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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 1061–1080 of 10,187, best-graded first.

A

85.5/100

Chandler Post Acute And Rehabilitation

Chandler, AZ · Maricopa County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
44%
Serious cites
0

Chandler Post Acute and Rehabilitation runs 120 beds under corporate ownership, and its numbers are a mixed bag worth understanding before you visit. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average, and weekends drop about 17% below what the home staffs on weekdays, so a Saturday or Sunday shift is when you'd want to pay closest attention. Turnover at 43.7% is actually a touch better than the national figure, and the quality measure score is strong. The part that gives pause: 21 deficiencies on record, five tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was December 2023.

A

85.5/100

Courtyard Rehabilitation And Health Center, Llc

El Dorado, AR · Union County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
40%
Serious cites
0

Courtyard Rehabilitation and Health Center runs 76 certified beds in El Dorado under corporate for-profit ownership, and its inspection record is the standout: a perfect five-star health inspection rating with zero deficiencies at the harm or jeopardy level and nothing abuse-related on the books. The 15 total deficiencies are the lighter, paperwork-type findings that don't suggest residents are in danger. Staffing sits at 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends run roughly 18% leaner than weekdays, so ask how weekend coverage actually looks on the floor. Turnover at 40.3% beats the national 45.8%, which matters for whether you see the same faces.

A

85.5/100

Highlands Of Bella Vista Health & Rehab, Llc

Bella Vista, AR · Benton County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
46%
Serious cites
0

Highlands of Bella Vista runs on a for-profit LLC model with 90 certified beds, and its staffing sits about 15% above the national average at 4.44 nurse hours per resident day. That's a real cushion, though weekends drop roughly 16% below its own weekday levels, so coverage isn't evenly spread. Turnover lands at 45.6%, essentially matching the national rate. The harder part is the inspection record: 21 deficiencies, including one at harm or jeopardy level and one abuse-related, with a single $8,055 fine and a 2-out-of-5 inspection rating from CMS. The most recent survey was November 2024, so that record is fairly current. Quality measures score well, but the survey history is where the concern sits.

A

85.5/100

The Bradley Gardens

San Jacinto, CA · Riverside County

CMS 3/5 44 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
—
Serious cites
0

The Bradley Gardens runs 44 certified beds under for-profit limited liability ownership in San Jacinto, and its nurse staffing sits at 4.13 hours per resident day, about 7% above the national average. Weekends dip roughly 5% below its own weekday level, so coverage thins slightly when families tend to visit. The bigger thing to weigh is the inspection record: 48 deficiencies on file, two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was August 2025. CMS gives it 3 stars for health inspections and staffing, 4 for quality measures. Nothing here signals danger, but the deficiency count and abuse citations are worth raising directly with the administrator.

A

85.5/100

Lake Balboa Care Center

Van Nuys, CA · Los Angeles County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
27%
Serious cites
0

Lake Balboa Care Center runs about 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and its staff turnover of 26.7% sits well under the national 45.8%. Weekend coverage, though, drops about 17% below its own weekday level, so care can thin out when families visit. The current record shows 28 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was in April 2026. State survey results land at 3 out of 5 stars, while the quality measures score 5 out of 5. For-profit corporate ownership, 50 beds.

A

85.5/100

Lakewood Post Acute And Rehabilitation

Lakewood, CO · Jefferson County

CMS 3/5 108 beds For-profit
Nurse hours
6.95 /day
Staff turnover
45%
Serious cites
0

Lakewood Post Acute runs nurse staffing at 6.95 hours per resident day, roughly 80% above the national average, and that shows up in its four-out-of-five staffing rating. Weekend coverage drops about 17% below weekday levels, though, so care may thin out on Saturdays and Sundays. Staff turnover sits at 44.7%, essentially in line with the national rate. The bigger concern is the inspection record: 33 deficiencies, two at harm or jeopardy level, one abuse-related, plus a $32,513 fine and a two-out-of-five health inspection rating, with the most recent inspection in March 2025. The strong quality measure score of five out of five doesn't cancel that out, it reflects clinical metrics, not how the building is run day to day.

