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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 1041–1060 of 10,187, best-graded first.

A

86/100

Glenwood Healthcare Center

Princeton, WV · Mercer County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
44%
Serious cites
0

Glenwood runs about 4.45 nurse hours per resident per day, roughly 15% above the national average of 3.86, a real staffing cushion, though weekends dip about 14% below its own weekday level, so coverage isn't perfectly even across the week. Turnover sits at 44.2%, essentially in line with the national 45.8%, so this isn't a home bleeding staff faster than everyone else. The 33 deficiencies on record include none at the harm level and none abuse-related. Three of four CMS star categories land at 4/5, and the most recent inspection was February 2025.

A

86/100

Rennes Health And Rehab Center-Weston

Weston, WI · Marathon County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
52%
Serious cites
0

Rennes Health And Rehab Center-Weston runs on more nursing hours than most homes, 4.09 per resident day against a national average of 3.86, and its inspection record backs that up: a five-star health inspection rating, with eight deficiencies on file and none of them causing harm or involving abuse. A five on quality measures rounds it out. Two things worth knowing before you decide. Turnover sits at 52%, higher than the 45.8% national figure, so the staff you meet may not be the staff there in a year. And weekend coverage drops roughly 12% below weekday levels, which is when families tend to visit and notice things. Corporate-owned and for-profit, inspected most recently in March 2026.

A

86/100

Willows Post Acute

Willows, CA · Glenn County

CMS 5/5 79 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
39%
Serious cites
0

Willows Post Acute runs 79 certified beds under corporate for-profit ownership, and its inspection record is genuinely clean for a home this size: 20 deficiencies on the books, but none at the harm or jeopardy level and none tied to abuse, with a survey completed in April 2025. The weaker spot is staffing. At 3.77 nurse hours per resident day, it sits just under the national average, and weekend coverage drops roughly 5% below its own weekday level, a gap families should ask about directly, since needs don't pause on Saturdays. Turnover at 38.6% is better than the 45.8% national figure. Quality measures score strongly; direct-care hours are the number to watch.

A

86/100

Vineyard Hills Health Center

Templeton, CA · San Luis Obispo County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
48%
Serious cites
0

Vineyard Hills runs on more nursing hours than most places, 4.89 per resident per day, roughly a quarter above the national average, and that shows up in its four-out-of-five staffing rating. It's not perfect coverage, though: weekends run about 15% thinner than weekdays, and annual turnover sits at 48.1%, a touch above the national figure, so the faces around a resident change fairly often. On the regulatory side, the record is clean where it matters most. Sixteen deficiencies on the current file, but none at the harm level and none tied to abuse, with a five-star health inspection rating and a survey completed in June 2025. Corporate-owned and Medicare-certified for 99 beds.

A

86/100

Lakeport Post Acute

Lakeport, CA · Lake County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
30%
Serious cites
0

Lakeport Post Acute runs leaner than most homes on nurse staffing, 3.51 hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover at 29.8% is notably better than the 45.8% national figure, which suggests less churn among the people actually providing care. The inspection record is the harder read: 49 deficiencies, one at harm or jeopardy level and one abuse-related, with a two-star health inspection rating, though the most recent inspection came in June 2025. Quality measures score well, but that reflects resident outcomes on paper, not how consistently the building is staffed or cited.

A

86/100

Alta Gardens Care Center

Garden Grove, CA · Orange County

CMS 3/5 129 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
20%
Serious cites
0

Alta Gardens runs 129 certified beds in Garden Grove under for-profit LLC ownership, and its staffing sits essentially at the national average, 3.87 nurse hours per resident day against 3.86. Weekends run about 7% leaner than weekdays, so coverage thins out when families tend to visit. Turnover is where it stands apart: 20.4% annually against a national 45.8%, meaning the people caring for residents tend to stay. The tradeoff shows up in oversight. Inspectors last visited in February 2026 and logged 58 deficiencies, including one at the harm level and two tied to abuse, with a single $8,278 fine. Quality measures score well; the inspection record is the weaker half.

A

86/100

Stoney Point Healthcare Center

Chatsworth, CA · Los Angeles County

CMS 2/5 132 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
21%
Serious cites
0

Stoney Point runs 132 beds in Chatsworth under for-profit LLC ownership, and its record is a split picture. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and weekends dip about 5% below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out is turnover: 21.2% against a national average of 45.8%, meaning this staff largely stays put. Against that, the current inspection record carries 53 deficiencies, including one at the harm level and three abuse-related, with the most recent inspection in July 2025. State surveyors have cited real problems here, even as the same residents' quality measures score well.

