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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 1221–1240 of 10,187, best-graded first.

A

85/100

Wilson's Creek Nursing & Rehab

Springfield, MO · Greene County

CMS 5/5 172 beds For-profit Medicaid
Nurse hours
2.84 /day
Staff turnover
27%
Serious cites
0

Wilson's Creek runs a 172-bed for-profit operation in Springfield, and the numbers tell a mixed story. Nurse staffing sits at 2.84 hours per resident per day, roughly 27% under the national average of 3.86, and weekends drop about 9% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 26.9% against a national 45.8%, meaning aides and nurses tend to stick around. Inspections look good on paper, but 18 deficiencies are on the current record, including one at the harm level and four tied to abuse. Ask about those four before you decide anything.

A

85/100

Nhc Healthcare, Maryland Heights

Maryland Heights, MO · St. Louis County

CMS 4/5 220 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
29%
Serious cites
0

Nhc Healthcare, Maryland Heights runs 220 certified beds under for-profit limited liability ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating with 15 total deficiencies, none at the harm or jeopardy level. One abuse-related deficiency is on the record, which is worth asking about directly. Staffing is where the picture gets mixed: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends run roughly 10% thinner than weekdays. The offsetting strength is retention, 28.6% annual turnover against a 45.8% national average means familiar faces, which matters for daily care. Quality measures also rate 4/5.

A

85/100

The Ambassador Nebraska City, Inc

Nebraska City, NE · Otoe County

CMS 5/5 71 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

The Ambassador in Nebraska City runs on more nursing hours than most homes, 4.39 per resident day against a national average of 3.86, and that staffing shows in a four-star rating there. Turnover sits at 44.9%, essentially the national rate, while weekend coverage drops about 13% below the home's own weekday level, so care can thin out when families visit. Inspections in October 2024 turned up seven deficiencies, none causing harm or jeopardy, though two were abuse-related. For-profit corporate ownership is worth knowing about, but the record itself reads steady.

A

85/100

Brookestone View

Broken Bow, NE · Custer County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
30%
Serious cites
0

Brookestone View runs on 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover sits at 29.8% against a national 45.8%, that retention is doing real work here. The trade-off is weekends: staffing drops about 12% below the home's own weekday level, so coverage isn't perfectly level across the week. Inspections show 11 deficiencies on record, none at the harm level and none abuse-related, and the most recent visit was June 2026. All three CMS star ratings land at 4 out of 5. For a 60-bed nonprofit in Custer County, the numbers point to steady nursing presence and stable leadership rather than anything flashy.

A

85/100

Horizon Health And Rehabilitation Center

Las Vegas, NV · Clark County

CMS 3/5 138 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
30%
Serious cites
0

Horizon Health and Rehabilitation Center runs 138 certified beds in Las Vegas under corporate for-profit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.39 hours per resident day, about 12% under the national average of 3.86, and weekend coverage drops roughly 10% below the home's own weekday levels. Turnover is the bright spot: 29.8% against a national average of 45.8% means aides and nurses here tend to stay. Inspections are current, with the last visit in June 2025, and while the home carries 33 deficiencies on its record, none rose to harm or jeopardy and none involved abuse. The lower inspection rating sits alongside stronger marks for quality measures and staffing.

A

85/100

Life Care Center Of Las Vegas

Las Vegas, NV · Clark County

CMS 3/5 178 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
22%
Serious cites
0

Life Care Center Of Las Vegas runs 178 beds under corporate ownership, and its staffing sits at 3.56 nurse hours per resident day, about 8% under the national average of 3.86. Weekends dip roughly 13% below its own weekday coverage, so if your visits land on a Saturday or Sunday, expect a thinner floor. What stands out is retention: 21.6% annual turnover against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. The tradeoff shows up in its record, 29 deficiencies, two tied to abuse, though none reached harm or jeopardy. The most recent inspection was January 9, 2026.

A

85/100

Spanish Hills Wellness Suites

Las Vegas, NV · Clark County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
31%
Serious cites
0

Spanish Hills Wellness Suites runs 144 beds in Las Vegas under individual for-profit ownership, and the staffing numbers are a mixed picture. At 3.59 nurse hours per resident day it sits about 7% under the national average, and weekends drop roughly 10% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 31%, well under the national 45.8%, which suggests less churn than most homes. The current record shows 37 deficiencies, none at harm or jeopardy level but one abuse-related, alongside a 2/5 inspection rating. A recent February 2026 inspection and a 4/5 quality measure score round things out.

