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 1421–1440 of 10,187, best-graded first.

B

84/100

Signature Healthcare At Hillcrest

Owensboro, KY · Daviess County

CMS 3/5 156 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
33%
Serious cites
0

Signature Healthcare at Hillcrest runs 156 certified beds in Owensboro under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national figure, and weekends dip about 14% below what the home itself staffs on weekdays, worth asking about if your relative needs more help on Saturdays and Sundays. Turnover is the bright spot: 33.3% against a national 45.8% means aides and nurses are staying longer than at the typical home. Three deficiencies on record, none involving harm or abuse, and an inspection from May 2026 keeps the regulatory picture current.

B

84/100

Franciscan Health Care Center

Louisville, KY · Jefferson County

CMS 3/5 87 beds For-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
44%
Serious cites
0

Franciscan Health Care Center runs 87 certified beds in Louisville under corporate 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 7% below weekday levels, and annual turnover of 43.6% is slightly better than the 45.8% national figure, so the floor is mostly covered but the faces change often. The state inspection record is the weak spot: 13 deficiencies, one tied to abuse, and a 2-out-of-5 inspection rating, though none reached actual harm or jeopardy. The last survey was December 2025. Quality measures score well, but staffing and inspection results pull the overall picture down.

B

84/100

Providence Pointe Healthcare

Paducah, KY · Mc Cracken County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
42%
Serious cites
0

Providence Pointe in Paducah runs about 4.02 nurse hours per resident per day, a bit above the national average of 3.86, but weekend coverage drops roughly 12% below what the home staffs on weekdays. Turnover sits at 41.7%, slightly better than the 45.8% national figure, which matters for whether aides know the residents. Nine deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated December 2025. It's a for-profit corporate home, so watch staffing consistency on weekends as the thing most likely to affect day-to-day care.

B

84/100

Prestonsburg Health Care Center

Prestonsburg, KY · Floyd County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
44%
Serious cites
0

Prestonsburg Health Care Center runs 56 certified beds under for-profit limited liability ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 10% below the home's own weekday levels. Staff turnover is 44.2%, just under the national 45.8%. The inspection record is the strongest part: a 5/5 health inspection rating, a 5/5 quality measure rating, only 4 deficiencies on file, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated August 2025. Staffing stars come in at 4/5.

B

84/100

The Willows At Springhurst

Louisville, KY · Jefferson County

CMS 3/5 52 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
39%
Serious cites
0

The Willows At Springhurst runs 4.32 nurse hours per resident per day, roughly 12% above the national average, and weekend coverage dips about 12% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 38.6%, better than the 45.8% national figure, which suggests the aides and nurses here tend to stay. The health inspection record is the weak spot: 11 deficiencies, though none reached harm or jeopardy level and none involved abuse, with the most recent inspection in December 2025. Quality measures score well while inspection history drags.

B

84/100

Sanders Ridge Health Campus

Mount Washington, KY · Bullitt County

CMS 5/5 56 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
41%
Serious cites
0

Sanders Ridge runs about 3.82 nurse hours per resident day, a hair under the national average of 3.86. That number dips roughly 10% on weekends, so families should ask who's actually on the floor Saturday and Sunday. Staff turnover sits at 40.7%, better than the 45.8% national figure, which matters for consistency of care. The record shows 3 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. The last inspection was May 2025, and the quality measure rating of 5/5 suggests clinical outcomes track well. It's a for-profit corporation with 56 beds, small enough that you can press for straight answers.

B

84/100

Magnolia Manor Nursing And Rehab Ctr, Llc

Shreveport, LA · Caddo County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
30%
Serious cites
0

Magnolia Manor runs 98 certified beds in Shreveport under for-profit LLC ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekends get thinner still, about 12% below the home's own weekday coverage, so families should ask who's actually on the floor on a Saturday. Turnover is the one number that stands out favorably: 29.6% against a national average of 45.8%, meaning the aides and nurses here tend to stay. The inspection record is the concern, 13 deficiencies, three at harm or jeopardy level and three abuse-related, with $36,566 in fines across three penalties and a survey completed March 4, 2026.

