ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 1281–1300 of 10,187, best-graded first.

A

85/100

Mercy Manor Transition Center

Janesville, WI · Rock County

CMS 5/5 28 beds Non-profit
Nurse hours
8.47 /day
Staff turnover
—
Serious cites
0

Mercy Manor runs on 8.47 nurse hours per resident day, more than double the national average, and that staffing shows up in the ratings, four stars for staffing, five for quality measures. The catch is consistency: weekend coverage drops roughly 17% below what the home provides on weekdays, so care depends on when you visit. Nine deficiencies sit on the current record, one serious enough to cause harm and two tied to abuse, plus a single $53,847 fine. Last inspection was July 2025, so the record is recent. A nonprofit with 28 beds can know every resident well. It can also struggle to cover a weekend.

A

85/100

Del Mar Convalescent Hospital

Rosemead, CA · Los Angeles County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
22%
Serious cites
0

Del Mar Convalescent Hospital runs 4.12 nurse hours per resident day, roughly 7% above the national average, and its weekend staffing only dips about 6% below weekday levels, a modest gap. Staff turnover sits at 22%, less than half the national figure of 45.8%, which matters because consistent caregivers tend to know residents' routines. The home carries 26 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was in December 2025, so the record is recent. With 59 beds under corporate for-profit ownership, this is a small operation whose numbers hold up on staffing and inspection history, even if the deficiency count is worth asking about directly.

A

85/100

Victoria Care Center

Baldwin Park, CA · Los Angeles County

CMS 5/5 49 beds For-profit Medicaid
Nurse hours
4.55 /day
Staff turnover
43%
Serious cites
0

Victoria Care Center runs 49 beds in Baldwin Park under for-profit limited liability ownership, and its staffing sits at 4.55 nurse hours per resident day, roughly 18% above the national average. Weekends dip about 10% below its own weekday levels, so coverage isn't perfectly even. Turnover lands at 42.6%, a bit better than the 45.8% national figure, and the last inspection was April 2026. The health inspection rating is 4 out of 5 and quality measures are 5 out of 5, yet the record carries 38 deficiencies, including 2 tied to abuse. None were cited at the harm or jeopardy level. Strong clinical marks and low harm findings, but that deficiency count is worth asking about directly.

A

85/100

Linwood Meadows Care Center

Visalia, CA · Tulare County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
36%
Serious cites
0

Linwood Meadows runs 4.03 nurse hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 8% below its own weekday staffing. Turnover sits at 36.4%, better than the 45.8% national figure, which matters for continuity of care. The catch is the inspection record: 54 deficiencies on file, including one abuse-related citation, with no harm-level findings, and the last state visit was May 2025. Quality measures score well, but the 2/5 inspection rating is where the real story lives. This is a for-profit LLC with 98 beds, and the numbers suggest decent daily care alongside a documented compliance history worth asking about directly.

A

85/100

Hillcrest Post Acute

Petaluma, CA · Sonoma County

CMS 4/5 59 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
26%
Serious cites
0

Hillcrest Post Acute runs on more nursing hours than most homes in the country, 4.38 per resident day against a national average of 3.86, and its staff tends to stay: turnover sits at 25.9% where the typical facility loses closer to 46% of its nurses a year. Weekend coverage dips roughly 8% below weekday levels, which is worth asking about if your family visits mainly on Saturdays. The 30 deficiencies on record include two tied to abuse, though none rose to the level of harm or jeopardy, and the most recent inspection came in September 2025. It's a for-profit LLC with 59 beds.

A

85/100

Oak River Rehab

Anderson, CA · Shasta County

CMS 5/5 143 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
40%
Serious cites
0

Oak River Rehab runs 143 certified beds in Anderson under for-profit LLC ownership, and the numbers behind its grade hold up under a closer look. Nurse staffing sits at 3.94 hours per resident per day, a bit above the national average, though weekends run about 7% thinner than weekdays, worth asking about if your family member needs more attention on Saturdays and Sundays. Staff turnover of 40.3% is better than the national 45.8%, which matters for whether the same aides keep showing up. The 19 deficiencies on record include none at the harm level and none abuse-related, and the most recent inspection was December 2024.

