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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 1161–1180 of 10,187, best-graded first.

A

85/100

East Bay Rehabilitation Center

Clearwater, FL · Pinellas County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
45%
Serious cites
0

East Bay Rehabilitation Center runs 120 certified beds in Clearwater under for-profit LLC ownership, and its staffing sits right at the national average, 3.87 nurse hours per resident day against 3.86 nationally. The catch is weekends, when hours drop about 10% below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover lands at 44.8%, slightly better than the 45.8% national figure. Twelve deficiencies appear on the current record, though none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2024. Quality measures score well, and the staffing rating is solid. What holds the overall picture back is a middling health inspection result and that weekend dip.

A

85/100

Solaris Healthcare Merritt Island

Merritt Island, FL · Brevard County

CMS 5/5 180 beds Non-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
39%
Serious cites
0

Solaris Healthcare Merritt Island runs 180 certified beds as a nonprofit corporation, and its staffing sits at 3.65 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends about 9% thinner than weekdays. Turnover is the better story here: 38.8% against a national 45.8%, so this home holds onto its nurses better than most. The trade-off shows up in inspections. Twenty-two deficiencies on the current record, one abuse-related, none at harm or jeopardy level, and the last full inspection was August 2024. Quality measures score well; staffing and health inspections are middling. A place with stable caregivers and a recent, mostly low-level citation history.

A

85/100

Solaris Healthcare Imperial

Naples, FL · Collier County

CMS 3/5 113 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
11%
Serious cites
0

Solaris Healthcare Imperial runs on remarkably steady staff for a nonprofit, 11.3% turnover against a national average near 46% means the people caring for your relative mostly stay. That matters more than raw hours, though the 3.53 daily nursing hours sit about 8% under the national figure, and weekends dip another 5%. The tradeoff shows up in inspections: 19 deficiencies on record, including one at the harm level and one tied to abuse, with a $29,738 fine and a two-star health inspection rating from CMS. Quality measures score five stars, staffing four. The last full inspection was November 2024, so the record is current. Consistency here is real; the compliance history is the question mark.

A

85/100

Cypress Village

Jacksonville, FL · Duval County

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

Cypress Village is a for-profit corporation running 100 certified beds in Jacksonville, and its staffing is the strongest part of the picture: 5.07 nurse hours per resident day, well above the 3.86 national average. That said, weekends run about 11% thinner than weekdays, so ask how coverage holds up on a Saturday. The health inspection record is clean where it matters, seven deficiencies on file, none at the harm level, none abuse-related, and the last inspection was April 2025, so the picture is current. Staff turnover of 43.9% is slightly better than the 45.8% national average, though still means roughly two in five caregivers left within a year.

A

85/100

Page Rehabilitation And Healthcare Center

Fort Myers, FL · Lee County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
26%
Serious cites
0

Page Rehabilitation and Healthcare Center has 180 certified beds and runs on about 4.14 nurse hours per resident per day, roughly 7% above the national average, with weekend staffing dipping about 9% below its own weekday level. Staff turnover sits at 25.7%, well below the national 45.8%, that kind of retention is uncommon and worth noting. What complicates the picture is the inspection record: 35 deficiencies, five at harm or jeopardy level, one abuse-related, and $213,138 in fines across two penalties. The most recent inspection was September 2025. The staffing and quality measure ratings come in strong, but the health inspection side is where the trouble concentrates.

A

85/100

Life Care Center Of Citrus County

Lecanto, FL · Citrus County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
42%
Serious cites
0

Life Care Center of Citrus County runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.82 hours per resident day, just under the national average of 3.86. That thin margin gets thinner on weekends, when coverage drops roughly 11% below the home's own weekday level. Turnover is 41.5%, better than the 45.8% national figure, so the team here is somewhat more stable than average. The current record shows 13 deficiencies, including four at the harm or jeopardy level and one tied to abuse, worth asking about directly, even though the most recent inspection came recently, in February 2026.

A

85/100

Westminster Winter Park

Winter Park, FL · Orange County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
26%
Serious cites
0

Westminster Winter Park runs on a church-affiliated nonprofit model with 80 certified beds, and the staffing numbers are where it separates itself: 3.98 nurse hours per resident day, a bit above the national average, with weekend coverage dipping only about 5% below weekdays. Turnover sits at 25.6% against a national average near 46%, which matters more than any single inspection score. The tradeoff is on the health inspection side, where 18 deficiencies include one at the harm level and a $65,683 fine, and the most recent survey dates to October 2024. Quality measures and staffing both rate well; inspection history is the softer spot.

