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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 1241–1260 of 10,187, best-graded first.

A

85/100

Bedford Center For Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
29%
Serious cites
0

Bedford Center runs 200 beds in Brooklyn under for-profit LLC ownership, and its last health inspection in March 2025 came back clean on the things that matter most: nine deficiencies logged, none at harm or jeopardy level, none tied to abuse. Nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average, though weekends run about 7% thinner than weekdays, so ask how that gap gets covered. Annual turnover of 29.4% is well below the national 45.8%, which suggests aides and nurses tend to stay. The tradeoff shows in the staffing star rating, which lags the inspection and quality scores.

A

85/100

Eddy Memorial Geriatric Center

Troy, NY · Rensselaer County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
45%
Serious cites
0

Eddy Memorial runs 80 certified beds as a nonprofit, and the staffing numbers are close to typical without being generous: 3.75 nurse hours per resident day sits about 3% under the national average, and weekends dip roughly 9% below the home's own weekday coverage. Turnover runs at 44.7%, essentially matching the national rate, so this isn't a stable long-tenured crew. The inspection record shows 17 deficiencies with none at harm or jeopardy level, though two are abuse-related, and the last full inspection came in August 2024. What stands out is the split between that middling inspection history and the quality measures, which score at the top of CMS's scale, worth asking staff how that gap plays out day to day.

A

85/100

Linden Center For Nursing And Rehabilitation

Brooklyn, NY · Kings County

CMS 5/5 280 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
24%
Serious cites
0

Linden Center runs 280 beds in Brooklyn under for-profit LLC ownership, and its inspection record is steady: 13 deficiencies on file, none at the harm or jeopardy level and none tied to abuse. The last inspection was June 2023. Staffing sits at 3.78 nurse hours per resident day, a hair under the national average, and weekends run about 12% thinner than weekdays, worth asking about if your family visits Saturdays. The standout number is turnover: 23.5% against a national average of 45.8%, meaning far fewer caregivers cycle through here than at the typical home. CMS gives it 4 stars for inspections and staffing, 5 for quality measures.

A

85/100

Epic Rehabilitation And Nursing At White Plains

White Plains, NY · Westchester County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
35%
Serious cites
0

Epic Rehabilitation and Nursing at White Plains runs 160 beds under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 9% below its own weekday levels, so coverage thins out when families tend to visit. Turnover is the brighter spot: 34.5% against a national 45.8%, meaning aides and nurses stick around longer than is typical. The current record shows 20 deficiencies, none at harm or jeopardy level, though 2 are abuse-related, worth asking about directly. The last inspection was October 2024, and the health inspection rating came in at 2 out of 5 stars, with quality measures at 5 and staffing at 3.

A

85/100

Wilson Pines Nursing And Rehabilitation Center

Wilson, NC · Wilson County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
25%
Serious cites
0

Wilson Pines runs on leaner nurse staffing than most homes, 3.64 hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels. That's the kind of gap that shows up as slower response times on a Saturday afternoon. The tradeoff is stability: 25.3% annual turnover, well under the 45.8% national figure, so the aides and nurses here are more likely to know your mother's routines. Fourteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with a clean inspection in April 2025. A for-profit LLC, 108 beds. Solid marks on inspections and quality measures, the staffing margin is the piece worth asking about in person.

A

85/100

Village Green Health And Rehabilitation

Fayetteville, NC · Cumberland County

CMS 5/5 170 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
41%
Serious cites
0

Village Green runs 170 beds in Fayetteville under individual for-profit ownership, and the numbers suggest a home that mostly gets the basics right. Nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekends drop about 14% below its own weekday levels, so coverage isn't perfectly even across the week. Staff turnover, at 40.7%, is actually a bit better than the 45.8% national figure. The inspection record is where this one stands out: six deficiencies on file, none at harm or jeopardy level and none abuse-related, with a four-star health inspection rating and a recent survey in May 2026. Quality measures score a full five stars. The staffing rating of three stars is the soft spot, but nothing here points to danger.

A

85/100

Haymount Rehabilitation & Nursing Center, Inc.

Fayetteville, NC · Cumberland County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
37%
Serious cites
0

Haymount runs on more nursing hours than most homes, 4.36 per resident per day, roughly 13% above the national figure. That staffing holds up on weekends too, though weekend coverage does dip about 13% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is the strongest part of the picture: a 5-star health inspection rating, no deficiencies on the current record, and nothing at the harm or abuse level, with the most recent survey done in May 2025. Staff turnover sits at 37%, below the 45.8% national average. Corporate for-profit ownership, 98 certified beds.

