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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 1361–1380 of 10,187, best-graded first.

B

84/100

The Grove Post-Acute

Woodland, CA · Yolo County

CMS 4/5 140 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
41%
Serious cites
0

The Grove Post-Acute runs on a for-profit LLC structure with 140 certified beds in Woodland, and its staffing numbers land slightly above the national average, about 4.07 nurse hours per resident day versus 3.86 nationally. That edge shrinks on weekends, when coverage drops roughly 8% below its own weekday level, though turnover at 40.6% sits under the national 45.8%, which matters for whether care stays consistent. The inspection record shows 45 deficiencies, none at harm or jeopardy level, but six tied to abuse, a pattern worth asking about directly. State inspectors last visited in May 2026, and the home earns 4 out of 5 stars across health inspections, quality measures, and staffing.

B

84/100

Brookfield Healthcare Center

Downey, CA · Los Angeles County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
36%
Serious cites
0

Brookfield Healthcare Center runs 4.02 nurse hours per resident day, about 4% above the national average, though weekends dip roughly 8% below its own weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 36.4%, meaningfully better than the 45.8% national figure, which matters for whether your parent sees the same aides month to month. The tradeoff shows up in the inspection record: 27 deficiencies, one serious enough to reach harm or jeopardy level, though none abuse-related. A 4-out-of-5 inspection rating and a December 2025 survey suggest the home has been correcting problems, but that one harm-level finding is the number to press them on directly.

B

84/100

Canyon Springs Post-Acute

San Jose, CA · Santa Clara County

CMS 4/5 199 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
32%
Serious cites
0

Canyon Springs Post-Acute runs 199 certified beds in San Jose under for-profit LLC ownership, and its nurse staffing sits at 3.69 hours per resident day, about 5% under the national average of 3.86. Weekend coverage dips roughly 4% below its own weekday levels, so the thinnest shifts come when families tend to visit. Turnover is the bright spot: 31.6% against a national 45.8% means the aides and nurses here stick around longer than most, which matters for residents who need consistent hands. The inspection record is where caution creeps in, 53 total deficiencies, one at harm or jeopardy level and one abuse-related, though the most recent survey was May 2025, so that picture is fairly current.

B

84/100

Pacific Heights Transitional Care Center

San Francisco, CA · San Francisco County

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

Pacific Heights Transitional Care Center runs on 4.09 nurse hours per resident day, roughly 6% above the national average, though weekends drop about 9% below its own weekday staffing. Staff turnover sits at 42%, a bit better than the 45.8% national figure. The record shows 27 deficiencies, none involving harm or abuse, along with one fine of $25,490, and the most recent inspection was March 13, 2026. This is a for-profit LLC with 120 certified beds and a 4-out-of-5 inspection rating. What stands out most is the combination of steady weekday coverage, no harm-level findings, and turnover that beats the norm.

B

84/100

Mission Carmichael Healthcare Center

Carmichael, CA · Sacramento County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
39%
Serious cites
0

Mission Carmichael runs 135 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.04 hours per resident day, roughly 5% above the national figure of 3.86. Weekends dip about 7% below the home's own weekday coverage, so if your visits fall on a Saturday or Sunday, expect a thinner floor than midweek. Staff turnover comes in at 38.5%, which is meaningfully better than the 45.8% national average; that kind of retention usually shows up in how well aides know the residents. The weight on the other side is the record: 53 deficiencies, 2 tied to abuse, and a 2/5 inspection rating. None of those deficiencies were cited at the harm or jeopardy level, and the most recent inspection was March 2025, recent enough to be worth reading in full before you decide.

B

84/100

Heritage Rehabilitation Center

Torrance, CA · Los Angeles County

CMS 2/5 161 beds For-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
31%
Serious cites
0

Heritage Rehabilitation Center sits in Torrance with 161 certified beds, run by a for-profit LLC. The staffing numbers look strong on paper, 4.65 nurse hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 10% below weekdays, and turnover at 30.5% beats the national 45.8%. But the inspection record tells a different story: a 1-out-of-5 health inspection rating, 59 deficiencies on file, five at harm or jeopardy level, three tied to abuse, and $38,687 in fines across three penalties. The most recent inspection was June 13, 2025. Good staffing can't offset that pattern of serious findings.

