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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 1441–1460 of 10,187, best-graded first.

B

84/100

Glacier Hills

Ann Arbor, MI · Washtenaw County

CMS 5/5 105 beds Non-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
—
Serious cites
0

Glacier Hills runs on more nursing hours than most homes in the country, 4.71 per resident day against a national average of 3.86, and that gap shows up where it matters, since the place hasn't logged a single deficiency tied to harm or abuse. The catch is weekends, when staffing drops roughly 17 percent below its own weekday level, so the coverage your family sees on a Tuesday isn't quite what shows up on a Sunday. Thirteen deficiencies sit on the record, none serious, and the last full inspection was recent enough to trust. It's a nonprofit with steady numbers across staffing and quality measures, and 105 beds is small enough that you're not a room number.

B

84/100

South Haven Nursing And Rehabilitation Community

South Haven, MI · Van Buren County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
44%
Serious cites
0

South Haven Nursing and Rehabilitation runs 70 certified beds under a for-profit limited liability company, and its 3.27 nurse hours per resident day sit about 15% below the national average of 3.86. Weekend staffing drops roughly 12% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 44.4% is essentially the national rate of 45.8%, meaning this isn't a retention problem so much as a coverage one. The inspection record is where the real concern lives: 48 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection on December 17, 2025. Federal ratings give this home 2 out of 5 stars for health inspections but 4 for quality measures and 4 for staffing.

B

84/100

Regency On The Lake - Fort Gratiot

Fort Gratiot, MI · St. Clair County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
19%
Serious cites
0

The staffing picture at Regency On The Lake is a mixed one worth understanding. Nurses provide 3.70 hours of care per resident each day, which sits about 4% under the national average, and weekends run roughly 12% leaner than weekdays, so coverage dips when it's already thinnest. The standout number is turnover: 19.3% versus a national average of 45.8%, meaning this home keeps its caregivers far longer than most, which tends to matter for consistency of care. On the regulatory side, a 5/5 inspection rating and a clean record on harm and abuse, with 13 total deficiencies and a recent July 2025 inspection, suggest the building runs tight.

B

84/100

The Oaks At Byron Center

Byron Center, MI · Kent County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
44%
Serious cites
0

The Oaks At Byron Center runs about 4.08 nurse hours per resident per day, roughly 6% above the national average, though weekends dip about 10% below its own weekday staffing. Staff turnover sits at 44.3%, which is essentially the national rate rather than an outlier in either direction. On its current record it carries 16 deficiencies, none at the harm or jeopardy level and none abuse-related, and its most recent inspection was in December 2025. For a 60-bed for-profit corporate home, the mix is a solid inspection history paired with above-average staffing, offset by a weekend drop and a turnover rate that suggests steady churn rather than stability.

B

84/100

Hickory Ridge Of Temperance

Temperance, MI · Monroe County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
28%
Serious cites
0

Hickory Ridge of Temperance runs on numbers that mostly hold up. Nurse staffing sits at 3.95 hours per resident day, a hair above the national average of 3.86, though weekends run about 11% thinner than weekdays, worth asking about if your family visits on Saturdays. The bigger story is turnover: 28.4% against a national average of 45.8%, which means caregivers here tend to stay, and that continuity matters more than most families realize. Inspections are recent (March 2025) and clean at the serious end, 11 deficiencies on record, none causing harm or jeopardy, none abuse-related. Quality measures score mid-range, and this is a for-profit corporate home. Solid, not flawless.

B

84/100

Novi Lakes Health Campus

Novi, MI · Oakland County

CMS 4/5 54 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
39%
Serious cites
0

Novi Lakes runs a 54-bed for-profit home in Oakland County, and the staffing picture is the main thing to know: 4.18 nurse hours per resident day, roughly 8% above the national average. Turnover sits at 38.8%, which is meaningfully better than the 45.8% national figure, steadier crews usually mean residents see familiar faces. Weekend staffing drops about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record shows 20 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. That's worth asking about directly. A recent May 2025 inspection means the record is current.

