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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 1101–1120 of 10,187, best-graded first.

A

85/100

Life Care Center Of North Glendale

Glendale, AZ · Maricopa County

CMS 5/5 223 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
30%
Serious cites
0

Life Care Center of North Glendale runs 223 beds under corporate ownership, and its inspection record is the strongest part of the story: 28 deficiencies on file, but none at the harm or jeopardy level, and the last full inspection came back in July 2023. Staffing is where it gets thinner. At 3.39 nurse hours per resident day, it sits about 12 percent under the national average, and weekends dip roughly 11 percent below its own weekday coverage. Turnover, though, is genuinely low at 29.6 percent against a 45.8 percent national figure, which suggests people tend to stay. That combination, stable staff, modest hours, clean inspections, is what's driving the grade.

A

85/100

Coronado Healthcare Center

Phoenix, AZ · Maricopa County

CMS 5/5 191 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
44%
Serious cites
0

Coronado Healthcare Center runs 191 certified beds in Phoenix under individual for-profit ownership. Its inspection record is solid on paper, a 4/5 health inspection rating and 12 total deficiencies, none at the harm or jeopardy level, though three are abuse-related and worth asking about directly. The tradeoff shows up in daily staffing: 3.55 nurse hours per resident day sits about 8% under the national average, and weekends run roughly 13% lighter than weekdays, so care coverage depends on when you visit. Staff turnover at 43.8% is slightly better than the national 45.8%. A recent inspection date of January 30, 2026 means the record is current. Strong quality measures, thinner staffing floor.

A

85/100

Life Care Center Of Paradise Valley

Phoenix, AZ · Maricopa County

CMS 3/5 210 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
25%
Serious cites
0

Life Care Center of Paradise Valley runs 210 beds under corporate ownership, and its nurse staffing sits at 3.75 hours per resident day, just under the national average of 3.86. Weekends thin out further, roughly 14% below the home's own weekday coverage. What stands out is retention: 25.3% turnover against a national 45.8%, meaning aides and nurses here tend to stay, which matters for residents who need consistent hands. The tradeoff shows up in oversight. Inspectors cited 28 deficiencies, 11 of them abuse-related, though none rose to harm or jeopardy, and the last visit was recent. Quality measures score well; the inspection record is the weaker half of the picture.

A

85/100

Estrella Health And Rehabilitation Center

Avondale, AZ · Maricopa County

CMS 4/5 161 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
36%
Serious cites
0

Estrella Health and Rehabilitation Center runs 161 certified beds in Avondale under corporate for-profit ownership. Nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. The good news is retention: 36.4% annual turnover beats the 45.8% national figure, meaning fewer unfamiliar faces. Its current record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 10, 2026. Quality measures score well; staffing and inspections sit mid-range.

A

85/100

The Springs Magnolia

Magnolia, AR · Columbia County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
35%
Serious cites
0

The Springs Magnolia runs 3.49 nurse hours per resident day, about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage. Turnover sits at 35%, better than the 45.8% national figure, so the staff who are there tend to stay. Inspections show 19 deficiencies on record with none at the harm or jeopardy level, though two are abuse-related, worth asking about directly. The last inspection was August 2025, so the picture is current. A for-profit LLC with 140 beds, rated four stars on both health inspections and quality measures, three on staffing. The gap between those numbers is the story: care quality looks solid, but it rests on a thinner nursing floor than average, especially on weekends.

A

85/100

Gassville Therapy And Living

Gassville, AR · Baxter County

CMS 4/5 105 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
40%
Serious cites
0

Gassville Therapy And Living runs 105 certified beds under corporate for-profit ownership, and its nursing hours come in at 3.67 per resident day, roughly 5% under the national average of 3.86. Weekend staffing dips about 11% below its own weekday levels, so coverage thins out on Saturdays and Sundays. Staff turnover sits at 39.6%, which is actually better than the 45.8% national figure, meaning fewer people are cycling out the door. The inspection record shows 23 deficiencies, but none at the harm or jeopardy level and none abuse-related, and the most recent survey was in December 2025. Quality measures scored 5/5 from CMS, staffing 4/5, health inspections 3/5.

A

85/100

The Springs Of Hillcrest

Prescott, AR · Nevada County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
42%
Serious cites
0

The Springs of Hillcrest runs 3.67 nurse hours per resident day, about 5% under the national average of 3.86, and weekend coverage dips roughly 12% below its own weekday levels, worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 41.7%, a bit better than the 45.8% national figure, which suggests the aides and nurses here tend to stick around longer than at many for-profit corporate homes. The record shows 19 deficiencies, one serious enough to involve harm or jeopardy, and no abuse citations; the most recent inspection was in August 2025. Quality measures score well and inspections hold up, but the thin staffing margin is the thing to watch.

A

85/100

Shiloh Nursing And Rehab, Llc

Springdale, AR · Washington County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
43%
Serious cites
0

Shiloh Nursing and Rehab runs 140 beds in Springdale under for-profit LLC ownership, and its inspection record is genuinely strong, a fresh February 2025 survey, 14 deficiencies total, and none of them at the harm or jeopardy level. One abuse-related deficiency is on the books, so ask about that directly. Nurse staffing sits at 3.76 hours per resident day, slightly under the national average, and weekends drop about 11% below the home's own weekday coverage, which is where thin staffing tends to show up. Turnover at 43.1% is a hair better than the typical nursing home, though that's still nearly half the staff leaving each year.

A

85/100

The Green House Cottages Of Poplar Grove

Little Rock, AR · Pulaski County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
5.26 /day
Staff turnover
56%
Serious cites
0

The Green House Cottages of Poplar Grove runs on more nursing hours than most places, 5.26 per resident day against a national average of 3.86, though weekend coverage dips about 9% below what it manages on weekdays. That staffing edge comes with churn: 55.5% annual turnover, roughly ten points above the national figure, so the people delivering those hours keep changing. Its current record carries 24 deficiencies, none serious enough to trigger a harm or jeopardy citation, but one tied to abuse. The most recent inspection was in March 2026, so the picture is fresh. Quality measures score well; inspections and staffing land in the middle. A limited liability company operates it for profit.

A

85/100

Hampton Place Healthcare, Llc

Rogers, AR · Benton County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
60%
Serious cites
0

Hampton Place runs a 140-bed for-profit operation in Rogers, and its inspection record is genuinely clean, five stars, three deficiencies on file, none involving harm or jeopardy, nothing abuse-related, and a survey as recent as December 2024. Nurse staffing sits at 4.87 hours per resident day, roughly a quarter above the national average, which is the kind of cushion that matters on a bad night. The catch is consistency: weekends run about 10 percent lighter than weekdays, and turnover hits 60.1 percent against a national 45.8. High turnover at that rate means aides you meet in January may be gone by summer, and familiarity is worth something.

A

85/100

Pleasant Hill Post Acute

Pleasant Hill, CA · Contra Costa County

CMS 4/5 51 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
30%
Serious cites
0

Pleasant Hill Post Acute runs about 51 beds under for-profit ownership, and its nurse staffing sits roughly 9% above the national average, which is the main reason its numbers hold up. Weekend coverage dips about 9% below its own weekday level, so care can thin out on Saturdays and Sundays. The 30% annual turnover is notably lower than the 45.8% national figure, meaning the staff you meet are more likely to still be there next year. Its inspection record shows 21 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025.

A

85/100

Parkway Hills Nursing & Rehabilitation

La Mesa, CA · San Diego County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
35%
Serious cites
0

Parkway Hills runs 60 beds in La Mesa under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident day, modestly ahead of the national 3.86 average. Weekends drop about 9% below weekday coverage, so if your family visits on a Sunday, expect a thinner floor than midweek. Turnover lands at 34.9%, well under the 45.8% national figure, which suggests aides and nurses are staying put longer than at the typical home. The state inspected most recently in September 2025 and found 51 deficiencies on the current record, none rising to harm or jeopardy, though two are abuse-related and worth asking about directly.

A

85/100

Garden View Post Acute Rehabilitation

Baldwin Park, CA · Los Angeles County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
40%
Serious cites
0

Garden View Post Acute Rehabilitation runs 97 certified beds in Baldwin Park under for-profit LLC ownership, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That edge narrows on weekends, which run roughly 12% below the home's own weekday level. Staff turnover lands at 39.6%, better than the 45.8% national figure, and the last inspection was recent, February 2026. The record shows 45 deficiencies, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. Federal stars split: 5/5 on quality measures, 3/5 on both health inspections and staffing. What you're weighing is a home with real clinical quality marks and decent retention against a lengthy deficiency list and thinner weekend coverage.

