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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 1301–1320 of 10,187, best-graded first.

A

85/100

Lindsay Gardens Nursing & Rehabilitation

Lindsay, CA · Tulare County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
40%
Serious cites
0

Lindsay Gardens runs about 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.78 hours per resident day, a bit under the national average of 3.86, with weekends running roughly 5% thinner than weekdays. Turnover is where it stands out: 39.8% annually against a national 45.8%, meaning staff tend to stick around longer than at the typical home. The 31 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was January 8, 2026, so the picture is current. Its quality measure rating is strong; the inspection and staffing ratings are middling.

A

85/100

Courtyard Care Center

Signal Hill, CA · Los Angeles County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
42%
Serious cites
0

Courtyard Care Center runs 4.35 nurse hours per resident day, roughly 13% above the national average, and its 41.5% turnover is a bit better than the typical 45.8%. Weekend staffing, though, drops about 12% below its own weekday level, so coverage thins out when families tend to visit. The concerning number is 49 deficiencies on the current record, including one abuse-related citation, with no harm-level findings, and a 2/5 health inspection rating alongside a 5/5 quality measure score. That split matters: strong clinical metrics but a weaker inspection history at this 59-bed for-profit corporate home in Signal Hill.

A

85/100

Cedar Crest Nursing And Rehabilitation Center

Sunnyvale, CA · Santa Clara County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
24%
Serious cites
0

Cedar Crest runs a for-profit operation with 99 beds, and the staffing numbers are the strongest part of the picture. At 4.27 nurse hours per resident day, it sits about 11% above the national average, though weekends drop roughly 13% below the home's own weekday coverage. Turnover is 23.8%, well under the 45.8% national figure, which matters for consistency of care. The 32 deficiencies on record sound high until you see none reached harm or jeopardy level and none involved abuse. The most recent inspection was August 2025. Quality measures scored 5/5, staffing 4/5, health inspections 3/5, solid on outcomes, thinner on the inspection side.

A

85/100

Avir At Jacksonville

Jacksonville, TX · Cherokee County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
23%
Serious cites
0

Avir At Jacksonville runs on 3.40 nurse hours per resident day, about 12 percent under the national average of 3.86, and weekend coverage drops roughly 10 percent below its own weekday level, so the leanest shifts land when families tend to visit. The tradeoff is stability: 23.3 percent annual turnover is roughly half the national rate of 45.8 percent, meaning the aides and nurses your relative sees are more likely to still be there next year. Inspections in April 2025 produced a 5-star health inspection rating, though the current record lists 11 deficiencies, including one at the harm level and one abuse-related. This LLC-owned, 53-bed home scores well overall, but read the actual inspection reports before deciding.

A

85/100

Denton Rehabilitation And Nursing Center

Denton, TX · Denton County

CMS 5/5 94 beds Government Medicaid
Nurse hours
4.29 /day
Staff turnover
42%
Serious cites
0

Denton Rehabilitation and Nursing Center runs on 4.29 nurse hours per resident per day, about 11% above the national average, and its staff turnover of 41.8% sits slightly below the national figure, both signs of a steadier floor than many homes manage. The trade-off shows up in the inspection record: 29 deficiencies on file, including one abuse-related citation, though none rose to the level of actual harm or jeopardy. A government hospital district owns the 94-bed building, and the most recent state visit came in May 2025. Weekend staffing drops roughly 14% below weekday levels, so ask how that gap gets covered.

A

85/100

Brookdale Trinity Towers

Corpus Christi, TX · Nueces County

CMS 5/5 75 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
47%
Serious cites
0

Brookdale Trinity Towers sits in Corpus Christi with 75 certified beds and a for-profit LLC owner. The staffing numbers are the bright spot: 4.42 nurse hours per resident day, about 15% above the national average, and weekends run roughly 9% lighter than weekdays, a dip, but not a collapse. Turnover lands at 46.8%, right around the national figure of 45.8%, so retention isn't the problem here. What pulls the record down is the inspection history: 21 deficiencies, one serious enough to reach harm or jeopardy level, plus a $16,449 fine. The most recent inspection was April 30, 2026, so the picture is current. Strong daily care, a rougher paper trail.