B

84/100

Orchard Grove Health Campus

Romeo, MI · Macomb County

CMS 5/5 55 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
36%
Serious cites
0

Orchard Grove runs a for-profit, 55-bed building in Romeo, and the numbers are decent without being remarkable. Nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends drop about 15% below its own weekday coverage, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 35.7% is meaningfully better than the 45.8% national figure, and the inspection record shows a 4-star rating with a recent May 2025 survey, eight deficiencies total, and one serious enough to reach harm or jeopardy level. No abuse citations. The 5-star quality measures look strong, but quality scores come from self-reported data, so the inspection finding is the one I'd weigh hardest.

B

84/100

Anoka Rehabilitation And Living Center

Anoka, MN · Anoka County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
37%
Serious cites
0

Anoka Rehabilitation And Living Center runs a nonprofit shop with 120 beds, and its staffing is the clearest strength: 4.11 nurse hours per resident day, about 6% above the national average, though weekends dip roughly 10% below its own weekday coverage. Turnover sits at 36.8%, well under the 45.8% national figure, which matters for consistency of care. The inspection record is more mixed, 32 deficiencies on file, including one at the harm level and one abuse-related, plus a single $24,297 fine. The most recent inspection was August 2025, so the picture is current. Quality and staffing measures score well; the survey history is where you'd want to ask questions.

B

84/100

Lake Minnetonka Shores

Spring Park, MN · Hennepin County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
29%
Serious cites
0

Lake Minnetonka Shores runs a lean ship on staffing: 4.26 nurse hours per resident day, roughly 10% above the national average, and its 29.1% turnover is well below the 45.8% norm, a sign people stick around. Weekends dip about 6% below weekdays, worth knowing if you'll visit then. The catch is care quality. Nine deficiencies on record, one serious enough to involve harm or jeopardy, plus an $8,827 fine. Federal quality measures score 2 out of 5 even as staffing earns top marks. The last inspection was in April 2025. This is a nonprofit home where the hands are steady but the clinical outcomes don't match that strength yet.

B

84/100

Whitewater Health Services

St Charles, MN · Winona County

CMS 2/5 45 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
23%
Serious cites
0

Whitewater Health Services runs 45 beds in St. Charles under corporate for-profit ownership, and its staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins out exactly when families tend to visit. The stronger number is turnover: 22.7% against a national average of 45.8%, meaning the aides and nurses here tend to stay. Inspections in May 2025 turned up 22 deficiencies, including one at the harm level and three tied to abuse, plus a single $16,452 fine. Consistent caregivers, but a citation record worth asking about directly.

B

84/100

Edenbrook Rochester West

Rochester, MN · Olmsted County

CMS 2/5 48 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
34%
Serious cites
0

Edenbrook Rochester West runs 48 beds under for-profit LLC ownership, and the staffing picture is genuinely better than most: 4.25 nurse hours per resident day, roughly 10% above the national average, with a 34.4% turnover rate that beats the 45.8% norm. Weekends slip about 14% below weekday coverage, which is worth knowing if your visits fall on Saturdays. What pulls the record down is inspections, a 1-out-of-5 health inspection rating, 41 deficiencies on the current record including three at harm or jeopardy level and one abuse-related, plus a $14,518 fine. The most recent inspection was November 2025, so the findings are current, not stale. Strong staffing, troubled oversight.

B

84/100

Woodlyn Heights Healthcare Center

Inver Grove Heights, MN · Dakota County

CMS 2/5 79 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
40%
Serious cites
0

Woodlyn Heights runs 79 certified beds under corporate for-profit ownership, and its inspection record is the weak spot: 50 deficiencies on file, including one at the harm level and one tied to abuse. That's a lot of paperwork for a home this size, and the two-star health inspection rating reflects it. Staffing looks steadier, 3.82 nurse hours per resident day, roughly a hair under the national average, with weekend coverage dropping about 11% below weekdays. Turnover at 40.3% actually beats the national 45.8%, which suggests workers stay longer than at the typical home. Quality measures score well at 4/5 stars, so day-to-day care metrics look solid even though the inspection history is what I'd bring up first with the family.

B

84/100

Presbyterian Homes Of Arden Hills

Arden Hills, MN · