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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 1141–1160 of 10,187, best-graded first.

A

85/100

Briarwood Health Care Center

Denver, CO · Denver County

CMS 5/5 201 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
44%
Serious cites
0

Briarwood runs 201 certified beds in Denver under corporate for-profit ownership, and its nurse staffing sits at 3.90 hours per resident day, barely above the national average of 3.86, roughly a 1% edge. Weekends drop about 10% below the home's own weekday coverage, so the floor is thinner when families tend to visit. Staff turnover is 44.3%, essentially matching the national rate of 45.8%. The current inspection record shows 22 deficiencies, five of them serious enough to reach harm or jeopardy level, though none involve abuse. One fine totaling $9,110 is on file, and the last inspection was October 2024. Quality measures score high; the inspection history is where the problems concentrate.

A

85/100

Apple Rehab Middletown

Middletown, CT · Lower Ct River Vly County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
38%
Serious cites
0

Apple Rehab Middletown runs 70 beds under corporate ownership, and its nurse staffing sits around 3.27 hours per resident day, roughly 15 percent under the national average of 3.86. Weekends dip about 7 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 37.5 percent, actually better than the 45.8 percent national figure, which matters for consistency of care. The inspection record is the harder read: 54 deficiencies, including one at harm or jeopardy level and six tied to abuse, with the last inspection in October 2024. Quality measures score well, but that inspection history is what a family should ask about directly.

A

85/100

Pendleton Rehabilitation And Nursing Center

Mystic, CT · Southeastern Ct County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
34%
Serious cites
0

Pendleton Rehabilitation And Nursing Center runs 120 certified beds in Mystic under for-profit LLC ownership, and its record is mixed in ways families should weigh carefully. Nurse staffing sits at 3.75 hours per resident day, slightly under the national average, and weekend coverage drops about 11% below its own weekday level, a pattern worth asking about if your relative needs help on Saturdays and Sundays. Turnover is 33.7%, noticeably better than the national 45.8%, so the consistent faces are a real point in its favor. The inspection history is a split story: 32 deficiencies on record, one at harm level, though none abuse-related, with the most recent inspection in January 2025.

A

85/100

Civita Care Meadowbrook

Granby, CT · Capitol County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
21%
Serious cites
0

Civita Care Meadowbrook runs a fairly steady ship for a for-profit home in Granby. Its 30 deficiencies sound like a lot until you notice none rise to harm or jeopardy, the serious category, though two abuse-related citations are worth asking about directly. Nurse staffing sits at 3.54 hours per resident day, roughly 8% under the national average, and weekends dip about 7% below the home's own weekday coverage, so ask how they handle a Saturday fall. What stands out is turnover: 21.3%, less than half the national rate, which suggests aides and nurses tend to stay. A December 2025 inspection is recent, and four-star marks on health inspections and quality measures round out a home that looks solid rather than exceptional.

A

85/100

Civita Care Center At West River

Milford, CT · South Central Ct County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
31%
Serious cites
0

Civita Care Center At West River runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.61 hours per resident day, about 6% under the national average of 3.86. Weekend coverage drops roughly 13% below its own weekday level, so families should ask how that gap gets managed. Turnover is the bright spot: 30.6% against a national 45.8%, which suggests a steadier workforce than most. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in January 2025. Quality measures score well; staffing and health inspections land mid-range.

A

85/100

Delmar Nursing & Rehabilitation Center

Delmar, DE · Sussex County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
36%
Serious cites
0

Delmar Nursing & Rehabilitation Center runs 109 beds under for-profit LLC ownership, and the numbers tell a mixed story. Staffing sits at 3.90 nurse hours per resident day, barely above the national average of 3.86, and weekends drop about 8% below what the home manages Monday through Friday. Turnover is where it looks better than most: 36.4% against a national 45.8%. The inspection record is the concern, 17 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $23,998 fine. A December 2025 inspection is recent, and the four-star health and quality ratings suggest the home corrected course, but those abuse-related citations are the kind of thing you'd want to ask about directly before deciding.

