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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 1401–1420 of 10,187, best-graded first.

B

84/100

Blue Heron Health And Rehabilitation

Wesley Chapel, FL · Pasco County

CMS 4/5 141 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Blue Heron runs about 4% more nursing hours per resident day than the national average, and its staff turnover sits slightly below average too, both signs of a fairly stable floor. The catch is weekends, when coverage drops roughly 11% off its own weekday pace. Sixteen deficiencies appear on the current record, though none rose to harm or jeopardy and none involved abuse; the last inspection was July 2025. Quality measures score well, staffing holds up, and inspections land in the middle. It's a for-profit LLC with 141 beds, so ask how the weekend shift is actually covered before you decide.

B

84/100

Maluhia

Honolulu, HI · Honolulu County

CMS 5/5 158 beds Government Medicaid
Nurse hours
4.14 /day
Staff turnover
30%
Serious cites
0

Maluhia is state-run, and its 4.14 nurse hours per resident day sit about 7% above the national average, but weekends run roughly 26% thinner than weekdays, which matters if your family visits then. Staff turnover is 29.6%, well below the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The record isn't spotless: 20 deficiencies, one at harm level, two tied to abuse, plus a single $8,278 fine. The most recent inspection was July 2025. Strong marks across all three CMS categories, real but limited findings underneath.

B

84/100

Yukio Okutsu State Veterans Home

Hilo, HI · Hawaii County

CMS 4/5 95 beds Government Medicaid
Nurse hours
4.64 /day
Staff turnover
60%
Serious cites
0

Yukio Okutsu State Veterans Home runs on a state government budget, which shows in the staffing: 4.64 nurse hours per resident day, roughly 20% above the national average. Weekends dip about 12% below its own weekday levels, so coverage isn't perfectly even. The trouble sits in the inspection record, 39 deficiencies, three serious enough to reach harm or jeopardy level, plus one fine of $13,049. Staff turnover of 60.3% is well above the 45.8% national figure, which matters for a 95-bed home where residents rely on consistent caregivers. Quality measures score well, but the last inspection was November 2024, and the deficiency count is the number families should ask about directly.

B

84/100

Hale Kupuna Heritage Home, Llc

Koloa, HI · Kauai County

CMS 4/5 84 beds For-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
30%
Serious cites
0

Hale Kupuna Heritage Home runs on strong staffing, 4.17 nurse hours per resident day, roughly 8% above the national average, and that's the main reason it earns top marks on CMS's staffing measure. Turnover sits at 29.5%, well below the national 45.8%, so the people caring for residents tend to stay. The tradeoff shows up in its record: 25 deficiencies, including one at the harm level and three tied to abuse, plus a $16,350 fine. Weekend staffing also drops about 11% from weekday levels, which is worth asking about. Its last inspection was March 2026, so the picture is current.

B

84/100

Memorial Care Center

Belleville, IL · St. Clair County

CMS 5/5 82 beds Non-profit Medicaid
Nurse hours
5.31 /day
Staff turnover
50%
Serious cites
0

Memorial Care Center runs on a nonprofit model with 82 certified beds, and the staffing numbers are the first thing worth noticing: 5.31 nurse hours per resident day, roughly 37% above the national average. That's a real cushion, and it shows up in the four-out-of-five staffing star. Weekend coverage dips about 11% below weekday levels, which isn't unusual but is worth asking about. Turnover sits at 49.5%, slightly above the national 45.8%. The inspection record is clean, four deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent inspection was in March 2026. Quality measures came in at three stars, the softest spot in the profile.

B

84/100

Village At Victory Lakes, The

Lindenhurst, IL · Lake County

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

The Village at Victory Lakes runs a nonprofit home in Lindenhurst with 120 certified beds, and its staffing is the strongest thing going for it, 4.13 nurse hours per resident day, about 7% above the national average, with weekend coverage dipping roughly 10% below its own weekday level. Turnover sits at 34.8%, meaningfully better than the 45.8% national figure, so the people caring for residents tend to stick around. The trouble is the inspection record: 27 deficiencies, six of them serious enough to reach harm or jeopardy, and five fines totaling $389,691. Quality and staffing measures both rate well, but the last inspection in March 2026 and the weight of those health citations pull the overall picture down.