A

85/100

Hackett Hill Healthcare Center

Manchester, NH · Hillsborough County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
34%
Serious cites
0

Hackett Hill runs a split personality on paper. The clinical numbers look good, a five-star quality measure rating and a four-star staffing score, with turnover at 34.4% against a national average of 45.8%, meaning workers here tend to stick around longer than at the typical home. But the inspection record tells a rougher story: 15 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a one-star health inspection rating. Nurse staffing sits at 3.75 hours per resident day, just under the national 3.86, and weekends run about 15% thinner than weekdays. For-profit corporate ownership, one fine of $8,278, and a recent April 2026 inspection round out the picture.

A

85/100

Mount Carmel Rehabilitation And Nursing Center

Manchester, NH · Hillsborough County

CMS 3/5 122 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
43%
Serious cites
0

Mount Carmel runs on 4.08 nurse hours per resident day, a bit above the national average of 3.86, and its staffing rating reflects that. Weekends thin out by roughly 9% compared to weekdays, which is worth knowing if your visits tend to fall on Saturdays or Sundays. The current record shows 10 deficiencies, none at the harm level, though two are abuse-related, ask about those specifically. Staff turnover sits at 43.4%, slightly better than the 45.8% national figure, and the most recent inspection was in July 2025, so the picture is current. As a church-affiliated nonprofit, it answers to a mission rather than shareholders, which tends to show up in how long caregivers stay.

A

85/100

Saint Francis Rehabilitation And Nursing Center

Laconia, NH · Belknap County

CMS 5/5 51 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
40%
Serious cites
0

Saint Francis in Laconia runs on about 3.75 nurse hours per resident per day, roughly 3% under the national average, and weekends dip about 12% below its own weekday staffing. That's the kind of gap that shows up as slower response times on a Saturday afternoon, not necessarily in a rating. What stands out more is stability: turnover sits at 40.4% against a national 45.8%, and the inspection record is clean, four deficiencies total, none at harm level, none abuse-related, with a survey completed at the end of 2025. For a 51-bed nonprofit home, low turnover and a recent, unremarkable inspection matter more than a few minutes of weekday staffing. Ask about weekend coverage anyway.

A

85/100

Complete Care At Madison, Llc

Matawan, NJ · Middlesex County

CMS 5/5 167 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
36%
Serious cites
0

Complete Care at Madison runs about 3.6 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends dip another 5% below its own weekday numbers, so the leanest coverage shows up exactly when families tend to visit. Turnover sits at 36.1%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The 23 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was March 2026, so the 4-star inspection and 5-star quality scores rest on recent findings.

A

85/100

Stratford Manor Rehabilitation And Care Center

West Orange, NJ · Essex County

CMS 4/5 131 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
23%
Serious cites
0

Stratford Manor runs 131 beds in West Orange under for-profit LLC ownership, and its staffing sits at 3.33 nurse hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 22.8 percent against a national 45.8 percent, meaning aides and nurses here tend to stay. The current inspection record shows 23 deficiencies, including one at harm or jeopardy level and one abuse-related; the last survey was September 22, 2025. Quality measures score well, but staffing and inspection results are middling, and that mix is what shapes the overall picture.

A

85/100

Complete Care At Orange Park

East Orange, NJ · Essex County

CMS 3/5 215 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
17%
Serious cites
0

Complete Care At Orange Park runs 215 certified beds in East Orange under for-profit limited liability ownership, and its last health inspection was in September 2025, so the record is current. The 24 deficiencies on file carry no harm or jeopardy findings and nothing abuse-related. Staffing sits at 3.14 nurse hours per resident day, roughly 19 percent under the national average, and weekends run about 8 percent lighter than weekdays. What offsets that thinness is retention: turnover is 16.8 percent against a national average near 46 percent, meaning the aides and nurses here tend to stay. Fewer hours, but familiar faces delivering them.

A

85/100

Alameda Center For Rehabilitation And Healthcare

Perth Amboy, NJ · Middlesex County

CMS 4/5 250 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
43%
Serious cites
0

Alameda Center for Rehabilitation and Healthcare is a 250-bed for-profit home in Perth Amboy, run by a limited liability company. The staffing numbers are the weak spot: 3.29 nurse hours per resident day, roughly 15% under the national average, with weekends about 11% leaner than weekdays. Turnover sits at 42.5%, slightly better than the 45.8% national figure, so the problem looks more like thin coverage than a churning workforce. Inspections are current, and the 28 deficiencies on record include none at the harm or jeopardy level and none tied to abuse. What you're weighing, then, is a home that scores well on clinical quality measures and adequately on inspections, but asks residents to get by on less daily nursing time than most places provide.