A

85/100

Lincoln Square Post Acute Care

Stockton, CA · San Joaquin County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
6%
Serious cites
0

Lincoln Square runs on a notably stable crew, 6.1% annual turnover against a national average near 46% is the kind of number that usually shows up in how consistently residents get the same aides. Nurse staffing lands at 4.03 hours per resident day, a bit above the national figure, though weekends dip about 11% below weekdays, so coverage isn't perfectly even across the week. The inspection record is doing the dragging: 46 deficiencies on file, including one abuse-related citation, with the last state visit in March 2026. Family members should ask about that abuse finding specifically and how weekend shifts are covered.

A

85/100

The Springs Healthcare Center At The Carlotta

Palm Desert, CA · Riverside County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
45%
Serious cites
0

The Springs Healthcare Center At The Carlotta runs on a for-profit LLC model with 59 certified beds in Palm Desert, and its recent inspection history is mixed. A June 2025 survey found 24 deficiencies on record, including one at the harm or jeopardy level and one tied to abuse, the kind of findings that carry real weight regardless of the star ratings. Nurse staffing sits at 4.60 hours per resident day, about 19% above the national average, though weekends run roughly 9% lighter than weekdays. Staff turnover lands at 45%, essentially matching the national rate. The inspection and quality measure ratings hold up well, but the deficiency record and weekend staffing dip are worth asking about directly.

A

85/100

Turlock Nursing And Rehabilitation Center

Turlock, CA · Stanislaus County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
35%
Serious cites
0

Turlock Nursing and Rehabilitation Center runs 144 beds under for-profit limited liability ownership that changed hands within the past year. Its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, and weekends dip about 7% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover of 34.9% beats the national 45.8%, which matters for consistency of care. The current record carries 41 deficiencies, none at harm or jeopardy level, but two tied to abuse. A March 2026 inspection is recent enough to reflect present conditions.

A

85/100

Rancho Mirage Health And Rehabilitation Center

Rancho Mirage, CA · Riverside County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
27%
Serious cites
0

Rancho Mirage Health and Rehabilitation Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.20 hours per resident day, roughly 9% above the national average of 3.86. Weekend coverage dips about 8% below the home's own weekday level, so the weekday numbers are the stronger ones. Annual staff turnover is 26.7%, well under the national 45.8%, which matters for continuity of care. The tradeoff shows up in the inspection record: 44 deficiencies on file, two tied to abuse, though none at the harm or jeopardy level. The most recent inspection was February 2025.

A

85/100

Diamond Ridge Healthcare Center

Pittsburg, CA · Contra Costa County

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

Diamond Ridge runs a for-profit operation with 120 certified beds, and its nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, and turnover runs 24.6%, which is notably lower than the national 45.8%; keeping direct-care staff in place matters more than a single good week on paper. The concerning piece is the inspection record: 49 deficiencies, including one at harm or jeopardy level and one abuse-related, plus a $42,033 fine. The last full inspection was August 2024. Strong staffing and quality marks coexist here with a troubled survey history, which is exactly the tension a family should weigh.

A

85/100

Stanford Court Skilled Nursing & Rehab Center

Santee, CA · San Diego County

CMS 5/5 105 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
29%
Serious cites
0

Stanford Court runs on 4.34 nurse hours per resident day, roughly 12 percent above the national average, and its staff turnover of 29.3 percent sits well under the 45.8 percent national figure, a sign people tend to stay. The trade-off is consistency: weekend staffing drops about 14 percent from weekday levels. Inspectors have logged 45 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the most recent visit was December 2025. The 4-star health inspection and 5-star quality measures carry more weight than the 3-star staffing rating, which reflects that above-average hours don't guarantee even coverage across the week.

A

85/100

Copper Ridge Care Center

Redding, CA · Shasta County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
41%
Serious cites
0

Copper Ridge Care Center in Redding runs a for-profit corporate operation with 125 certified beds, and the numbers tell a mixed story worth understanding. Nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average, though weekends drop about 12% below the home's own weekday levels, a gap families often notice when visiting Saturday or Sunday. Turnover runs 40.6%, better than the 45.8% national figure, which matters for continuity of care. On inspections, the home earned 5 out of 5 stars with its most recent survey in December 2025, but the record shows 16 deficiencies, including one at the harm or jeopardy level. No abuse citations appear.