B

84/100

Willowbrooke Court Skilled Care Center Fairhaven

Sykesville, MD · Carroll County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
51%
Serious cites
0

Willowbrooke Court runs a nonprofit shop in Sykesville with 79 certified beds, and the nursing hours here beat the national average by roughly 17 percent, 4.51 per resident day against 3.86. That's real coverage, though weekends dip about 12 percent below the home's own weekday pace, so ask how that plays out on a Sunday. Staff turnover sits at 51.1 percent, a bit above the 45.8 percent national figure. The inspection record is the part that gives me pause: 32 deficiencies, one at harm or jeopardy level, four tied to abuse, with the last survey in July 2025.

B

84/100

Homewood Living Williamsport

Williamsport, MD · Washington County

CMS 3/5 82 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
32%
Serious cites
0

Nurse staffing at Homewood Living Williamsport runs 4.04 hours per resident day, a little above the national average, though weekends dip roughly 10% below the home's own weekday coverage, so the weekday number isn't quite what a Saturday looks like. Staff turnover of 31.9% is well below the national 45.8%, which matters for whether aides know the residents. The inspection record is the harder part: 30 deficiencies, including four at the harm level and four tied to abuse, plus a $42,266 fine. The most recent inspection was in January 2026. This is a nonprofit corporation with 82 beds, and the quality and staffing ratings both sit at 4 out of 5, the concerns are concentrated on the health inspection side.

B

84/100

Lorien Bulle Rock

Havre De Grace, MD · Harford County

CMS 5/5 78 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Lorien Bulle Rock runs 78 certified beds in Havre De Grace under corporate ownership, and its last inspection was July 1, 2025, recent enough that the record reflects current conditions. The 33 deficiencies on file include three tied to abuse, though none rose to harm or jeopardy level, which matters more than the raw count. Nurse staffing sits at 3.92 hours per resident day, barely above the 3.86 national average, and weekends drop about 12% below the home's own weekday coverage, a gap families should ask about directly. Turnover at 44.3% is essentially the national rate, so continuity of caregivers isn't a strength here.

B

84/100

Dexter House Healthcare

Malden, MA · Middlesex County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
21%
Serious cites
0

Dexter House runs 3.37 nursing hours per resident each day, roughly 13% under the national average, and weekends dip about 10% below its own weekday levels. That said, turnover sits at 21.1% against a national average of 45.8%, a notably stable workforce for a for-profit LLC, which matters because consistent staff know residents' routines. The tradeoff shows in the inspection record: 20 deficiencies, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in September 2025. Quality and staffing measures both come in at 4 stars, health inspections at 3. If you're weighing this one, ask how weekends are covered and what that abuse citation involved.

B

84/100

Bay Path At Duxbury Nursing & Rehabilitation Ctr

Duxbury, MA · Plymouth County

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

Bay Path At Duxbury runs a tight ship on the clinical side. The state surveyors gave it a five-star health inspection rating, and its record shows just four deficiencies, none of them at the harm or jeopardy level and none abuse-related. Inspectors were last in on July 18, 2025, so the picture is recent. Where it gives some ground is bedside time: 3.73 total nurse hours per resident day sits about 3% under the national 3.86, and weekends dip roughly 8% below its own weekday staffing. Turnover, at 42.3%, is actually a bit better than the 45.8% national figure. A for-profit LLC with solid inspections but lean hours, worth asking how weekends feel.

B

84/100

St Mary Health Care Center

Worcester, MA · Worcester County

CMS 2/5 172 beds Non-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
31%
Serious cites
0

St Mary Health Care Center runs 172 certified beds in Worcester under nonprofit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.54 hours per resident day, roughly 8 percent under the national average of 3.86, and weekends dip about 5 percent below the home's own weekday coverage. Where it stands out is retention: 30.6 percent turnover against a national average of 45.8 percent, which suggests a steadier workforce than most. The tradeoff shows up in oversight, 27 deficiencies on the current record, one serious enough to involve harm or jeopardy, plus a single $8,788 fine. The most recent inspection was April 14, 2026, so the picture is current.

B

84/100

Alliance Health At Baldwinville

Baldwinville, MA · Worcester County

CMS 4/5 94 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Alliance Health At Baldwinville runs on a nonprofit model with 94 certified beds, and its staffing sits at 3.75 nurse hours per resident day, just under the national average of 3.86. The bigger thing to watch is weekends, when coverage drops about 13% below what the home staffs on weekdays. Turnover comes in at 42.7%, a touch better than the national 45.8%. The current inspection record shows 10 deficiencies, none at the harm or jeopardy level and none tied to abuse, and the last visit was recent, January 2026. All three CMS star categories land at 4 out of 5. Nothing here raises a red flag; the weekend gap is the detail worth asking the administrator about directly.

