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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.

Nursing hours per resident per day

3.7

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

46.8%

All homes in the United States: 45.8%

Worse than the local average

Average ElderGrade score

72.2/100

All homes in the United States: 73.5/100

Worse than the local average

Grade spread

A
B
C

1,307 grade A, 4,835 grade B, 3,282 grade C, 743 grade D,

The best-graded chain-owned home in the United States is Deerfield Health Care Center in Urbandale, IA — grade A, 100/100.

Every chain-owned nursing home in the United States

Showing 1001–1020 of 10,187, best-graded first.

A

86/100

Avera Morningside Heights Care Center

Marshall, MN · Lyon County

CMS 3/5 76 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
24%
Serious cites
0

Avera Morningside Heights runs on a nonprofit model with 76 certified beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 24.4% against a national 45.8%, which suggests people stay. The caution is inspections. Seventeen deficiencies are on record, three of them at harm or jeopardy level, and the most recent inspection was December 2025, recent enough that the findings aren't stale. One fine totaling $17,345 has been levied, and no abuse-related citations appear. Strong, stable staffing is carrying a home whose inspection history has real problems in it.

A

86/100

The Estates At Bloomington Llc

Bloomington, MN · Hennepin County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
37%
Serious cites
0

The Estates at Bloomington runs 68 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 37.1% against a national 45.8%. The inspection record is where you'll want to ask questions. There are 33 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse. The last inspection was April 23, 2026. A three-out-of-five health inspection rating with that count tells you the survey history is doing more work here than the staffing or quality numbers.

A

86/100

Good Samaritan Society - Albert Lea

Albert Lea, MN · Freeborn County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
24%
Serious cites
0

Good Samaritan Society - Albert Lea runs on 4.64 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and its weekend coverage only dips about 13% below weekdays, a gap that's common, though the size still matters when someone needs help on a Sunday. Staff turnover of 23.8% sits well under the national 45.8%, which suggests people stick around long enough to know the residents. The caution side: 15 deficiencies on record, including 2 at harm or jeopardy level and 2 tied to abuse, plus a $17,345 fine. The most recent inspection was in May 2026.

A

86/100

Ostrander Care And Rehab

Ostrander, MN · Fillmore County

CMS 5/5 25 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
38%
Serious cites
0

Ostrander Care and Rehab is a 25-bed for-profit home in Fillmore County, and its inspection record is the strongest thing about it, a five-star health inspection rating with nine deficiencies on file, none of them serious enough to cause harm or jeopardy. Staffing is where it gets thinner: 3.55 nurse hours per resident day sits about 8 percent under the national average, and weekends run roughly 14 percent below the home's own weekday staffing, so care gets lighter exactly when families tend to visit. Turnover at 37.5 percent is meaningfully better than the 45.8 percent national figure, which matters for consistency. One abuse-related deficiency is on record, worth asking about directly.

A

86/100

Renvilla Health Center

Renville, MN · Renville County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
28%
Serious cites
0

Renville Health Services runs 38 certified beds as a nonprofit, and the numbers suggest a well-staffed building. Nurse coverage sits at 3.93 hours per resident day, a bit above the national average, and the 5-star staffing rating reflects that. Just as telling: turnover is 27.8% against a national average near 46%, which means caregivers tend to stay. The 11 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was June 15, 2026. The softer spot is the 2-star quality measure rating, so ask what those specific measures cover. Weekend staffing dips about 8% below weekdays, worth a question if your family visits Saturdays or Sundays.

A

86/100

Diversicare Of Amory

Amory, MS · Monroe County

CMS 2/5 152 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
43%
Serious cites
0

Diversicare Of Amory runs 152 certified beds as a for-profit corporation, and its staffing sits at 3.42 nurse hours per resident day, roughly 11% under the national average. Weekends are thinner still, about 15% below the home's own weekday coverage, so the stretch when families often visit is the leanest. Turnover lands at 43.3%, a hair better than the national 45.8%. What stands out more is the inspection record: 39 deficiencies, two tied to abuse, though none rose to harm or jeopardy. The last inspection was April 2026, so the picture is current. Quality and staffing measures score well; the inspection history is where the caution lies.

A

86/100

Riverbend Heights Health & Rehabilitation

Lexington, MO · Lafayette County

CMS 2/5 154 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
37%
Serious cites
0

Riverbend Heights runs 154 certified beds under for-profit LLC ownership, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 13% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover is 36.7%, better than the 45.8% national figure, so aides and nurses tend to stick around longer than at the typical home. The tradeoff shows up in inspections: 37 deficiencies on record, including one at harm or jeopardy level and three abuse-related, with the last inspection in June 2024. Quality and staffing measures rate well; the inspection history is where the risk concentrates.

A

86/100

Medicalodges Butler

Butler, MO · Bates County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
25%
Serious cites
0

Medicalodges Butler runs a 105-bed for-profit operation in Bates County, and the numbers behind its grade are mostly about consistency. Nurse staffing sits at 4.14 hours per resident day, roughly 7% above the national average, and the 25% annual turnover is well below the 45.8% typical nationwide, that matters, because stable staff usually means residents see familiar faces. Weekend coverage does dip about 15% below its own weekday level, so ask how that plays out on Sundays. The last inspection was in September 2025 and the current record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related.

A

86/100

Good Samaritan Society - Superior

Superior, NE · Nuckolls County

CMS 2/5 69 beds Non-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
22%
Serious cites
0

Good Samaritan Society, Superior runs on 3.57 nursing hours per resident per day, roughly 8% under the national average, and weekends dip about 3% below its own weekday staffing. That's thin coverage, though the home holds onto workers far better than most, 22.2% turnover against a national 45.8%. The inspection record is where the concern sits: 15 deficiencies, two tied to abuse, and a 2/5 health inspection rating, though none of the deficiencies reached harm or jeopardy level, and the most recent inspection was July 2025. Quality measures score 4/5, so the clinical picture looks steadier than the survey history. A nonprofit corporation owns the 69-bed home. Families should ask directly about weekend coverage and those abuse-related findings.

A

86/100

Bertrand Nursing Home

Bertrand, NE · Phelps County

CMS 5/5 26 beds Government Medicaid
Nurse hours
3.91 /day
Staff turnover
46%
Serious cites
0

Bertrand Nursing Home is a 26-bed city-owned home in Phelps County, and the numbers behind its A grade are steady rather than spectacular. Nurse staffing runs 3.91 hours per resident day, just barely above the national average of 3.86, though weekends dip about 6% below its own weekday coverage. Staff turnover sits at 45.5%, essentially matching the national rate of 45.8%. What stands out is the inspection record: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent inspection on May 1, 2025. A 5/5 health inspection rating and 5/5 quality measure rating support that. For a small rural home, this reads as consistent, well-monitored care without serious red flags.

A

86/100

Neurorestorative

Las Vegas, NV · Clark County

CMS 5/5 35 beds For-profit Medicaid
Nurse hours
7.12 /day
Staff turnover
46%
Serious cites
0

Neurorestorative runs 35 beds in Las Vegas under corporate for-profit ownership, and its inspection record is genuinely strong: a five-star health inspection rating, six total deficiencies with none at the harm level and nothing abuse-related, and a recent inspection in April 2026. The problem sits in staffing. That one-star staffing rating is the weak point, and annual turnover of 45.9% essentially matches the national average of 45.8%, meaning this home replaces workers at the same brisk clip as everyone else, without a staffing cushion to absorb it. Quality measures also score five stars, but those reflect clinical outcomes, not how many hands are available when a resident needs help.

A

86/100

Saint Vincent Rehabilitation & Nursing Center

Berlin, NH · Coos County

CMS 2/5 80 beds Non-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
44%
Serious cites
0

Saint Vincent runs lean on nursing hours, 3.61 per resident day, about 7% under the national average, and weekends are thinner still, roughly 13% below its own weekday staffing. Turnover sits at 43.9%, slightly better than the 45.8% national figure, which for a small 80-bed nonprofit means fewer unfamiliar faces than many homes. The real tension is inspections: a 1-out-of-5 health inspection rating, 24 deficiencies on the current record including 3 tied to abuse, though none reached harm or jeopardy level. The most recent inspection was June 2025, so that record is current. Strong quality and staffing marks sit alongside inspection problems that families should ask about directly.

A

86/100

Riverside Health And Rehabilitation Center Llc

Trenton, NJ · Mercer County

CMS 2/5 141 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
35%
Serious cites
0

Riverside Health and Rehabilitation Center is a for-profit, 141-bed home in Trenton with 34 deficiencies on its current record, including three tied to abuse. None of those rose to the harm or jeopardy level, and the last inspection was in November 2024, so the record is recent. Nurse staffing sits at 3.24 hours per resident day, roughly 16% under the national average, and weekends run about 9% leaner than weekdays. What offsets that is retention: turnover is 34.7%, well below the 45.8% national figure, so the aides and nurses showing up are more likely to already know the residents.

A

86/100

Park Crescent Healthcare & Rehabilitation Center

East Orange, NJ · Essex County

CMS 4/5 190 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
25%
Serious cites
0

Park Crescent runs on 3.60 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 12% below its own weekday staffing. Turnover sits at 25.3% against a national 45.8%, so the team is unusually stable even if the floor is a little thin at times. The inspection record shows 22 deficiencies with one at harm or jeopardy level and a single $15,240 fine, last surveyed August 2025. For-profit, LLC-owned, 190 beds. The quality measure rating is strong and staffing holds up reasonably well, but that harm-level finding and the below-average daily hours are the things to ask about directly before deciding.