A

85/100

Cadia Rehabilitation Silverside

Wilmington, DE · New Castle County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
48%
Serious cites
0

Cadia Rehabilitation Silverside runs 116 certified beds under for-profit LLC ownership, and its staffing numbers sit slightly above the national average, about 3.99 nurse hours per resident day versus 3.86 nationally, though weekends dip roughly 5% below its own weekday coverage. Staff turnover is 48.1%, a bit higher than the 45.8% national figure, which matters because consistent caregivers know residents' routines. The bigger concern is the inspection record: 28 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with one fine of $10,608 and a health inspection rating of 2 out of 5. The most recent inspection was March 27, 2025, so the record is current.

A

85/100

Life Care Center Of Punta Gorda

Punta Gorda, FL · Charlotte County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
38%
Serious cites
0

Life Care Center Of Punta Gorda runs 180 certified beds under corporate for-profit ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day versus 3.86 nationwide. That margin is thin, and weekends run about 12% lighter than weekdays, so coverage isn't uniform across the week. Staff turnover comes in at 38.3%, better than the 45.8% national figure, which suggests people tend to stay. The current inspection record shows six deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $8,151; the most recent state visit was July 2024. Quality measures score well, but the two-star health inspection rating is where the real caution lies.

A

85/100

Life Care Center Of Melbourne

Melbourne, FL · Brevard County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
27%
Serious cites
0

Life Care Center of Melbourne runs 120 certified beds in Brevard County under corporate for-profit ownership, and its numbers are mostly steady. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends dip roughly 11% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is where it separates itself: 26.5% against a national average of 45.8%, meaning far fewer people cycling through the building. Inspections show 12 deficiencies on record with none at harm or jeopardy level and nothing abuse-related, and the most recent visit was in September 2025.

A

85/100

Whispering Oaks

Tampa, FL · Hillsborough County

CMS 3/5 236 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
31%
Serious cites
0

Whispering Oaks runs 236 beds in Tampa under for-profit LLC ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 30.9% against a national 45.8%, which suggests less churn in who's actually at the bedside. Inspections are another story. The current record carries 29 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last survey was recent, in February 2026. Quality measures score well; the inspection history is what pulls this one down.

A

85/100

Ocala Health And Rehabilitation Center

Ocala, FL · Marion County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
38%
Serious cites
0

Ocala Health and Rehabilitation Center runs 180 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.82 nurse hours per resident day. Weekends dip about 7% below its own weekday coverage, worth knowing if you visit or call on a Saturday. Turnover is the brighter spot: 37.8% against a national 45.8%, so more of the aides and nurses who start here tend to stay. The current inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last survey in September 2025. Quality measures scored well; staffing and inspections landed mid-range.

A

85/100

Bayview Center

Eustis, FL · Lake County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
40%
Serious cites
0

Bayview Center runs 120 certified beds in Eustis under individual for-profit ownership, and the numbers tell a mixed but mostly steady story. Nurse staffing sits at 3.42 hours per resident per day, roughly 11% under the national average of 3.86, with weekends about 8% lighter than weekdays, worth asking about if your family member needs help most on Saturdays and Sundays. Turnover is 40.4%, better than the 45.8% national figure, which suggests aides tend to stay. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was May 2026. Quality measures score well; staffing is the softer spot.

A

85/100

Woodbridge Care Center And Rehab

Tampa, FL · Hillsborough County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
25%
Serious cites
0

Woodbridge Care Center and Rehab runs 120 certified beds in Tampa under individual for-profit ownership, and its strongest numbers sit on the clinical side. The CMS quality measure rating is a perfect 5 out of 5, and the staffing rating is 4 out of 5. Turnover is the standout: 24.7% annually, roughly half the national average, which suggests a stable crew. The trade-off is daily coverage. Total nurse staffing comes in at 3.69 hours per resident day, about 5% under the national average, and weekends drop another 6% below its own weekday level. Health inspections rate 2 out of 5, with 21 deficiencies on record, none at harm level, none abuse-related, and two fines totaling $4,938. The most recent inspection was August 2025.