B

84/100

Sacred Heart Nursing Home

New Bedford, MA · Bristol County

CMS 5/5 217 beds Non-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
27%
Serious cites
0

Sacred Heart runs a tight ship on the staffing side. Nurse coverage sits at 3.86 hours per resident day, essentially the national average, but the weekend dip is only about 7%, which is smaller than what a lot of homes show. Turnover is the real standout: 27.3% against a national average of 45.8%, meaning far fewer people are cycling out the door. The tradeoff shows up in the record. Nineteen deficiencies on file, none at harm or jeopardy level, but one is abuse-related, so ask about that specifically. The last inspection was August 2025, and a 4-star health inspection rating suggests the surveyors didn't find anything serious. Quality measures land midrange at 3 stars.

B

84/100

Care One At New Bedford

New Bedford, MA · Bristol County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
30%
Serious cites
0

Care One At New Bedford runs a 154-bed for-profit operation where the nursing hours come in around 3.60 per resident day, roughly 7% under the national average, and weekends dip about 10% below what the home staffs on weekdays. Turnover sits at 29.9%, well under the national 45.8%, which suggests people stick around longer here than at many places. The trade-off shows up in the record: 29 deficiencies, one tied to abuse, though none rose to harm or jeopardy level. Inspectors were last in on August 5, 2025. The staffing rating and the stable workforce are real strengths; the survey history is what keeps this from scoring higher.

B

84/100

Alliance Health At Marina Bay

Quincy, MA · Norfolk County

CMS 3/5 167 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
38%
Serious cites
0

Alliance Health At Marina Bay is a nonprofit home in Quincy with 167 beds, and its staffing sits slightly above the national average, 3.99 nurse hours per resident day versus 3.86. That edge narrows on weekends, when coverage runs about 10% under its own weekday level, so the weekday-to-weekend gap is worth asking about directly. Staff turnover comes in at 37.7%, below the national 45.8%, which suggests people tend to stay. Against that, the current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and four abuse-related. The most recent inspection was in November 2025, so the picture is recent.

B

84/100

South Lyon Senior Care And Rehab Center

South Lyon, MI · Oakland County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
36%
Serious cites
0

South Lyon Senior Care runs 74 beds under corporate ownership, and its inspection record carries 12 deficiencies, two of them serious enough to involve harm or jeopardy, plus one tied to abuse. That's the piece worth weighing hardest, even though the most recent inspection came in April 2026. Staffing tells a mixed story: turnover at 36% beats the 45.8% national rate, and CMS gives the home its top staffing mark, but the actual hours per resident day sit at 3.61 against a 3.86 national average. Weekends drop roughly 15% below weekday coverage, which matters if your family visits or calls on Saturdays and Sundays.

B

84/100

Wellbridge Of Grand Blanc

Grand Blanc, MI · Genesee County

CMS 4/5 128 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
41%
Serious cites
0

Wellbridge of Grand Blanc runs 128 certified beds under individual for-profit ownership, and the staffing picture here is genuinely strong, 3.97 nurse hours per resident day, slightly above the national average, with turnover at 41.3% compared to 45.8% nationally. Weekend coverage does dip about 10% below weekday levels, which is worth asking about if your family visits on Saturdays or Sundays. The trouble sits on the inspection side: 41 deficiencies on the current record, two of them serious enough to involve harm or jeopardy, one tied to abuse, and a $33,647 fine. A 2-out-of-5 health inspection rating against 5s for staffing and quality measures tells you the daily care may be solid while the building's compliance history is not.

B

84/100

Christian Park Village

Escanaba, MI · Delta County

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

Christian Park Village in Escanaba runs about 3.49 nurse hours per resident per day, roughly 10% under the national average of 3.86, and weekend coverage drops another 8% below what the home staffs during the week. Turnover sits at 44.6%, essentially in line with the 45.8% national figure. The stronger news is on inspections: five deficiencies on record, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in December 2025. Five stars each on health inspections and quality measures, four on staffing. For-profit corporate ownership. What holds this home back is the daily staffing margin, not its care record.

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