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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 1081–1100 of 10,187, best-graded first.

A

85.5/100

Good Samaritan Society - Osceola

Osceola, NE · Polk County

CMS 5/5 47 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
29%
Serious cites
0

The nurse staffing here works out to 3.88 hours per resident per day, essentially even with the national average of 3.86, so this isn't a place padding its numbers with aides. Weekends run about 17 percent lighter than weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. What stands out is retention: 28.6 percent turnover against a national average near 46 percent, meaning the people caring for residents tend to stay. Fifteen deficiencies sit on the current record, but none involved harm or jeopardy and none were abuse-related, and the last inspection was in January 2025.

A

85.5/100

Coral Harbor Rehabilitation And Healthcare Center

Neptune City, NJ · Monmouth County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
34%
Serious cites
0

Coral Harbor runs 3.51 nurse hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop about 17% below its own weekday staffing. Turnover sits at 33.8%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. On paper the quality measures look strong at 5 out of 5 stars, though the 18 deficiencies on record, including one at harm level and two tied to abuse, are worth asking about directly, since the last inspection was January 2025 and conditions can shift.

A

85.5/100

Crown Heights Center For Nursing And Rehabilitatio

Brooklyn, NY · Kings County

CMS 3/5 295 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
29%
Serious cites
0

Crown Heights Center runs 295 beds and, like most for-profit LLC homes in Brooklyn, watches its labor numbers closely. Nurse staffing sits at 3.53 hours per resident day, roughly 9 percent under the national average, and weekends drop about 17 percent below the home's own weekday coverage, the stretch when families tend to visit. What stands out is retention: 29.4 percent turnover against a national average near 46 percent, which suggests aides and nurses here stick around longer than is typical. The tradeoff shows up in oversight. Inspectors cited 29 deficiencies on the current record, two tied to abuse, and the health inspection rating sits at 2 of 5 stars, though the most recent survey closed in December 2024.

A

85.5/100

Eckerd Living Center

Highlands, NC · Macon County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
37%
Serious cites
0

Eckerd Living Center runs 4.35 nurse hours per resident day, about 13% above the national average, and that staffing shows up in a five-star CMS staffing rating. Weekend coverage dips roughly 20% below its own weekday level, which is common but still worth knowing if you're visiting Saturdays. Staff turnover sits at 36.7%, better than the 45.8% national figure. The home has seven deficiencies on record, none at the harm level and none abuse-related, and its last inspection was April 10, 2026, so the picture is current. A for-profit partnership with 80 beds and a four-star health inspection rating, it looks steady on paper.

A

85.5/100

Willowbrooke Court Sc Ctr At Tryon Estates

Columbus, NC · Polk County

CMS 5/5 16 beds Non-profit
Nurse hours
4.63 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court is a small place, 16 certified beds, run by a nonprofit corporation in Columbus. The staffing is the headline: 4.63 nurse hours per resident day, roughly a fifth more than the national average of 3.86, and the weekend drop is mild at about 8 percent below its own weekday level. Its inspection record is thin in the good sense: one deficiency on the current record, none at the harm level, none abuse-related, and the last inspection came in December 2025, so it's recent. Quality measures score 4 out of 5, staffing and inspections both 5. With that few beds and that much nurse time per resident, the numbers suggest steady attention rather than a big operation spread thin.

A

85.5/100

Burton Health Care Center

Burton, OH · Geauga County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.06 /day
Staff turnover
38%
Serious cites
0

Burton Health Care Center runs a tight ship on inspections, a five-star record with only five deficiencies and none rising to actual harm, which is unusual for a 90-bed for-profit. The staffing is where the shine dulls: 3.06 nurse hours per resident day sits about 21% under the national average, and weekends drop roughly another 16% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Turnover at 37.5% beats the national 45.8%, meaning this isn't a churning building. You're looking at a clean inspection history paired with genuinely light staffing, worth asking the administrator how they cover Saturday and Sunday.

A

85.5/100

Masternick Memorial Health Care Center

New Middletown, OH · Mahoning County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
30%
Serious cites
0

Masternick Memorial runs 99 certified beds in New Middletown under corporate for-profit ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. The bigger issue is consistency: weekend staffing drops about 20% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is 30.2%, meaningfully better than the 45.8% national figure, which suggests some stability in the workforce. On its current record are 7 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related. The last inspection was March 12, 2026, and all three CMS star categories, health inspections, quality measures, and staffing, land at 4 out of 5.