A

85/100

The Vineyards Healthcare Center

Livermore, CA · Alameda County

CMS 5/5 83 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
41%
Serious cites
0

The Vineyards Healthcare Center runs 83 certified beds in Livermore under corporate for-profit ownership, and its staffing sits at 4.16 nurse hours per resident day, roughly 8% above the national average. Weekend coverage dips about 10% below its own weekday level, which is worth knowing if you'll be visiting on Saturdays and Sundays. Turnover lands at 41.1%, a bit better than the 45.8% national figure, so the crew here is somewhat more stable than most. Inspections in December 2024 produced 26 deficiencies, none at harm or jeopardy level and none abuse-related, and the quality measure rating came back strong at 5/5.

A

85/100

Fairmont Rehabilitation Hospital

Lodi, CA · San Joaquin County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
35%
Serious cites
0

Fairmont Rehabilitation Hospital in Lodi runs 4.55 nurse hours per resident day, about 18% above the national average, and its weekend staffing dips roughly 12% below its own weekday level, a gap worth asking about if your family member needs care on Saturdays and Sundays. Staff turnover sits at 34.7%, noticeably better than the 45.8% national figure, which matters for continuity. The tradeoff shows up in inspections: 25 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in January 2025.

A

85/100

Monrovia Post Acute

Duarte, CA · Los Angeles County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
40%
Serious cites
0

Monrovia Post Acute sits in Duarte with 82 certified beds, run by a for-profit limited liability company. The staffing numbers are the bright spot: 4.36 nurse hours per resident day, roughly 13% above the national average, and turnover at 39.5% is better than the 45.8% national figure. Weekends run about 12% leaner than weekdays, so coverage isn't perfectly even. The inspection record is where the picture darkens, 59 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse. A 2/5 health inspection rating against a 5/5 quality measure score is a strange split. The last inspection was April 2026, so that record is current.

A

85/100

Lomita Post-Acute Care Center

Lomita, CA · Los Angeles County

CMS 3/5 71 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
35%
Serious cites
0

Lomita Post-Acute runs 71 certified beds under individual for-profit ownership, and its nurse staffing sits at 4.11 hours per resident day, roughly 6% above the national average. Weekends dip about 13% below its own weekday coverage, so the weekday number is the better one. Annual turnover of 35.3% is meaningfully lower than the 45.8% national figure, which suggests less churn than most homes manage. Where it gets complicated is inspection history: 51 deficiencies on the current record, including one abuse-related citation, with no harm or jeopardy findings. The health inspection rating lands at 2 out of 5, while quality measures come in at 5 out of 5. That split is worth understanding before you visit, ask about the abuse citation and what changed after it.

A

85/100

Mission Valley Post Acute

Fremont, CA · Alameda County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
33%
Serious cites
0

Mission Valley Post Acute runs about 4.06 nurse hours per resident day, roughly 5% above the national average, though weekend coverage dips about 9% below its own weekday level. Staff turnover sits at 33.3%, well under the national 45.8%, which matters for continuity of care. The 21 deficiencies on record include none at the harm or jeopardy level and none related to abuse, and the most recent inspection was October 2024. It's a for-profit limited liability company with 85 certified beds in Fremont, holding 5 out of 5 stars on both health inspections and quality measures, with staffing at 4. The weaker point is weekend consistency, not safety or clinical quality.

A

85/100

La Paloma Healthcare Center

Oceanside, CA · San Diego County

CMS 5/5 93 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
40%
Serious cites
0

La Paloma Healthcare Center sits in Oceanside with 93 certified beds, run by a for-profit limited liability company. Nurse staffing runs 3.95 hours per resident day, a bit above the national average of 3.86, though weekends dip about 6% below its own weekday levels. Staff turnover is 40.2%, better than the national 45.8%. The inspection history is the part worth pausing on: 30 deficiencies on record, including one at the harm or jeopardy level and three tied to abuse. The last inspection was April 17, 2025, so that record is recent. Strong marks on health inspections and quality measures sit alongside those deficiencies, and the staffing rating lands in the middle. Read the inspection detail before deciding.

A

85/100

Huntington Drive Health And Rehabilitation Center

Arcadia, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
32%
Serious cites
0

Huntington Drive runs a for-profit operation under an LLC, and the numbers pull in two directions. Nurse staffing sits at 4.02 hours per resident day, a bit above the national figure, and weekend coverage only dips about 9% below weekdays, but that staff turns over at 31.9%, better than the national 45.8%, so people tend to stay. The trouble is the inspection record: 82 deficiencies, six tied to abuse, and a one-star health inspection rating, though nothing on the current record rises to actual harm or jeopardy. Quality measures score four stars, and the last inspection was February 2026, so it's recent.

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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