A

85/100

Complete Care At St Vincents Llc

Cedar Grove, NJ · Essex County

CMS 5/5 151 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
34%
Serious cites
0

Complete Care At St Vincents runs 151 certified beds in Cedar Grove under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating with nine total deficiencies, just one at the harm level and none tied to abuse, from a survey completed in July 2025. Staffing tells a different story: 3.48 nurse hours per resident day sits about 10 percent under the national average of 3.86, and weekends run roughly 6 percent leaner than weekdays. Turnover of 33.9 percent, though, beats the national 45.8 percent, so the people who are there tend to stay. Weaker staffing marks against strong quality and inspection scores is the tension worth weighing.

A

85/100

Southern Ocean Center

Manahawkin, NJ · Ocean County

CMS 4/5 136 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
35%
Serious cites
0

Southern Ocean Center runs 3.56 nurse hours per resident day, roughly 8% under the national average, and weekends dip about 7% below its own weekday staffing. Turnover sits at 35%, noticeably better than the 45.8% national figure. The current record shows 32 deficiencies, none at harm or jeopardy level, though three are abuse-related, worth asking about directly. Inspectors were last on site in September 2025. Quality measures score 5/5, staffing 4/5, health inspections 3/5. What that adds up to: genuinely strong clinical outcomes and steadier-than-average retention, with room to push staffing hours higher and a paper trail that deserves a hard look before you sign anything.

A

85/100

Optima Care Castle Hill

Union City, NJ · Hudson County

CMS 2/5 215 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
42%
Serious cites
0

Optima Care Castle Hill runs 215 beds in Union City under for-profit LLC ownership, and its staffing sits around 3.60 nurse hours per resident day, roughly 7% under the national average, with weekends dropping about 9% below its own weekday levels. Turnover at 42.2% is actually a touch better than the national 45.8%. What stands out is the inspection record: 32 deficiencies, including one at harm or jeopardy level and three tied to abuse, with a $8,281 fine and a visit as recent as March 2025. The quality measure score looks strong on paper, but that inspection history is the number a family should ask about directly.

A

85/100

Health Center At Bloomingdale

Bloomingdale, NJ · Passaic County

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

The Health Center at Bloomingdale runs leaner than most on nursing hours, 3.40 per resident per day against a national average of 3.86, and weekends dip roughly 8% below its own weekday coverage. Turnover sits at 41.6%, a bit better than the 45.8% national figure, though still meaning roughly two in five staff leaving in a year. Inspections tell a steadier story: 28 deficiencies on record but none at the harm or jeopardy level, and the last visit was recent, in August 2025. One abuse-related citation is worth asking about directly. The home is corporate-owned and for-profit, with 120 certified beds.

A

85/100

Taos Healthcare

Taos, NM · Taos County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
2.96 /day
Staff turnover
33%
Serious cites
0

Taos Healthcare runs 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday staffing. Turnover sits at 33.3%, better than the 45.8% national figure, which suggests some stability in who's actually on the floor. The inspection record is the harder part: 76 deficiencies, five tied to abuse, though none reached harm or jeopardy level, and the last survey was in January 2026. Quality measures score well and inspections land middle of the road. For a 102-bed for-profit, the pattern is decent clinical metrics paired with thin daily coverage. Ask about weekend nurse coverage specifically.

A

85/100

Martine Center For Rehabilitation And Nursing

White Plains, NY · Westchester County

CMS 2/5 225 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
39%
Serious cites
0

Martine Center runs 4.21 nurse hours per resident day, roughly 9% above the national average, which is the strongest thing it has going. Weekend staffing drops about 9% below its own weekday level, so coverage thins exactly when families tend to visit. Staff turnover sits at 39.2%, better than the national 45.8%, meaning aides and nurses stick around longer than at a typical home. The tradeoff shows up in inspections: 38 deficiencies on record, including two abuse-related, though none rose to harm or jeopardy level, and the last survey was recent. For-profit LLC ownership, 225 beds. Solid staffing, a middling inspection history.

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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