A

86/100

Village Point

Monroe Township, NJ · Middlesex County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
34%
Serious cites
0

Village Point runs a nonprofit home with 120 beds in Monroe Township, and its staffing is the strongest part of the picture, 4.29 nurse hours per resident day, roughly 11% above the national average, with turnover at 34% against a national 45.8%. Weekends dip about 8% below its own weekday coverage. Where it gets harder is inspections: 15 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, with two fines totaling $237,451 and a July 2025 inspection date, which is recent enough to be current. The quality measure score is strong, but the inspection history is what pulls the overall picture down.

A

86/100

Unity Living Center

Rochester, NY · Monroe County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
29%
Serious cites
0

Unity Living Center runs on 120 certified beds in Rochester under nonprofit ownership, and its staffing numbers are genuinely better than most: 4.08 nurse hours per resident day against a national average of 3.86, with a 29.4% turnover rate that sits well under the 45.8% national figure. But weekends run about 10% leaner than weekdays, so care can thin out when families visit. The bigger issue is inspections, a 2/5 health inspection rating, 11 deficiencies with one at the harm level, and a $12,868 fine, all from a survey completed in July 2024. Strong quality scores and staffing don't erase a recent citation that put a resident in jeopardy.

A

86/100

Long Island State Veterans Home

Stonybrook, NY · Suffolk County

CMS 5/5 350 beds Government Medicaid
Nurse hours
4.65 /day
Staff turnover
25%
Serious cites
0

Long Island State Veterans Home runs on 4.65 nursing hours per resident day, roughly a fifth more than the national average, and its staff turnover of 24.8% sits far below the 45.8% national figure, that kind of retention keeps caregivers familiar with the people they're treating. Weekend coverage dips about 11% from weekday levels, which is worth knowing if your visits fall on Saturdays or Sundays. The tradeoff shows in the record: ten deficiencies, including one at the harm level and three tied to abuse, and a quality measure rating of 2 out of 5 despite strong marks for staffing and inspections. The state runs it, and its last inspection was March 2025, so the picture is current.

A

86/100

Richmond Center For Rehabilitation And Specialty H

Staten Island, NY · Richmond County

CMS 3/5 372 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
28%
Serious cites
0

Richmond Center runs 372 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage drops about 9% below its own weekday levels, so the weekday numbers don't tell the whole story. Staff turnover is 28.2%, well below the national 45.8%, meaning the people caring for residents tend to stick around. The tradeoff shows up in inspections: 29 deficiencies on record, one abuse-related, none at harm or jeopardy level, and a 2/5 health inspection rating despite solid marks for staffing and quality measures. The most recent inspection was in December 2025.

A

86/100

Kerr Lake Nursing And Rehabilitation Center

Henderson, NC · Vance County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
28%
Serious cites
0

Kerr Lake runs on a corporate for-profit model, and the staffing numbers are genuinely better than most: 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 28.2% against a national 45.8%. That retention matters more than any single star rating, since consistent aides know the residents. The catch is the inspection record, ten deficiencies, including one at harm level and one abuse-related, plus a $19,620 fine, with the most recent inspection dated February 2026. Weekend staffing also dips about 12% below weekday levels, which is when families tend to visit and notice. Solid floor, real blemishes on top of it.

A

86/100

The Greens At Maple Leaf

Statesville, NC · Iredell County

CMS 4/5 94 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
28%
Serious cites
0

The Greens at Maple Leaf runs a 94-bed for-profit operation in Statesville, and its staffing sits slightly above the national average at 3.96 nurse hours per resident day. That edge shrinks on weekends, when coverage drops roughly 15% below the home's own weekday levels, worth asking about if your family visits mostly on Saturdays or Sundays. Staff turnover is 28.4%, well under the 45.8% national figure, so the people caring for residents tend to stick around. The tradeoff shows up in inspections: 19 deficiencies on record, three serious enough to reach harm or jeopardy level, three tied to abuse, and $18,655 in fines across two penalties. The most recent inspection was July 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?
Deerfield Health Care Center in Urbandale, IA — grade A, 100 out of 100.
Does being chain-owned mean a nursing home is safe?
No. Of the 10,167 graded chain-owned homes in the United States, 1,307 grade A and 743 grade D or F.
Do chain-owned nursing homes in the United States accept Medicaid?
9,908 of the 10,187 are certified to accept Medicaid. See Medicaid and nursing homes.

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