A

86/100

The Shores Post-Acute

San Diego, CA · San Diego County

CMS 3/5 305 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
26%
Serious cites
0

The Shores Post-Acute runs 305 beds in San Diego under corporate for-profit ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekend coverage barely dips from weekday levels, and turnover is 26.4%, well below the national 45.8%, so the hands-on care is at least consistent week to week. The inspection record is where it gets messier: 61 deficiencies on file, one serious enough to involve harm or jeopardy, though none tied to abuse. State surveyors last visited in December 2024, so that history is fairly current. Solid marks on quality measures and staffing balance against a long citation list, a mixed picture, not a clear yes or no.

A

86/100

Alameda Care Center

Burbank, CA · Los Angeles County

CMS 1/5 89 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
35%
Serious cites
0

Alameda Care Center in Burbank runs 89 certified beds under corporate for-profit ownership, and the staffing numbers are genuinely better than average: 4.00 nurse hours per resident day against a national 3.86, with a 35.2% turnover rate that's well below the 45.8% national figure. Weekends dip about 8% below weekday staffing, but that's a modest gap. The real concern sits on the inspection side. A 1-out-of-5 health inspection rating, 88 total deficiencies, and seven abuse-related citations on the current record point to persistent problems with how care is delivered and monitored, even though none rose to harm or jeopardy level. The most recent inspection was July 2025, so that record is current.

A

86/100

Vista Real Post Acute

Beaumont, CA · Riverside County

CMS 4/5 57 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
29%
Serious cites
0

Vista Real Post Acute sits in Beaumont with 57 beds and a for-profit LLC owner, and the numbers tell a mixed story. Staffing runs 4.24 nurse hours per resident day, roughly 10% above the national average, with turnover at 28.8%, well below the 45.8% national figure, meaning aides and nurses tend to stay. But weekends drop about 12% below the home's own weekday staffing, and the inspection record carries 43 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse. A June 2025 inspection is recent, and the 3/5 health inspection rating reflects that record even as quality measures score 5/5. Ask about weekend coverage and how those abuse-related findings were resolved.

A

86/100

Country Crest Post-Acute

Oroville, CA · Butte County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
54%
Serious cites
0

Country Crest runs 4.70 nurse hours per resident day, about 22% above the national average of 3.86, though weekends dip roughly 13% below its own weekday coverage. Turnover sits at 53.7% against a national 45.8%, so the people providing that above-average care keep changing. The current record shows 41 deficiencies, none at harm or jeopardy level, but two tied to abuse, and the last inspection was January 2026. Quality measures score at the top of CMS's scale even as health inspection and staffing each land mid-range. It's a for-profit limited liability company, 59 beds, in Oroville.

A

86/100

South Bay Post Acute Care

Chula Vista, CA · San Diego County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
41%
Serious cites
0

South Bay Post Acute Care runs 99 beds in Chula Vista under for-profit LLC ownership, and the numbers behind its record are mostly solid. Nurse staffing sits at 4.23 hours per resident day, roughly 10% above the national average, though weekends dip about 13% below the home's own weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 40.6%, better than the 45.8% national figure. The home carries 30 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was in May 2025.

A

86/100

Crosbyton Nursing And Rehabilitation Center

Crosbyton, TX · Crosby County

CMS 3/5 53 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
42%
Serious cites
0

Crosbyton Nursing and Rehabilitation Center runs 53 certified beds under for-profit LLC ownership, and its staff turnover sits at 42.3%, slightly better than the national average of 45.8%, which matters in a rural Texas facility where finding replacements is hard. The trouble is staffing levels themselves: CMS gives this home 1 out of 5 stars there, even though its quality measures score 4 out of 5. That gap suggests the care processes look good on paper while day-to-day coverage runs thin. The inspection record shows 31 deficiencies, none at harm or jeopardy level, but five tied to abuse, worth asking about directly. The most recent inspection was December 2025, so the picture is current.

A

86/100

Parkwood Village

Bedford, TX · Tarrant County

CMS 4/5 107 beds For-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
43%
Serious cites
0

Parkwood Village runs 107 certified beds in Bedford under for-profit LLC ownership, and its nurse staffing sits at 4.81 hours per resident day, roughly a quarter above the national average of 3.86. That margin matters, though weekends dip about 14% below the home's own weekday coverage. Staff turnover is 42.6%, a touch better than the 45.8% national figure. The current record shows 16 deficiencies, none at harm or jeopardy level, but one is abuse-related. The last inspection was December 12, 2024, and all three CMS star ratings, health inspections, quality measures, and staffing, land at 4 out of 5.