A

85/100

Astoria Health And Rehabilitation Center

Winter Haven, FL · Polk County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
41%
Serious cites
0

Astoria Health and Rehabilitation Center runs 132 certified beds in Winter Haven under corporate for-profit ownership. Nurse staffing sits at 4.20 hours per resident day, about 9% above the national average, and the 40.6% annual turnover is lower than the 45.8% national figure, both signs of a steadier floor than many homes manage. Weekends dip roughly 8% below weekday coverage, worth asking about if your family visits Saturdays or Sundays. The tradeoff shows up in inspections: 26 deficiencies on the current record and a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level and none were abuse-related. Quality measures score 5 out of 5, with the most recent inspection in March 2024.

A

85/100

Blue Ridge Care Center Llc

Dallas, GA · Paulding County

CMS 3/5 182 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
37%
Serious cites
0

Blue Ridge Care Center runs 4.11 nurse hours per resident day, about 6% above the national average, and its 37.2% turnover is better than the 45.8% typical elsewhere. Weekend staffing, though, drops roughly 13% below its own weekday level, so coverage thins when families tend to visit. The 22 deficiencies on record include one abuse-related finding, though none rose to harm or jeopardy, and the most recent inspection was December 2025. What holds the numbers back is that two-star health inspection result; the strong quality measure and staffing ratings reflect day-to-day care and workforce, not the survey history.

A

85/100

Oak View Home, Inc

Waverly Hall, GA · Harris County

CMS 4/5 100 beds Non-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
26%
Serious cites
0

Oak View Home runs lean on direct nursing time, 3.32 hours per resident day sits about 14% under the national average of 3.86, and weekends dip roughly 13% below its own weekday coverage, so a Saturday shift may feel thinner than a Tuesday one. What offsets that is stability: turnover of 26.2% is well under the national 45.8%, meaning the aides and nurses around your family member are more likely to still be there next year. The current record shows 8 deficiencies with none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in September 2025.

A

85/100

Ka Punawai Ola

Kapolei, HI · Honolulu County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Ka Punawai Ola runs a tale of two ratings. Its staffing sits at 4.02 nurse hours per resident day, a bit above the national average, and turnover of 34.6% is well below the national 45.8%, people here tend to stay. But the health inspection side tells a different story: 38 deficiencies on record, two of them at harm or jeopardy level and one abuse-related, with a 2/5 inspection star and $13,343 in fines. Weekend staffing also drops about 12% below weekday levels. The last inspection was in April 2025, so the record is current. A for-profit corporation operates the 120-bed home. Strong quality measures and staffing don't erase that inspection history, read the deficiency details before deciding.

A

85/100

Greenfields Of Geneva

Geneva, IL · Kane County

CMS 5/5 43 beds Non-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
39%
Serious cites
0

Greenfields Of Geneva runs about 4.52 nurse hours per resident per day, roughly 17% above the national average, and its staff turnover of 38.6% sits below the national 45.8%, meaning people tend to stay. The tradeoff shows up in the inspection record: 20 deficiencies, three of them serious enough to reach harm or jeopardy level, plus one fine of $14,203. Weekend staffing drops about 12% from weekday levels, so coverage thins out on Saturdays and Sundays. The most recent inspection was in December 2025.

A

85/100

Greenwood Village South

Greenwood, IN · Johnson County

CMS 5/5 137 beds Non-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
43%
Serious cites
0

Greenwood Village South runs on 4.00 nurse hours per resident day, a bit above the national average, though weekends drop roughly 9% below its own weekday level, worth knowing if your visits tend to fall on Saturdays or Sundays. Staff turnover sits at 43.1%, slightly better than the national figure, and the home carries six deficiencies with none at the harm level and nothing abuse-related. A July 2025 inspection means the record is recent, and a nonprofit corporation owns its 137 beds. The staffing star comes in lower than the inspection and quality marks, which is the one number here I'd ask about directly.

A

85/100

Springs Valley Meadows

French Lick, IN · Orange County

CMS 5/5 74 beds Non-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
30%
Serious cites
0

Springs Valley Meadows runs lean on nurse hours, 3.54 per resident day against a national average of 3.86, and weekends drop roughly 14% below what the home staffs on weekdays, so families should ask how that gap gets covered. Retention is where it stands out: 30% turnover versus 45.8% nationally, meaning aides and nurses tend to stick around. The inspection record shows 13 deficiencies with nothing at the harm level, though one is abuse-related and worth asking about directly. A recent inspection and strong marks on quality measures round out a picture of a stable nonprofit home that could use more hands on weekends.