A

85/100

The Oaks-Brevard

Brevard, NC · Transylvania County

CMS 3/5 110 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
26%
Serious cites
0

The Oaks-Brevard runs lean on nurse hours, 3.30 per resident day against a national average of 3.86, and weekends get thinner still, dropping about 14% below its own weekday coverage. What stands out is retention: 25.8% annual turnover is well under the 45.8% national figure, so the people who are there tend to stay. The inspection record is mixed: 27 deficiencies, none at harm or jeopardy level, though one is abuse-related, and a single fine of $6,936. The last inspection was March 5, 2026. A for-profit LLC with 110 certified beds.

A

85/100

Lake Park Nursing And Rehabilitation Center

Indian Trail, NC · Union County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
35%
Serious cites
0

Lake Park runs on 4.02 nurse hours per resident day, a bit above the national average, and its staff tends to stay, 34.5% turnover against a national rate near 46%. Weekends are thinner, though, running about 9% below weekdays. The tradeoff shows up in inspections: 22 deficiencies on record, four serious enough to involve harm or jeopardy, with $34,624 in fines across two penalties. No abuse citations, and the most recent inspection came in January 2026, so the picture is current. Corporate-owned, 120 beds, solid day-to-day care, but a citation history worth asking about directly.

A

85/100

Life Care Center Of Medina

Medina, OH · Medina County

CMS 4/5 149 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
29%
Serious cites
0

Life Care Center Of Medina runs 149 certified beds under for-profit LLC ownership, and its staffing sits just under the national mark at 3.80 nurse hours per resident day. The number worth noticing is turnover: 28.6% against a national average of 45.8%, which suggests aides and nurses are staying put longer than at most homes. Weekend coverage dips about 7% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 33 deficiencies, none at harm or jeopardy level, but one tied to abuse, worth asking about directly. Last inspected January 2024. --- **Word count:** 99. Let me expand to hit the 110-140 range. Life Care Center Of Medina runs 149 certified beds under for-profit LLC ownership, and its nurse staffing sits just under the national mark at 3.80 hours per resident day. The number worth noticing is turnover: 28.6% against a national average of 45.8%, which suggests aides and nurses are staying put longer than at most homes, that stability tends to matter more day to day than a few minutes of staffing either way. Weekend coverage dips roughly 7% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 33 deficiencies, none at harm or jeopardy level, but one tied to abuse; ask about that directly. Last inspected January 2024. --- **Word count:** 120.

A

85/100

Van Wert Manor

Van Wert, OH · Van Wert County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
35%
Serious cites
0

Van Wert Manor runs leaner on nurse staffing than the typical American nursing home, 3.77 hours per resident day against a national average of 3.86, and weekends dip roughly 12% below its own weekday coverage, so a Saturday or Sunday shift is when your family member is most likely to wait. Turnover is the brighter spot: 34.5% versus 45.8% nationally, meaning caregivers here tend to stick around longer than at the average home. The inspection record shows 9 deficiencies, including one at the harm or jeopardy level, and a single fine of $25,490, with the most recent survey done in May 2025.

A

85/100

The Manor At Greendale

Findlay, OH · Hancock County

CMS 5/5 77 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
39%
Serious cites
0

The Manor At Greendale runs 3.79 nurse staffing hours per resident day, a bit under the 3.86 national average, and weekends drop roughly 14% below its own weekday coverage, worth asking about if most of your visits would fall on Saturdays or Sundays. Turnover sits at 38.7%, better than the 45.8% national figure, so the aides and nurses here tend to stick around longer than at the typical home. Nine deficiencies on the current record, none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. Corporate-owned and for profit, 77 beds.

A

85/100

Glen Meadows

Hamilton, OH · Butler County

CMS 5/5 85 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
27%
Serious cites
0

Glen Meadows runs a lean nursing floor: 3.72 nurse hours per resident day sits about 4% under the national average of 3.86, and weekends drop roughly 13% below what the home staffs on weekdays. That gap matters most on Saturdays and Sundays, when families often visit and problems surface. What offsets it is a workforce that stays put, 26.6% annual turnover against a national 45.8% means aides and nurses here know the residents, which tends to show up in the 5/5 quality measure rating and a clean inspection record with no harm-level deficiencies. The two abuse-related citations on file are worth asking about directly, and the March 2026 inspection is recent enough to reflect current conditions under individual for-profit ownership.