A

85/100

The Lilac At Silver Palms

North Miami, FL · Miami-Dade County

CMS 4/5 104 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
33%
Serious cites
0

The Lilac At Silver Palms runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. That's the kind of gap families notice when a call button goes unanswered on a Sunday. Staff turnover sits at 32.6%, well under the national 45.8%, so the people who are there tend to stay. The inspection record is mixed: 25 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $35,500 fine. Its last inspection was February 2026. Quality measures score well; actual staffing and the harm-level finding are the things worth asking about directly.

B

84.5/100

Northway Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 3/5 113 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
52%
Serious cites
0

Northway runs on thinner nurse coverage than most homes, 3.57 hours per resident day against a national average of 3.86, and weekends drop roughly a fifth below its own weekday staffing. Nearly 52% of its nursing staff turned over in a year, a rate that sits above the national figure. The health inspection record shows 11 deficiencies, including one tied to abuse; none rose to the level of actual harm or jeopardy. Its last inspection was in April 2024. Quality measures score well, but the staffing and inspection side of the picture is where the gaps sit.

B

84.5/100

Goodwater Healthcare Center

Goodwater, AL · Coosa County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
38%
Serious cites
0

Goodwater Healthcare Center runs on about 4.63 nursing hours per resident per day, roughly a fifth more staffing than the typical American nursing home. That matters more than any brochure. Turnover sits at 37.8%, better than the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies on record, none causing harm, none tied to abuse. One catch: the last full inspection was April 2021, so that clean record is several years old now, and weekend staffing drops about 16% below weekday levels. Corporate-owned and for-profit, which shapes how the place budgets. The care numbers look solid; just ask what weekends actually look like.

B

84.5/100

Fairview At Redstone Village

Huntsville, AL · Madison County

CMS 4/5 56 beds For-profit
Nurse hours
4.43 /day
Staff turnover
36%
Serious cites
0

Fairview At Redstone Village runs about 4.43 nurse hours per resident per day, roughly 15% above the national average of 3.86, and its staff turnover of 35.5% sits well under the national 45.8%. That combination, more hands on deck and fewer people leaving, is the main reason this home holds up. Weekend staffing drops about 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The record shows three deficiencies, none involving harm, jeopardy, or abuse, though the last inspection was February 2022, which is a long gap. For-profit, individually owned, 56 beds.

B

84.5/100

Advance Health Care Of Scottsdale

Scottsdale, AZ · Maricopa County

CMS 5/5 38 beds For-profit
Nurse hours
4.98 /day
Staff turnover
45%
Serious cites
0

Advance Health Care of Scottsdale runs 38 beds, and its nurse staffing sits at 4.98 hours per resident day, roughly 29% above the national average of 3.86. That's a real margin, though weekends run about 17% thinner than weekdays, so coverage isn't perfectly even across the week. Staff turnover lands at 45.3%, about the same as the national figure of 45.8%, meaning retention here isn't standing out either way. The home carries nine deficiencies on its current record with none at the harm or jeopardy level, but two are abuse-related, which families should ask about directly. Its last inspection was March 27, 2025, so the record is recent.

B

84.5/100

Sante Of Surprise

Surprise, AZ · Maricopa County

CMS 4/5 70 beds Non-profit
Nurse hours
4.56 /day
Staff turnover
42%
Serious cites
0

Sante Of Surprise runs about 4.56 nurse hours per resident day, roughly 18% above the national average, and its staff turnover of 41.8% sits a little better than the 45.8% national figure. Weekend coverage does thin out, dropping about 17% below its own weekday level, which is worth knowing if most of your visits land on Saturdays or Sundays. The home carries 10 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was in May 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at 4 out of 5, and it's a nonprofit corporation.

B

84.5/100

Perry County Nursing And Rehabilitation Center

Perryville, AR · Perry County

CMS 4/5 95 beds For-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
46%
Serious cites
0

Perry County Nursing and Rehabilitation Center runs on a for-profit, individually owned model with 95 certified beds, and its strongest card is a clean inspection record: ten deficiencies on file, none of them at the harm or jeopardy level and none tied to abuse, with the most recent survey completed in March 2026. Nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average, though weekends drop about 21% below the home's own weekday coverage, and turnover at 46.3% is essentially the national rate. The staffing star lands at 3/5 despite the strong raw hours, while quality measures come in at 4/5 and health inspections at 5/5.