A

85/100

Vivo Healthcare Gandy

Tampa, FL · Hillsborough County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
40%
Serious cites
0

Vivo Healthcare Gandy runs 160 beds in Tampa under for-profit LLC ownership, and its inspection record is the number that should worry you most: 23 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse. CMS gave it a single star for health inspections. The quality measure score sits at five stars, but that reflects resident assessment data, not how the building actually performs when a state surveyor walks through. Nurse staffing runs 3.67 hours per resident day, about 5% under the national average, and weekends dip roughly 10% below its own weekday coverage. Turnover at 39.7% is better than the 45.8% national figure, though the last inspection was January 2025.

A

85/100

Beach Breeze Rehab And Care Center

West Palm Beach, FL · Palm Beach County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
32%
Serious cites
0

Beach Breeze runs on a corporate for-profit model, and the numbers tell a mixed story. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national average of 3.86, and weekends dip another 5% below its own weekday levels, so coverage thins out when families tend to visit. Turnover at 32.3% is meaningfully better than the 45.8% national figure, which suggests the staff who are there tend to stay. The current record shows 30 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025. Inspections scored 2 out of 5 stars while quality measures and staffing each earned 4, so the gap between day-to-day care indicators and the survey history is worth asking about directly.

A

85/100

Susanna Wesley Health Center

Hialeah, FL · Miami-Dade County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
36%
Serious cites
0

Susanna Wesley Health Center runs 120 certified beds in Hialeah under for-profit LLC ownership, and its strongest signal is staffing stability. Annual turnover sits at 36%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines and catch changes early. Total nurse staffing is 3.67 hours per resident day, about 5% under the national average of 3.86, though weekend coverage actually edges slightly above its own weekday level, unusual, since many homes thin out on weekends. Its 14 deficiencies include none at the harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Quality measures score well above inspection results here.

A

85/100

Margate Health And Rehabilitation Center

Margate, FL · Broward County

CMS 5/5 170 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
31%
Serious cites
0

Margate Health and Rehabilitation Center runs 170 certified beds under for-profit limited liability ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average of 3.86. Weekend coverage dips roughly 6% below its own weekday numbers, so families should ask how that gap gets handled. What stands out favorably is turnover: 31.3% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The current record shows 16 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated April 9, 2026. Federal ratings land at 4 of 5 for health inspections, 5 of 5 for quality measures, and 4 of 5 for staffing.

A

85/100

The Good Samaritan Society-Kissimmee Village

Kissimmee, FL · Osceola County

CMS 4/5 161 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
23%
Serious cites
0

The Good Samaritan Society-Kissimmee Village is a 161-bed nonprofit home where the staff tends to stay: turnover runs 23.2%, roughly half the national average of 45.8%. That stability shows up in the quality measure star rating, which sits at 4 out of 5. But the inspection record is where the trouble is, 22 deficiencies, including 5 at the harm or jeopardy level and 5 tied to abuse, plus two fines totaling $246,133. Total nurse staffing is 3.42 hours per resident day, about 12% below the national average, and weekends drop another 6% below the home's own weekday level. The most recent inspection was in December 2025.

A

85/100

Palm Garden Of Winter Haven

Winter Haven, FL · Polk County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
31%
Serious cites
0

Palm Garden of Winter Haven runs 120 beds under for-profit LLC ownership, and its staffing numbers are a mixed picture. Total nurse hours sit at 3.76 per resident day, a bit under the national average, and weekends drop about 10% below the home's own weekday coverage, worth asking about if your family visits primarily on Saturdays or Sundays. Turnover is where it stands out: 30.6% against a national average of 45.8%, meaning caregivers here tend to stay. The current inspection record shows 24 deficiencies, including two at the harm level and four abuse-related, with one fine of $24,395; the most recent inspection was June 2024.

A

85/100

North Lake Care Center And Rehab

Lake Park, FL · Palm Beach County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
42%
Serious cites
0

North Lake Care Center runs 85 beds in Lake Park under for-profit LLC ownership, and its last inspection was in September 2025. The 30 deficiencies on record include one at the harm level, though none are abuse-related, and there's a single fine of $10,206. Nurse staffing sits at 3.46 hours per resident day, roughly 11% under the national average, and weekends run about 6% leaner than weekdays. Turnover at 41.9% is slightly better than the national 45.8%, which matters for consistency of care. What you're looking at is a home that scores well on quality measures but runs thinner on direct nursing hours than most, with a mixed inspection record.

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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