B

84/100

Walnut Creek Skilled Nursing & Rehabilitation Cent

Walnut Creek, CA · Contra Costa County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
5.47 /day
Staff turnover
32%
Serious cites
0

Walnut Creek Skilled Nursing & Rehabilitation Cent runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 5.47 hours per resident day, roughly 42% above the national average of 3.86. That's a real cushion, though weekend coverage dips about 9% below its own weekday level. Staff turnover comes in at 32.1%, meaningfully below the 45.8% national figure, which suggests less churn than many homes. The trade-off shows up in its record: 57 deficiencies, none at harm or jeopardy level but two tied to abuse, with a 3/5 health inspection rating against 4/5 for quality measures. Its last inspection was June 13, 2025.

B

84/100

Sundance Skilled Nursing And Rehabilitation

Colorado Springs, CO · El Paso County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.11 /day
Staff turnover
43%
Serious cites
0

Sundance Skilled Nursing in Colorado Springs runs 68 beds under for-profit LLC ownership, and its nurse staffing sits around 3.11 hours per resident day, roughly 19% under the national average, with weekends dipping another 14% below its own weekday levels. The current inspection record shows 27 deficiencies, one serious enough to reach harm or jeopardy, plus a single fine of $14,901; that inspection was recent, dated February 2026. Turnover lands at 42.9%, slightly better than the 45.8% national figure, and CMS gives it 4 stars each for staffing and quality measures but only 2 for health inspections. The gap between those marks is the real story here: enough hands on most shifts, but a survey history that keeps finding problems.

B

84/100

Western Hills Health Care Center

Lakewood, CO · Jefferson County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
43%
Serious cites
0

Western Hills runs a tight inspection record, zero deficiencies at the harm or jeopardy level, and the most recent state visit came in late February 2024. The catch is the abuse-related citations: four of them sit on the current record, which is worth asking about directly, since those don't require actual harm to be written up. Nurse staffing sits at 3.74 hours per resident day, a bit under the national average, and weekends drop about 12% below the home's own weekday coverage, a pattern families notice on Saturday afternoons. Turnover at 42.7% is slightly better than the national figure, and the corporate owner is for-profit, so ask where the money goes.

B

84/100

Good Samaritan Society -- Fort Collins Village

Fort Collins, CO · Larimer County

CMS 4/5 64 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
38%
Serious cites
0

Good Samaritan Society's Fort Collins Village runs 64 certified beds as a nonprofit, and its three CMS star ratings, health inspections, quality measures, and staffing, all sit at 4 out of 5. On paper, the staff hours tell a more mixed story: 3.49 hours per resident per day is about 9% under the national average of 3.86, and weekends run roughly 13% lighter than weekdays. Turnover, though, is a genuine bright spot at 38.2% against a national 45.8%. The inspection record is clean where it counts, 9 deficiencies, none at harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025.

B

84/100

Garden Terrace Alzheimer's Center Of Excellence

Aurora, CO · Arapahoe County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
32%
Serious cites
0

Garden Terrace runs 120 certified beds in Aurora under corporate for-profit ownership, and the staffing numbers hold up reasonably well, 3.92 nurse hours per resident day sits just above the national average, and turnover at 31.6% is well below the 45.8% typical elsewhere, which matters for whether your family sees the same faces month to month. Weekend coverage drops about 10% from weekday levels, so visit timing is worth thinking about. Inspections came back at 4 of 5 stars and the most recent was May 2025, but the record shows 12 deficiencies, 4 of them abuse-related, none at harm or jeopardy level. That mix is the real story here.

B

84/100

Life Care Center Of Colorado Springs

Colorado Springs, CO · El Paso County

CMS 5/5 121 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
44%
Serious cites
0

Life Care Center of Colorado Springs runs on more nursing hours than most homes, 4.16 per resident day against a national average of 3.86, and that staffing holds up reasonably well on weekends, dipping about 12% rather than collapsing. Turnover sits at 43.8%, a hair better than the national 45.8%, so the faces here aren't churning quite as fast as elsewhere. The catch is the inspection record: 10 deficiencies, two of them serious enough to put residents at real risk of harm, and $45,171 in fines. A February 2026 inspection is recent enough to take seriously. Strong daily care, but the mistakes that did occur were not minor ones.

B

84/100

Coal Creek Post Acute & Assisted Living

Lafayette, CO · Boulder County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
5.64 /day
Staff turnover
62%
Serious cites
0

Coal Creek runs a genuinely strong staffing operation, 5.64 nurse hours per resident day, roughly 46% above the national average, and its inspection and quality measure ratings both hold up well, with a recent inspection in August 2025. The catch is who stays. Annual turnover of 62.2% is well above the national 45.8%, which means a lot of the hands providing that above-average care are still learning the building, and weekend coverage dips about 9% below weekday levels. Twenty-two deficiencies sit on the record, one of them serious enough to involve harm or jeopardy, though none are abuse-related. It's a for-profit corporate home that's doing the hard part right on paper.