A

85/100

Abbyshire Place Health And Rehabilitation Center L

Bidwell, OH · Gallia County

CMS 5/5 95 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
24%
Serious cites
0

Abbyshire Place runs lean on nurse hours, 3.55 per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage. That's a real gap, though staff turnover sits at 23.9%, well under the national 45.8%, so the people who are there tend to stay, and CMS gives the home 4 of 5 stars for staffing and 5 for quality measures. Its inspection record shows 19 deficiencies, none rising to harm or jeopardy, but two tied to abuse, and a 4-star health inspection rating from a visit in late 2025. For-profit, limited liability ownership, 95 beds.

A

85/100

St Mary's Alzheimer's Center

Columbiana, OH · Mahoning County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
27%
Serious cites
0

St Mary's Alzheimer's Center runs 90 certified beds in Columbiana under corporate, for-profit ownership. Nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, and weekends drop about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 27.4%, well under the national 45.8%, which suggests a steadier crew than most. The inspection record is the concern: eight deficiencies, three at harm or jeopardy level and two abuse-related, with a $66,973 fine and a survey completed March 26, 2026. Strong quality measure scores don't cancel out harm-level findings.

A

85/100

Orchards Of East Liverpool, The

East Liverpool, OH · Columbiana County

CMS 5/5 50 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
37%
Serious cites
0

The Orchards of East Liverpool runs 50 beds under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average, though weekends drop about 9% below what the home staffs on weekdays. Staff turnover is 37.2%, which is actually better than the 45.8% national figure, so the people caring for residents tend to stick around longer than at the typical home. Where it gets murkier is the inspection record: 33 deficiencies on file, including one at the harm level and four tied to abuse. The most recent inspection was December 17, 2025, so that picture is current. Strong quality measures and above-average staffing, weighed against a deficiency count worth asking about directly.

A

85/100

Lakes Of Sylvania, The

Sylvania, OH · Lucas County

CMS 5/5 62 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
34%
Serious cites
0

The Lakes of Sylvania runs on 4.01 nurse hours per resident day, a bit above the national average, and its staff turnover of 34.4% sits well below the 45.8% norm, a sign people tend to stay. Weekend coverage dips roughly 10% below weekday levels, worth asking about if your visits fall on Saturdays. Inspectors have logged 17 deficiencies, none at the harm level and none abuse-related, with the most recent visit in February 2026. A five-star inspection and quality record paired with mid-range staffing marks is an unusual mix, but the underlying numbers here are solid.

A

85/100

Springs Of Lima The

Lima, OH · Allen County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
31%
Serious cites
0

The Springs of Lima runs 56 certified beds in Allen County under corporate for-profit ownership, and its inspection record is genuinely clean, 19 deficiencies on file, but none at the harm or jeopardy level and nothing abuse-related, with a survey as recent as July 2025. Nurse staffing sits at 3.86 hours per resident day, right at the national average, though weekends drop roughly 15% below what the home staffs on weekdays, which is worth asking about if your family member needs more help on Saturdays and Sundays. Annual turnover of 30.6% is well below the 45.8% national figure, meaning aides and nurses here tend to stay longer than at the typical home.

A

85/100

Rockland Ridge Nursing & Rehabilitation Center

Belpre, OH · Washington County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
27%
Serious cites
0

Rockland Ridge runs leaner than the typical American nursing home, 3.60 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 14% below its own weekday coverage. What stands out is the stability of the workforce: 26.7% annual turnover is well under the 45.8% national figure, which matters because consistent staff tend to know residents' routines and catch changes early. The home's inspection record is clean where it counts, 7 deficiencies on file but none at harm or jeopardy level and none abuse-related, with a November 2025 inspection still recent. Corporate-owned and for-profit, it delivers solid outcomes without extra staffing cushion.

A

85/100

Wagoner Health & Rehab

Wagoner, OK · Wagoner County

CMS 2/5 117 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
55%
Serious cites
0

Wagoner Health & Rehab has a staffing story that cuts both ways. The 4.11 nurse hours per resident day tops the national average by about 6%, and weekend coverage barely dips from weekday levels, which matters when families visit and see who's actually on the floor. But 55% annual turnover means more than half the nursing staff leaves every year, well above the 45.8% national figure, so the people providing that care keep changing. The inspection record shows 37 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in April 2025. Quality measures score well; the health inspection side is where this home gives ground.

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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