A

85.5/100

Bride Brook Rehabilitation & Nursing Center

Niantic, CT · Southeastern Ct County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
34%
Serious cites
0

Bride Brook runs a tight ship on the clinical side. Its last inspection was in April 2025, and the 11 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, that's a clean enforcement picture, which matters more than the raw count suggests. Staffing sits at 3.74 nurse hours per resident day, roughly 3% under the national average, and weekends dip about 15% below the home's own weekday coverage, so ask how weekend shifts are actually covered. Turnover is the real bright spot: 33.9% against a national average of 45.8%, meaning caregivers tend to stay. For-profit LLC ownership, 130 beds.

A

85.5/100

Willowbrooke Court At Country House

Wilmington, DE · New Castle County

CMS 5/5 14 beds Non-profit
Nurse hours
3.92 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court At Country House is a small nonprofit home, just 14 certified beds, in Wilmington, and its federal record comes back clean where it matters most. The six deficiencies on file include none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. Nurse staffing sits at 3.92 hours per resident day, only slightly above the national average of 3.86, and weekends run about 5% thinner than weekdays, so coverage isn't uniform across the week. The last inspection was recent, in February 2025. With 14 beds, you're looking at a place where staff likely know every resident by name. Ask how that abuse citation was resolved.

A

85.5/100

Mountain Valley Of Cascadia

Kellogg, ID · Shoshone County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
33%
Serious cites
0

Mountain Valley of Cascadia runs a tight ship on retention: 33.3% annual turnover beats the national 45.8% by a wide margin, so the aides and nurses here tend to stick around. Staffing sits at 3.75 hours per resident day, a bit under the 3.86 national average, and weekends drop roughly 18% below weekday coverage, worth asking about if your family visits Saturdays or Sundays. The ten deficiencies on record are all low-level, none causing harm, though one is abuse-related and deserves a direct question. Inspections are recent and the federal ratings are solid across health, quality, and staffing.

A

85.5/100

Owyhee Health & Rehabilitation Center

Homedale, ID · Owyhee County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Owyhee Health & Rehabilitation Center runs 58 certified beds in Homedale, and the numbers here hold up better than most. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 20% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 38.8%, lower than the national 45.8%, which matters for whether you see the same faces month to month. The home carries 13 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in August 2025. Corporate for-profit ownership, so ask who's actually on the floor.

A

85.5/100

Life Care Center Of Sandpoint

Sandpoint, ID · Bonner County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
36%
Serious cites
0

Life Care Center of Sandpoint runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, just above the national average of 3.86. That edge shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Staff turnover is 35.8%, meaningfully better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The tradeoff shows up in inspections: 38 deficiencies on the current record and a 2-star health inspection rating, though none reached harm or jeopardy level and none were abuse-related. The most recent inspection was July 25, 2025.

A

85.5/100

Willowdale Village

Dale, IN · Spencer County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
32%
Serious cites
0

Willowdale Village runs 50 certified beds in Spencer County, and its inspection record is the strongest part of the story: six deficiencies on file, none of them causing harm or jeopardy, and none tied to abuse. The last state visit was in February 2026, so the record is recent rather than something you're trusting from years back. Staffing is where it gets more mixed. At 3.77 nurse hours per resident day, it sits just under the national average, and weekends run roughly 16% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. Turnover, though, is 32.1% against a national 45.8%, which suggests people tend to stay.

A

85.5/100

Todd-Dickey Nursing And Rehabilitation

Leavenworth, IN · Crawford County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Todd-Dickey runs a tight ship on the clinical side, earning four and five stars for inspections and quality measures, with just three deficiencies on record and none tied to abuse. The last state visit was recent, in July 2025. Where it slips is direct care time: 3.64 nurse hours per resident day sits about 6% under the national average, and weekends run roughly 19% thinner than weekdays, so coverage can feel stretched on Saturdays and Sundays. Staff turnover of 41.9% is slightly better than the national 45.8%, though that still means a lot of new faces. Corporate for-profit ownership, 62 beds.

A

85.5/100

Wellbrooke Of Avon

Indianapolis, IN · Marion County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
30%
Serious cites
0

Wellbrooke Of Avon sits on the west side of Indianapolis with 70 certified beds, run by a for-profit corporation. Its staffing comes in at 3.99 nurse hours per resident day, slightly above the national average, though weekends run about 15% thinner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. The turnover picture is genuinely good: 30.2% versus a national average of 45.8%, which suggests people stick around. On inspections, there are 17 deficiencies on record but none at the harm level and none abuse-related, and the most recent visit was in March 2026. Quality measures scored well, and staffing landed solid.