B

84/100

Center At Northridge, Llc, The

Westminster, CO · Adams County

CMS 5/5 96 beds For-profit
Nurse hours
4.77 /day
Staff turnover
41%
Serious cites
0

The Center at Northridge runs 4.77 nurse hours per resident day, about 23% above the national average of 3.86, and turnover sits at 40.7%, lower than the 45.8% national figure. Weekend staffing dips roughly 12% below its own weekday levels, a gap worth asking about if your family visits on Saturdays or Sundays. Its current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in April 2024. This is a for-profit LLC with 96 certified beds, and the state survey history is where it separates itself: a five-star inspection rating and a five-star quality measure rating, though staffing comes in at four.

B

84/100

Cheshire House Health Care Facility & Rehab Center

Waterbury, CT · Naugatuck Vly County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
34%
Serious cites
0

Cheshire House runs 75 beds in Waterbury under for-profit LLC ownership, and its staffing sits right at the line, 3.83 nurse hours per resident day against a national average of 3.86, close enough that the difference won't mean much day to day. What matters more is the shape of it: weekends run about 15% leaner than weekdays, so a Saturday shift isn't the same as a Tuesday one. Turnover at 33.8% is well below the 45.8% national figure, which suggests the staff who are there tend to stay. The record shows 56 deficiencies, 11 tied to abuse, none at the harm level. Inspectors last visited in April 2025.

B

84/100

Complete Care At Hillside Llc

Wilmington, DE · New Castle County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
4.14 /day
Staff turnover
45%
Serious cites
0

Complete Care At Hillside runs 4.14 nurse hours per resident day, about 7% above the national average, though weekend coverage dips roughly 9% below its own weekday staffing. The 35 deficiencies on record include one abuse-related finding, but none at the harm or jeopardy level, and the most recent inspection was in February 2025. Staff turnover of 45.1% is essentially the national rate. The quality measure side looks strong; the inspection history and a for-profit limited liability company structure are the drags. If you're considering it, ask how the abuse-related deficiency was resolved and what weekend coverage actually looks like on the floor.

B

84/100

Complete Care At Silver Lake Llc

Dover, DE · Kent County

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

Complete Care at Silver Lake is a for-profit LLC home in Dover with 120 certified beds. Nurse staffing runs 3.75 hours per resident day, about 3% under the national average, and weekends drop roughly 11% below the home's own weekday coverage, so the hours thin out exactly when families tend to visit. Turnover is the relative bright spot at 34.5%, well below the 45.8% national figure, though the inspection record carries 30 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $47,541 fine. The last inspection was January 2026, so that record is recent.

B

84/100

Terraces Of Lake Worth Care Center And Rehab

Lake Worth, FL · Palm Beach County

CMS 4/5 91 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
19%
Serious cites
0

Terraces of Lake Worth runs lean on nursing hours, 3.37 per resident day, about 13% under the national average, and weekends dip a bit further below its own weekday level, which matters because that's when families often visit and see less help on the floor. What offsets that is stability: 18.5% annual turnover is less than half the national rate, so the aides and nurses you meet are more likely to still be there next year. The inspection record is modest but clean where it counts, 14 deficiencies, none causing harm, none abuse-related, with a June 2025 survey. Quality measures score well even as staffing sits mid-range.

B

84/100

Ventura Health And Rehabilitation Center

Boynton Beach, FL · Palm Beach County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
22%
Serious cites
0

Ventura Health And Rehabilitation Center runs 99 certified beds in Boynton Beach under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, roughly 8% under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, so the weakest shifts land when families tend to visit. Turnover is the standout: 22.1% against a national average near 46%, meaning aides and nurses here tend to stay. Inspections in April 2025 turned up 38 deficiencies, two serious enough to involve harm or jeopardy, none abuse-related. Quality and staffing each earned 4 of 5 stars from CMS, health inspection 3.

B

84/100

Lakeside Health Center

West Palm Beach, FL · Palm Beach County

CMS 4/5 107 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
30%
Serious cites
0

Lakeside Health Center runs about 107 certified beds in West Palm Beach under corporate for-profit ownership, and its staffing sits roughly 8% under the national average at 3.56 nurse hours per resident day. Weekends dip another 10% below its own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 30% against a national 45.8% means aides and nurses tend to stick around, and stability matters more than raw hours for daily care. The inspection record shows 15 deficiencies, none at harm or jeopardy level, though three are abuse-related and deserve a direct question. Last inspected December 2025, so the record is recent.

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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