B

84/100

Brickyard Healthcare - Brookview Care Center

Indianapolis, IN · Marion County

CMS 3/5 136 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
48%
Serious cites
0

Brickyard Healthcare - Brookview has 136 certified beds on Indianapolis's east side, and it's run by a for-profit corporation. Nurse staffing sits at 4.29 hours per resident day, roughly 11% above the national average, which is a real point in its favor, but the coverage thins out on weekends, dropping about 7% below its own weekday level. Staff turnover runs 48.2%, a bit above the national figure, and the inspection record shows 25 deficiencies, including one at the harm level and two tied to abuse, with a $12,740 fine. Its most recent inspection was in January 2026. The quality measure score looks strong, but that sits against a weaker inspection history.

B

84/100

Life Care Center Of Lagrange

Lagrange, IN · Lagrange County

CMS 5/5 87 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
49%
Serious cites
0

Life Care Center Of Lagrange runs about 3.71 nurse hours per resident each day, roughly 4% under the national average, and weekend coverage drops another 8% below what the home staffs on weekdays. Annual turnover sits at 49.1%, a few points above the national figure, so the aides and nurses your family sees may change fairly often. The record itself is cleaner than average: nine deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. A for-profit corporation owns the 87-bed building. Quality and health inspection scores are strong; staffing is the softer spot, especially on weekends.

B

84/100

Rawlins House Health & Living Community

Pendleton, IN · Madison County

CMS 5/5 110 beds Government Medicaid
Nurse hours
3.26 /day
Staff turnover
45%
Serious cites
0

Rawlins House is county-owned, which is unusual in Indiana, and its inspection record is stronger than most: a recent December 2025 survey, twelve deficiencies with none at the harm level. The catch is staffing. At 3.26 nurse hours per resident day, it runs roughly 15% under the national average, and weekends dip about 9% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover sits at 44.8%, essentially the national rate. One abuse-related deficiency is on the books. Quality measures score well, but that data comes from the building's own reporting. If you're considering it, ask how the weekend shift is actually covered.

B

84/100

St Charles Health Campus

Jasper, IN · Dubois County

CMS 5/5 68 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
40%
Serious cites
0

St. Charles Health Campus runs 68 certified beds in Jasper under corporate ownership, and its inspection record is a mixed bag: ten deficiencies on file, one of them serious enough to cause actual harm, with zero tied to abuse. The last full survey came in June 2024. Staffing sits at 3.77 nurse hours per resident day, a hair under the national average, and weekends run about 14 percent lighter than weekdays, that's the gap that matters most when a family member needs help on a Saturday. Turnover is 40.3 percent, better than the 45.8 percent norm, so the crew is steadier than most. Federal quality measures score at the top of the scale.

B

84/100

Thornton Terrace Health Campus

Hanover, IN · Jefferson County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
40%
Serious cites
0

Thornton Terrace runs a tight ship on inspections, a recent September 2025 survey and 12 deficiencies on the books, none of them serious enough to cause harm and none tied to abuse. Turnover sits at 40%, which is actually better than the 45.8% national average, and that kind of stability shows up in resident care. The catch is staffing hours: 3.83 per resident day, about a percentage point under the national figure, and weekends drop roughly 11% below what the home staffs during the week. If your family member needs help on a Saturday, that gap is worth asking about directly. Corporate-owned and 55 beds.

B

84/100

Hampton Oaks Health Campus

Scottsburg, IN · Scott County

CMS 5/5 71 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
39%
Serious cites
0

Hampton Oaks sits in Scottsburg with 71 certified beds under corporate ownership. The numbers here lean mostly positive: nurse staffing runs about 4.03 hours per resident day, slightly above the national average, and weekend coverage drops roughly 10% from weekday levels. Staff turnover is 39%, lower than the 45.8% national figure, which matters for consistency of care. Inspections look clean, four deficiencies on record, none at harm or jeopardy level, though one is abuse-related. Both the health inspection and quality measure ratings are 5/5, while staffing comes in at 4/5, suggesting room to improve on the floor. The most recent inspection was March 2026, so the record is current. That abuse-related deficiency is the one flag worth asking about directly.

B

84/100

Aspen Place Health Campus

Greensburg, IN · Decatur County

CMS 4/5 64 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
37%
Serious cites
0

Aspen Place runs on more nursing hours than most homes, about 4.2 per resident per day, roughly 9% above the national figure, and its staff tends to stay, with turnover at 37% against a national average near 46%. The trade-off shows up in the inspection record: 28 deficiencies, including one at the harm level and one tied to abuse, which is why a home with strong staffing and a top quality-measure score lands at a solid-but-not-clean grade. Weekend coverage also dips about 11% below its own weekday level, worth asking about if your family visits Saturdays or Sundays.