A

85.5/100

Pleasant Valley Manor

Sedan, KS · Chautauqua County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
56%
Serious cites
0

Pleasant Valley Manor runs on thin margins in a small county, but the staffing numbers are the real story here. At 4.59 nurse hours per resident day, it's giving residents roughly a fifth more nursing time than the typical American home, and the weekend gap, about 18% below its own weekday level, is smaller than what many facilities show. The catch is turnover: 55.8% of staff leave each year, well above the national 45.8%, so that generous staffing is constantly being rebuilt with new faces. Fifteen deficiencies on record sounds like a lot until you see none reached harm or jeopardy, and no abuse citations appear. The most recent inspection was February 2025, so the picture is current.

A

85.5/100

Maine Veterans Home - So Paris

South Paris, ME · Oxford County

CMS 5/5 62 beds Non-profit Medicaid
Nurse hours
5.22 /day
Staff turnover
—
Serious cites
0

Maine Veterans Home in South Paris runs on 5.22 nurse hours per resident per day, roughly a third more staffing than the national average, and that shows up in its CMS staffing rating. Weekends dip about 14% below its own weekday coverage, so care can thin out on Saturdays and Sundays. The inspection record is the strongest part: 10 deficiencies, none at the harm or jeopardy level, none abuse-related, with the most recent inspection in December 2025. Quality measures sit in the middle at 3 out of 5, and as a nonprofit corporation it answers to a board rather than shareholders. Overall, a well-staffed home with a clean recent inspection history and average clinical marks.

A

85.5/100

Medilodge Of Yale

Yale, MI · St. Clair County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
35%
Serious cites
0

Medilodge of Yale runs 108 beds as a for-profit corporation, and its most recent inspection in July 2025 left seven deficiencies on record, one serious enough to involve harm or jeopardy. No abuse citations, though. Nurse staffing sits at 3.70 hours per resident day, a bit under the national average of 3.86, and weekends dip roughly 15% below what the home staffs on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover is the genuinely good number here: 34.8%, well under the 45.8% national rate, which suggests aides and nurses are staying put.

A

85.5/100

Medilodge Of Monroe

Monroe, MI · Monroe County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
27%
Serious cites
0

Medilodge Of Monroe runs about 3.88 nurse hours per resident day, essentially matching the national average of 3.86, close enough that staffing isn't the story here. What stands out is staff retention: turnover sits at 26.7% against a national rate near 46%, so the people caring for residents tend to stick around. State inspectors gave the home 5 out of 5 stars on health inspections, with six deficiencies on the current record including one at the harm level, worth asking about directly. Weekend staffing drops roughly 16% below weekday levels, a common pattern but one that matters if your family visits on Saturdays or Sundays. The corporate, for-profit owner is typical for Michigan nursing homes.

A

85.5/100

Medilodge Of Milford

Milford, MI · Oakland County

CMS 4/5 111 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
38%
Serious cites
0

Medilodge of Milford runs 111 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average. Weekends dip roughly 18% below weekday coverage, which matters if your family visits on Saturdays or Sundays. Turnover is the brighter spot: 37.8% against a national 45.8%, so aides and nurses here tend to stay longer than elsewhere. The current record shows 25 deficiencies, three serious enough to involve harm or jeopardy, though none abuse-related, and the last inspection was in September 2025. Quality measures score well; the inspection history is where the caution lies.

A

85.5/100

Harbor Terrace Senior Living

Muskegon, MI · Muskegon County

CMS 5/5 58 beds For-profit Medicaid
Nurse hours
5.59 /day
Staff turnover
—
Serious cites
0

Harbor Terrace Senior Living runs 5.59 nurse hours per resident day, roughly 45% above the national average of 3.86, that's a real staffing cushion most homes don't have. Weekend coverage dips about 8% below its own weekday level, so care isn't perfectly level across the week, but the floor stays high. The home's record shows seven deficiencies, none at the harm or jeopardy level and none abuse-related, and its last inspection was March 2026. Quality measure and health inspection ratings both sit at 4 out of 5, staffing at 5. It's a for-profit LLC with 58 beds in Muskegon County. What stands out isn't any single number, it's that high staffing and a clean harm-free record line up together.

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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