B

84.5/100

Mountain Meadows Health And Rehabilitation

Batesville, AR · Independence County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
46%
Serious cites
0

Mountain Meadows runs about 110 beds under corporate for-profit ownership, and its nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86. The bigger thing to notice is weekends: staffing drops roughly 22% below what the home runs on weekdays, so if your family member needs more help on a Saturday or Sunday, that gap matters. Turnover is 45.7%, essentially identical to the national rate, so this isn't a home bleeding staff faster than everyone else. The last inspection was August 2025, with 17 deficiencies on record, none at the harm level and none abuse-related. Quality scores are strong, though the inspection and staffing ratings both land mid-range.

B

84.5/100

Pleasant Valley Rehabilitation And Nursing

Little Rock, AR · Pulaski County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
55%
Serious cites
0

Pleasant Valley runs 4.04 nurse hours per resident per day, roughly 5% above the national average, and the quality measure score is strong. That staffing edge thins on weekends, though, when hours drop about 16% below the home's own weekday level. Annual turnover sits at 54.5% against a national 45.8%, so the people caring for residents keep changing. The current record shows 15 deficiencies from an April 2025 inspection, none at the harm or jeopardy level, but one abuse-related citation is on the books. This is a for-profit LLC with 97 beds. Steady weekday coverage and good clinical measures, but turnover and that abuse finding are what a family should ask about.

B

84.5/100

North Hills Life Care And Rehab

Fayetteville, AR · Washington County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
49%
Serious cites
0

North Hills Life Care And Rehab runs 92 certified beds in Fayetteville under corporate ownership, and its federal inspections are the strongest thing it has going: a five-star health inspection rating, eleven deficiencies on record with none at the harm or jeopardy level and none tied to abuse. The last inspection was in April 2026, so the picture is current. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, but weekends run roughly 24% below the home's own weekday level, worth asking about if your family tends to visit Saturday or Sunday. Annual turnover is 48.8%, a few points above the national 45.8%.

B

84.5/100

The Maples At Har-Ber Meadows

Springdale, AR · Washington County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
49%
Serious cites
0

The Maples At Har-Ber Meadows runs 140 certified beds in Springdale under for-profit LLC ownership, and its staffing sits just above the national average at 3.98 nurse hours per resident day against 3.86 nationally. That margin is thin, and weekends drop roughly 20% below the home's own weekday coverage, so the hours your family member gets depend heavily on which day it is. Staff turnover is 49.2%, higher than the 45.8% national figure, which means aides and nurses cycle through faster than average. The inspection record is cleaner than most: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was December 2025.

B

84.5/100

Brookside Healthcare Center

Redlands, CA · San Bernardino County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

Brookside runs on more nursing hours than most homes in the country, about 4.54 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 35.1% versus roughly 46% nationally. Weekend coverage dips about 15% below weekday levels, so ask how that plays out on a Sunday. The 32 deficiencies on record include none tied to harm, jeopardy, or abuse, and the most recent inspection was in October 2024. Corporate for-profit ownership, 97 beds. The weak spot is inspections, not care delivery; quality and staffing measures both sit well above average.

B

84.5/100

Advanced Health Care Of Colorado Springs

Colorado Springs, CO · El Paso County

CMS 5/5 34 beds For-profit
Nurse hours
5.43 /day
Staff turnover
53%
Serious cites
0

The staffing numbers here are genuinely better than most: 5.43 nurse hours per resident day against a national average of 3.86, which matters in a small 34-bed building. What tempers that is turnover at 53.3%, above the 45.8% national rate, and weekends running roughly 23% thinner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Inspections are recent and clean where it counts: five deficiencies on record, none at harm or jeopardy level and none abuse-related, with top marks on both the health inspection and quality measures. The lower staffing star reflects the churn, not the hours.

B

84.5/100

Torrington Center For Nursing & Rehabilitation Llc

Torrington, CT · Nw Hills County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
21%
Serious cites
0

Torrington Center runs a strong staffing operation, 4.51 nurse hours per resident day, roughly 17% above the national average, and its 21.1% turnover is less than half the national figure, which matters for continuity of care. CMS gives it 5 stars for staffing. But the inspection record tells a different story: 41 deficiencies, including one at the harm level and two abuse-related citations, and the last inspection wasn't recent. Quality measures sit at 2 stars, and weekend staffing drops about 16% below weekday levels, so coverage thins out when families tend to visit. For-profit, LLC-owned, 75 beds, a home where the day-to-day care capacity looks solid but the compliance record and clinical outcomes lag behind.

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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