A

85.5/100

Acadia Nursing And Rehab Center

Aliquippa, PA · Beaver County

CMS 1/5 67 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
—
Serious cites
0

Beaver Healthcare and Rehabilitation Center runs 67 certified beds in Aliquippa under for-profit LLC ownership, and its nurse staffing sits at 3.97 hours per resident day, a little above the national average of 3.86, though weekends drop about 11% below its own weekday numbers. The bigger concern is the inspection record: a 1 out of 5 star health inspection rating, with 69 deficiencies on file, including three at the harm or jeopardy level and seven flagged as abuse-related. Quality measures score 4 out of 5 and staffing 3 out of 5, but the last inspection in May 2025 tells you regulators are watching closely. If you're considering this home, ask directly about those abuse-related citations and what's changed since.

A

85.5/100

Willowbrooke Court-Granite

Media, PA · Delaware County

CMS 5/5 10 beds Non-profit
Nurse hours
5.00 /day
Staff turnover
—
Serious cites
0

Willowbrooke Court-Granite is a ten-bed nonprofit home in Media, and the numbers back up its reputation. Nurse staffing runs 5.00 hours per resident day, roughly 29% above the national average of 3.86, which matters most in a small building where aides and nurses know every resident by name. Weekend coverage dips about 10% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The current record shows zero deficiencies, none at the harm level, no abuse citations, and its last inspection was April 2026, recent enough to trust. Five stars on health inspections and staffing, four on quality measures. Small, well-staffed, clean record.

A

85.5/100

Lecom At Asbury Ridge Dba Saint Mary's Asbury Ridg

Erie, PA · Erie County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
—
Serious cites
0

Saint Mary's Asbury Ridge is a nonprofit home in Erie with 80 certified beds, and the numbers behind its grade hold up pretty well. Nurse staffing sits at 4.21 hours per resident day, roughly 9% above the national average, though weekend coverage drops about 13% compared to weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. The inspection record is clean where it counts: four deficiencies total, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. Its health inspection rating is 5 out of 5, with quality measures at 4 and staffing at 4.

A

85.5/100

Highland Care Center

Holladay, UT · Salt Lake County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
33%
Serious cites
0

Highland Care Center runs 103 beds in Holladay under corporate ownership, and its inspection record is genuinely clean, 25 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related. The state last walked through in June 2024. Where it gives ground is staffing: 3.56 nurse hours per resident day sits about 8 percent under the national average, and weekends run roughly 16 percent thinner than weekdays, which is when families tend to visit and notice. Turnover is the quieter strength here, 32.8 percent against a national average near 46 percent means fewer unfamiliar faces than most places. Solid survey history, steadier workforce than typical, but ask specifically who covers Saturday and Sunday.

A

85.5/100

Stonehenge Of South Jordan

South Jordan, UT · Salt Lake County

CMS 5/5 32 beds For-profit
Nurse hours
5.07 /day
Staff turnover
—
Serious cites
0

Stonehenge Of South Jordan runs 32 beds, and the nurse staffing here sits at 5.07 hours per resident day, roughly a third above the national average of 3.86. Weekends drop about 12% below its own weekday coverage, so that strong staffing number isn't perfectly flat across the week. The current record shows 8 deficiencies, one of them serious enough to reach harm or jeopardy level, and none tied to abuse. Inspectors were last in on December 18, 2024, and the ownership changed hands within the past year, which is worth asking about directly. The inspection and staffing ratings both come in at the top of CMS's scale, with quality measures a step below.

A

85.5/100

Clinch Valley Medical Center

Richlands, VA · Tazewell County

CMS 5/5 24 beds For-profit Medicaid
Nurse hours
8.03 /day
Staff turnover
—
Serious cites
0

Clinch Valley Medical Center runs 24 certified beds in Richlands under corporate for-profit ownership, and its nurse staffing sits at 8.03 hours per resident day, more than double the national average of 3.86. Weekend coverage dips about 13% below its own weekday numbers, which is worth asking about if your family visits or calls on Saturdays and Sundays. The inspection record is clean where it counts: eight deficiencies total, none at the harm or jeopardy level, none abuse-related, and the last inspection was in January 2023. That gap of more than two years means the current picture rests on an older survey. Quality measures come in midrange against strong staffing and inspection results.