A

85/100

Life Care Center Of Valparaiso

Valparaiso, IN · Porter County

CMS 5/5 110 beds Government Medicaid
Nurse hours
3.60 /day
Staff turnover
23%
Serious cites
0

Life Care Center Of Valparaiso runs on county ownership, and the numbers mostly hold up. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends dip roughly 11% below its own weekday level, worth asking about if your family visits on Saturdays. What stands out is retention: 23.3% turnover against a national 45.8% means aides and nurses tend to stay, which matters more for daily care than a staffing headline. The inspection record is clean where it counts, 17 deficiencies on file, none at harm or jeopardy level, none abuse-related, with a January 2026 inspection keeping it current.

A

85/100

Caroleton Healthcare Center

Connersville, IN · Fayette County

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

Caroleton runs a 50-bed for-profit home in Connersville, and the inspection record is the strong part: a 4 out of 5 health inspection rating, twelve deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, and the most recent survey done in April 2026. Staffing is where it thins out. At 3.59 nurse hours per resident day, it sits about 7% under the national average, and weekends drop roughly 15% below its own weekday levels, so coverage depends on when you visit. Turnover at 32.1% is meaningfully better than the 45.8% national figure, which suggests aides tend to stay. Quality measures score 5 out of 5. Ask about weekend and evening coverage specifically.

A

85/100

Hickory Creek At Winamac

Winamac, IN · Pulaski County

CMS 4/5 36 beds Government Medicaid
Nurse hours
3.29 /day
Staff turnover
22%
Serious cites
0

Hickory Creek At Winamac is county-owned, and the 36-bed size means it runs small enough that staffing numbers matter more than they would at a bigger place. Nurses provide 3.29 hours per resident day, about 15% under the national average of 3.86, and weekends drop roughly another 10% below the home's own weekday coverage. That's the tradeoff worth knowing about: nine deficiencies on record, none at the harm or jeopardy level and none abuse-related, with an inspection as recent as November 2025. Turnover sits at 21.7% against a national 45.8%, so the aides and nurses here tend to stay.

A

85/100

Rolling Meadows Health Care Center

La Fontaine, IN · Wabash County

CMS 5/5 115 beds Non-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
44%
Serious cites
0

Rolling Meadows sits in La Fontaine as a nonprofit corporation home with 115 certified beds, and its inspection record is genuinely strong, five stars on health inspections and five on quality measures, with a December 2025 survey and just five deficiencies on the current record, only one of them at the harm level and none tied to abuse. What holds it back is the floor. Total nurse staffing runs 3.72 hours per resident day, roughly 4% under the national average, and weekends dip about 11% below the home's own weekday coverage. Turnover at 44.4% is basically in line with the national 45.8%, so that's not the issue here. The care quality looks solid; the daily hands-on hours are the soft spot.

A

85/100

Williamsport Nursing And Rehabilitation

Williamsport, IN · Warren County

CMS 2/5 80 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
31%
Serious cites
0

Williamsport Nursing and Rehabilitation is county-owned, which matters here: 31.4% annual turnover is well under the 45.8% national average, and its 4/5 staffing star reflects that relative stability. But total nurse hours come to 3.48 per resident day, roughly 10% under the national average, and weekends run about 13% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The 27 deficiencies on record include none flagged at harm or jeopardy level and none abuse-related, though a 2/5 health inspection star and a June 2025 inspection mean the survey history is the weaker part of the picture. Quality measures score 4/5.

A

85/100

Homeview Center Of Franklin

Franklin, IN · Johnson County

CMS 5/5 119 beds Government Medicaid
Nurse hours
3.65 /day
Staff turnover
38%
Serious cites
0

Homeview Center of Franklin is county-owned, and that shows in how it's run: five deficiencies on the current record with none at the harm level and none tied to abuse, plus a clean five-star inspection history and a recent survey from March 2026. Staffing sits at 3.65 nurse hours per resident day, about 5% under the national average, and weekends run roughly 8% thinner than weekdays, so ask how that gap gets covered. Turnover is 38.4%, better than the 45.8% national figure, which matters for whether you see the same faces. The quality measures also score at the top.

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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