so the care you'd see on a Saturday isn't the care reflected in the headline number. The inspection record is the heavier issue: 23 deficiencies, two of them serious enough to reach harm or jeopardy. None were abuse-related. The last inspection was October 2025, so the findings are recent rather than stale.
Annie's Garden runs 4.11 nurse hours per resident day, roughly 7% above the national average of 3.86, and its record is clean: no deficiencies at any level, none related to abuse, with an inspection completed in October 2025. The one pattern worth watching is weekends, when staffing drops about 16% below what the home runs during the week. That's not unusual in this industry, but it matters for a resident who needs more hands-on help on a Saturday than a Tuesday. The home is for-profit, owned by a limited liability company, licensed for 75 beds. A clean inspection record plus above-average staffing is a decent starting point, ask how they cover weekend shifts before you decide.
St. Louis Altenheim is a 73-bed for-profit home in the city, run by a limited liability company. Its current record shows ten deficiencies, none of which rose to actual harm or jeopardy, that's the key distinction, since most citations at this level are paperwork and process problems rather than incidents where a resident got hurt. One abuse-related deficiency is on the books, though, and that's worth asking about directly. The last inspection was October 2025, so the findings are recent, not stale. What the numbers don't show is how the place is staffed day to day, and with a for-profit LLC operator, that's the question I'd press on before deciding.
Rochester Residence and Care Center carries a record that should give any family pause. State and federal inspectors have cited 141 deficiencies here, ten of them tied to abuse and eight serious enough to put residents in immediate harm's way. Six fines total $390,255, and CMS has placed the home in its Special Focus Facility program, a designation reserved for the small share of nursing homes with a persistent pattern of serious problems. It's a for-profit limited liability company with 119 certified beds. The most recent inspection, in February 2026, is recent enough that these findings reflect how the place operates now, not some distant past. If you're considering this home, ask hard questions before you sign anything.
Good Samaritan Society - Wagner runs 50 certified beds as a nonprofit corporation, and its current record shows no deficiencies at all, not at the harm or jeopardy level, not abuse-related, nothing. The last inspection was January 7, 2026, so the state's findings are recent, not a stale snapshot from two or three years back. A clean record like that usually reflects steady day-to-day operations rather than luck, since inspectors tend to flag something on most surveys. What the data here can't tell you is how the place feels to visit, staffing ratios at the moment you'd call, how the dining room runs, whether your family member's specific needs fit. Ask those questions on a tour, and ask what happens when a resident's condition changes.
Advanced Health Care of Nashville runs 49 beds under a for-profit limited liability company, and its nurse staffing sits at 5.25 hours per resident day, roughly 36% above the national average of 3.86. That part looks strong on paper. What sits underneath is harder to ignore: five deficiencies on the current record, three of them at the harm or jeopardy level, and all five abuse-related. CMS has fined this home six times for a total of $125,508, and the last inspection was October 2022, so the record you're reading is nearly three years old. Weekend staffing also drops about 21% below its own weekday level, meaning the hours aren't spread evenly across the week.
A clean federal record is genuinely uncommon, and Pacific Villas Post Acute has one: zero deficiencies on its current CMS record, none at the harm or immediate-jeopardy level, and nothing abuse-related. Its most recent inspection closed out in March 2025, so that record is recent rather than a stale snapshot from years ago. The catch is that this is a for-profit limited liability company, and a spotless inspection file tells you what surveyors found on one visit, not what daily staffing looks like between visits. Before you commit, ask for the direct-care hours per resident per day and the nursing turnover rate, because those are the numbers a good inspection can't speak to.
Stonehaven runs on more nursing hours than the typical American nursing home, about 4.18 per resident day against a national average of 3.86, and that margin is the main thing working in its favor. The catch is timing: weekends drop roughly 13% below the home's own weekday staffing, so the coverage you'd see on a Tuesday isn't what a Saturday looks like. Its inspection record is current, with the most recent visit in June 2025, and five deficiencies on file, none of them serious enough to register as harm or jeopardy and none abuse-related. For-profit, limited-liability ownership is worth knowing going in. Overall, this is a home whose numbers suggest adequate care with a real weekend soft spot.
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?