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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 10181–10187 of 10,187, best-graded first.

–

Not graded

Meadows Of Marion Health And Rehabilitation The

Marion, OH · Marion County

99 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
—
Serious cites
0

Meadows of Marion runs a for-profit corporate operation with 99 certified beds, and its nurse staffing sits at 4.15 hours per resident day, roughly 8% above the national average of 3.86. That's a real cushion, though weekends dip about 9% below the home's own weekday level, so the coverage your family member gets on a Saturday isn't quite what it is midweek. The inspection record is thin: three deficiencies total, none at the harm or jeopardy level, none abuse-related, with the most recent survey completed January 27, 2025. Few problems and recent eyes on the building. The staffing edge and the clean deficiency sheet are what's carrying this one.

–

Not graded

Crocker Pointe Health And Rehabilitation

Westlake, OH · Cuyahoga County

96 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
—
Serious cites
0

Crocker Pointe runs 96 certified beds in Westlake under corporate for-profit ownership, and its nurse staffing sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86. The bigger thing to notice is the weekend gap: care hours drop about 10% below the home's own weekday level, so a Saturday or Sunday shift is where you'd want to ask questions. What stands out in the other direction is the record itself: zero deficiencies, none at the harm or jeopardy level, and nothing abuse-related, with a state inspection completed January 28, 2025. No home is perfect, but a clean survey plus recent review is a real signal.

–

Not graded

Champion Creek Health And Rehabilitation

Medina, OH · Medina County

99 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
—
Serious cites
0

Champion Creek runs 4.46 nurse hours per resident day, roughly 16% above the national average, and weekends dip about 13% from its own weekday level, a real gap, though the floor stays higher than most homes' weekday staffing. The home has no deficiencies on its current record at any level, including none tied to abuse, and its last inspection was August 2025. It's a for-profit corporation with 99 certified beds. What the numbers describe is a home that has kept a clean inspection record while staffing above average, with the usual weekend thinning that families should ask about directly.

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Not graded

Overbrook Landing Health And Rehabiliation

Xenia, OH · Greene County

83 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Overbrook Landing is a for-profit corporation running 83 certified beds in Xenia, and its inspection record is about as clean as it gets: zero deficiencies on the current record, none at the harm or jeopardy level, and nothing abuse-related. That last inspection was recent, too, January 2026, so this isn't a case of a stale, years-old survey carrying an empty record. What the federal data doesn't show is a staffing level sitting comfortably above the national average, and that's usually what separates a home that stays clean from one that just hasn't been caught yet. With no grade computed here, the numbers themselves are the story: nothing wrong on paper, but little cushion either. Ask about actual nurse hours per resident before you decide.

–

Not graded

The Heights Of Magnolia

Magnolia, TX · Montgomery County

138 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

The Heights of Magnolia runs 138 certified beds under for-profit LLC ownership in Montgomery County, and its inspection record is unusually clean: a single deficiency on the current record, none at the harm or jeopardy level, and nothing abuse-related. The last full inspection came on August 20, 2025, so the picture is recent rather than a stale survey from years back that may no longer reflect the building. What the record doesn't show is how the place is staffed day to day. ElderGrade couldn't compute a grade here because the usual staffing and quality measures weren't available, so there's no confirmed comparison against the national average. Before you decide, ask the administrator directly about nurse aide hours per resident per day on evenings and weekends, that's the number that tells you the most.

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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