A

85.5/100

Francis Marion Manor Health & Rehabilitation

Marion, VA · Smyth County

CMS 5/5 109 beds Non-profit Medicaid
Nurse hours
5.03 /day
Staff turnover
48%
Serious cites
0

Francis Marion Manor runs on more nursing hours than most places, 5.03 per resident per day against a national average of 3.86, which is the kind of gap that shows up in call lights getting answered. Weekends thin out by about 15% from its own weekday staffing, so ask how that plays out on a Sunday. Nine deficiencies sit on the current record with none at the harm level, though one is abuse-related, and the last full inspection was in August 2024. Turnover is 47.9%, slightly worse than the 45.8% national figure, which matters more than the headcount on paper.

A

85.5/100

Park Manor Rehabilitation Ctr

Walla Walla, WA · Walla Walla County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
30%
Serious cites
0

Park Manor runs on 4.33 nurse hours per resident day, roughly 12% above the national average, and its staff turnover of 30.4% sits well below the 45.8% national figure, two numbers that usually matter more to daily life than any star rating. Weekend coverage, though, drops about 16% below the home's own weekday level, so staffing isn't perfectly even across the week. The inspection record shows 7 deficiencies, including one at the harm level and one abuse-related, plus a single $28,106 fine; the most recent inspection was May 2026. Corporate-owned and for-profit, this is a home whose numbers mostly hold up, with a few specific things worth asking about directly.

A

85.5/100

Canyon Creek Post-Acute

Castro Valley, CA · Alameda County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
—
Serious cites
0

Canyon Creek Post-Acute runs 4.54 nursing hours per resident per day, roughly 18% above the national average, though weekends drop about 12% below its own weekday levels. Inspectors have been in recently, the last visit was November 2024, and the record shows 26 deficiencies, including one at the harm level and one abuse-related, which is worth asking about directly. The 70-bed home is owned by a for-profit limited liability company. Its staffing, inspection, and quality measure ratings all sit at 4 out of 5 stars, so the numbers are solid without being spotless.

A

85/100

Diversicare Of Riverchase

Birmingham, AL · Jefferson County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
34%
Serious cites
0

Diversicare Of Riverchase runs 132 certified beds in Birmingham under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly a fifth below the national average of 3.86. Weekends dip about 12% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 33.8% against a national 45.8%, which suggests a steadier crew than most. Nine deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, though the last inspection dates to July 2021, a long stretch without a fresh look.

A

85/100

Crowne Health Care Of Thomasville

Thomasville, AL · Clarke County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
4.66 /day
Staff turnover
38%
Serious cites
0

Crowne Health Care of Thomasville runs 4.66 nurse hours per resident day, roughly a fifth more staffing than the typical U.S. nursing home, and its staff turnover of 38.2% sits below the national rate. The inspection record is strong, five deficiencies, none causing harm, though one is abuse-related, and the last full inspection was in December 2021, more than three years ago now, which is worth asking about when you visit. Weekend staffing drops about 27% from weekday levels, so pay attention to who's actually on the floor on a Saturday. Quality measures land mid-range at 3 stars.

A

85/100

Jacksonville Health And Rehabilitation, Llc

Jacksonville, AL · Calhoun County

CMS 3/5 167 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
45%
Serious cites
0

Jacksonville Health and Rehabilitation runs 167 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.98 hours per resident day, a bit above the national average of 3.86. Weekend coverage drops roughly 13% below what the home staffs on weekdays, so the care floor thins out when families tend to visit. Annual turnover lands at 44.5%, essentially matching the national rate of 45.8%, meaning the workforce churns about as fast as the typical American nursing home. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related. The last inspection was September 29, 2023, so the record is getting older.

A

85/100

Foothills Rehabilitation Center

Tucson, AZ · Pima County

CMS 2/5 149 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
23%
Serious cites
0

Foothills Rehabilitation Center runs 149 certified beds in Tucson under for-profit LLC ownership, and the staffing numbers are genuinely better than most: 4.07 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 22.8%, roughly half the national rate, which matters for whether you see the same faces month to month. The inspection record tells a different story. Twenty-three deficiencies are on file, three of them at harm or jeopardy level and five tied to abuse. The most recent inspection was March 2026, so it's current. Strong daily care and a troubled survey history can coexist in one building; the question is whether the problems are fixed or recurring.

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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