A

86/100

Mrc Creekside

Huntsville, TX · Walker County

CMS 5/5 66 beds Non-profit Medicaid
Nurse hours
5.53 /day
Staff turnover
47%
Serious cites
0

Mrc Creekside runs on a nonprofit corporate model with 66 certified beds, and its staffing sits at 5.53 nurse hours per resident day. That's roughly 43% above the national average of 3.86, a wide margin that shows up in the four-out-of-five staffing rating. Weekends dip about 14% below the home's own weekday coverage, so the weekday-to-weekend difference is worth asking about directly. The health inspection record is where things get interesting: 14 deficiencies on the current record, none at harm or jeopardy level, but one abuse-related citation is there. Staff turnover at 46.8% lands just above the national 45.8%. The last inspection was May 2026.

A

86/100

Pure Health Transitional Care At Texas Health Pres

Dallas, TX · Dallas County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
54%
Serious cites
0

Pure Health Transitional Care sits on the Texas Health Presbyterian campus in Dallas, a 49-bed for-profit run by a limited liability company. The numbers that matter most here are the inspection record: four deficiencies on file, none causing harm or jeopardy, none abuse-related, and a survey completed in July 2025. That's a clean recent look. Staffing runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends dip roughly 9% below the home's own weekday level. Annual turnover is 53.7%, higher than the 45.8% national figure, so you'll want to ask how often residents see the same faces.

A

85.5/100

Crowne Healthcare Of North Baldwin

Bay Minette, AL · Baldwin County

CMS 3/5 75 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
36%
Serious cites
0

Crowne Healthcare Of North Baldwin runs on better-than-average nursing hours, 4.07 per resident day against a national 3.86, though weekends dip about 21% below its own weekday coverage, so ask how that gap gets filled. Staff turnover sits at 35.6%, well under the 45.8% national figure, which suggests people stay. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, ten deficiencies on record, none rising to harm or jeopardy and none abuse-related. That last inspection was November 2021, so the record may not reflect current conditions. The staffing and turnover numbers are doing the heavy lifting here; the inspection history is the part worth asking about directly.

A

85.5/100

Crowne Health Care Of Springhill

Mobile, AL · Mobile County

CMS 5/5 46 beds For-profit
Nurse hours
4.67 /day
Staff turnover
41%
Serious cites
0

Crowne Health Care Of Springhill runs a 46-bed for-profit home in Mobile, and the numbers that stand out are staffing and turnover. At 4.67 nurse hours per resident day, it sits roughly 21% above the national average, and its staff turnover of 41.4% is better than the 45.8% national figure, both unusual for a corporate-owned building this size. Weekend staffing drops about 19% below its own weekday level, so coverage isn't perfectly even across the week. On inspections, the record shows just three deficiencies, none tied to harm, jeopardy, or abuse, though the last visit was January 2020, a long gap that means the record is more dated than it looks.

A

85.5/100

Providence Valdez Medical Center

Valdez, AK · Chugach County

CMS 3/5 10 beds Government Medicaid
Nurse hours
8.55 /day
Staff turnover
—
Serious cites
0

Providence Valdez Medical Center runs a ten-bed unit owned by the city, and its nurse staffing sits at 8.55 hours per resident day, more than double the national average of 3.86. Weekend coverage drops about 14% below its own weekday levels, so the generous weekday numbers aren't quite the whole picture. Inspectors have cited 19 deficiencies on the current record, none at the harm or jeopardy level, though two are abuse-related; the most recent inspection was in May 2026. That combination of heavy staffing, a small government-run setting, and a mixed inspection history is what lands it where it does.

A

85.5/100

Camelback Post Acute Care And Rehabilitation

Phoenix, AZ · Maricopa County

CMS 3/5 107 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
34%
Serious cites
0

Camelback Post Acute runs lean on nursing hours, 3.25 per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage, so a Saturday or Sunday shift is when your family member is most likely to wait. The for-profit corporate owner has held onto staff better than most, with 34.4% turnover versus 45.8% nationally, and the 5/5 quality measure rating suggests the clinical tracking is solid. But 20 deficiencies on the current record, including one at harm level and one abuse-related, plus a 2/5 inspection rating from the April 2024 survey, is the part I'd press the administrator on directly before deciding.

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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