B

84/100

Wellbrooke Of Westfield

Westfield, IN · Hamilton County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
46%
Serious cites
0

Wellbrooke Of Westfield runs on good staffing, 4.28 nurse hours per resident day sits about 11% above the national average of 3.86, and that shows in the 4/5 staffing star rating. Weekend coverage dips roughly 10% below weekday levels, so care can thin out on Saturdays and Sundays, and turnover at 46% is essentially the national rate. The 19 deficiencies on record include one abuse-related citation, but none rose to harm or jeopardy, and the last inspection came in March 2026. Quality measures earn 5/5, inspections 4/5. What holds this home back from the top of the range is that abuse flag and the volume of smaller findings, not the day-to-day staffing.

B

84/100

Wellbrooke Of South Bend

South Bend, IN · St. Joseph County

CMS 4/5 70 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
41%
Serious cites
0

Wellbrooke Of South Bend runs on county money, and the staffing reflects that: 4.31 nurse hours per resident day, about 12% above the national average. Weekends dip roughly 11% below its own weekday level, so the coverage you see on a Tuesday isn't quite what you get on a Saturday. Turnover sits at 40.7%, better than the 45.8% national figure but still meaning four in ten caregivers left last year. The record shows 17 deficiencies, one serious enough to involve harm, no abuse findings, and the last inspection was April 2026. The quality measures look strong; the inspection side is where the caution lives.

B

84/100

Good Samaritan - Holstein

Holstein, IA · Ida County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
33%
Serious cites
0

Good Samaritan, Holstein runs 60 certified beds as a nonprofit, and its nursing hours come in around 3.35 per resident day, roughly 13% under the national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That thinner weekend floor matters because the home carries 24 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse, plus a $99,103 fine. Staff turnover of 33.3% is meaningfully better than the 45.8% national figure, and its quality measure score is strong, but a recent inspection with that many open findings is what holds the overall picture back.

B

84/100

Good Samaritan - Ottumwa

Ottumwa, IA · Wapello County

CMS 2/5 126 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
31%
Serious cites
0

Good Samaritan in Ottumwa runs 126 certified beds as a nonprofit, and its staffing sits a bit under the national average, 3.63 nurse hours per resident day against 3.86, with weekends about 8% lighter than weekdays. That modest shortfall is worth knowing if your family member needs help on Saturdays and Sundays. What stands out more is retention: turnover of 31.2% against a national 45.8% means aides and nurses tend to stay, which usually translates into more consistent care. But the inspection record carries real weight: 33 deficiencies, three at harm or jeopardy level, two tied to abuse, and $91,569 in fines across two penalties. The most recent inspection was December 2025. Quality and staffing both rate 4 out of 5; health inspections come in at 3.

B

84/100

Diversicare Of Larned

Larned, KS · Pawnee County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
52%
Serious cites
0

Diversicare Of Larned holds 80 certified beds in Pawnee County, and its inspection record is the strongest thing it has going: 19 deficiencies on the current record with none at the harm level and none tied to abuse, from an inspection dated January 8, 2026. Staffing tells a different story. At 3.40 nurse hours per resident day, it runs about 12 percent under the national average, and weekends drop roughly 13 percent below its own weekday numbers. Annual turnover of 52.1 percent sits above the 45.8 percent national figure, so aides cycling out is a real pattern here, not a one-off. The corporate for-profit owner keeps quality measures high, but thin weekend coverage is worth asking about directly.

B

84/100

Life Care Center Of Kansas City

Kansas City, KS · Wyandotte County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
52%
Serious cites
0

Life Care Center of Kansas City runs on thinner nurse coverage than most homes, 3.48 hours per resident day against a national average of 3.86, and weekends drop about 15% below its own weekday levels. That staffing pattern comes with 52.2% annual turnover, higher than the 45.8% national figure, which means the people caring for residents keep changing. The inspection record shows 61 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse; the last survey was in August 2025, so the picture is reasonably current. The quality measure scores look strong and the health inspection score doesn't, which is a split worth asking about directly when you visit.

B

84/100

Montgomery Place Nursing Center

Independence, KS · Montgomery County

CMS 4/5 43 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
25%
Serious cites
0

Montgomery Place runs on 3.91 nurse hours per resident day, a hair above the national average of 3.86, but weekend coverage dips about 9% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. The bigger story is staff retention: 25% annual turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters more for daily care than a marginal staffing edge. Sixteen deficiencies sit on the current record, none at the harm level and none abuse-related, and the last inspection came in February 2025. This for-profit LLC home carries a 4/5 inspection rating. Solid, not spotless.

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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