A

85/100

Vintage Faire Nursing & Rehabilitation Center

Modesto, CA · Stanislaus County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
44%
Serious cites
0

Vintage Faire runs about 4.19 nurse hours per resident per day, roughly 8% above the national average, though weekends dip about 12% below its own weekday staffing. Staff turnover sits at 44.1%, a touch under the national 45.8%, so the team is comparatively stable. What holds it back is the inspection record: 73 deficiencies on file, including one abuse-related citation, with no harm-level findings, and a 2-star health inspection rating despite a 5-star quality measure score. The last inspection was April 11, 2025, so the record is recent. This for-profit LLC- owned home has real clinical strengths, but the survey history is worth asking about directly.

A

85/100

Avondale Villa Post-Acute

Livermore, CA · Alameda County

CMS 5/5 37 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
36%
Serious cites
0

Avondale Villa runs about 4.32 nurse hours per resident per day, roughly 12% above the national average, and its staff turnover of 36.4% sits well below the national 45.8%. Both of those matter in a 37-bed home, where you're not just a room number. The catch is weekends: staffing drops about 10% below its own weekday level, so ask how that plays out on a Sunday afternoon. Inspections give a mixed picture, 36 deficiencies on record with none at the harm level, but one tied to abuse. The last full inspection was May 2025, so the record is current. It's for-profit, run by an LLC, with quality scores that look better than its inspection history.

A

85/100

Ocean View Post Acute

Escondido, CA · San Diego County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
4.13 /day
Staff turnover
34%
Serious cites
0

Ocean View Post Acute runs about 4.13 nurse hours per resident day, roughly 7% above the national average, and weekend coverage dips only about 8% below its own weekday levels. Staff turnover sits at 33.6%, well under the 45.8% national figure, that kind of retention matters more than a single staffing number. The trade-off shows up in its inspection record: 42 deficiencies on file, one of them serious enough to reach harm or jeopardy level, though none involve abuse. State inspectors were last on site in June 2025. At 120 beds under for-profit LLC ownership, quality measures score well, but that volume of deficiencies is worth asking about directly before you commit.

A

85/100

Vista Manor Nursing Center

San Jose, CA · Santa Clara County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
37%
Serious cites
0

Vista Manor sits in San Jose with 99 certified beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.31 nurse hours per resident day against a national average of 3.86. Turnover runs 36.5%, well under the 45.8% national figure, which matters for whether you see the same faces month to month. The catch is weekends, when hours drop about 13% below the home's own weekday level. Inspections in October 2024 produced 23 deficiencies, none at harm or jeopardy level but one abuse-related, and the staffing star comes in at 3/5 against 5/5 for inspections and quality measures. Worth asking about weekend coverage and that abuse citation directly.

A

85/100

Redwood Healthcare Center Llc

Oakland, CA · Alameda County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
26%
Serious cites
0

Redwood Healthcare Center runs 44 beds in Oakland under a for-profit LLC, and its nurse staffing sits at 4.08 hours per resident day, roughly 6% above the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so ask how that gap gets covered when your family member needs help on a Saturday. Staff turnover is 25.6%, well under the national 45.8%, which suggests a steadier crew than most. The 28 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection was August 2024.

A

85/100

Oakland Heights Nursing And Rehabilitation

Oakland, CA · Alameda County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
4.52 /day
Staff turnover
35%
Serious cites
0

Oakland Heights runs 4.52 nursing hours per resident day, well above the 3.86 national average, and its staff turnover of 35.4% beats the national 45.8%, a combination that usually shows up in day-to-day care. The catch is weekends, when staffing drops about 10% below its own weekday level. On inspections, the home has 21 deficiencies with none at the harm level, though one is abuse-related, and a single fine of $7,409. Its most recent inspection was April 2025, so the record is current. For-profit corporate ownership, 48 beds, and quality measures that score at the top of CMS's scale.

A

85/100

Glendale Healthcare Center

Glendale, CA · Los Angeles County

CMS 4/5 48 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
26%
Serious cites
0

Glendale Healthcare Center runs 48 certified beds as a for-profit, individually owned home, and the staffing numbers are its clearest strength: 4.06 nurse hours per resident day, roughly 5% above the national average. Weekend coverage dips about 7% below its own weekday level, and turnover sits at 26.4%, well under the 45.8% national figure, which matters for whether caregivers actually stick around. The tradeoff shows up in its record: 23 deficiencies, though none at the harm or jeopardy level and none abuse-related, with a February 2026 inspection keeping that picture current. Solid marks on health inspections and quality measures, thinner on staffing, tell you where the unevenness lies.

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.

Before you shortlist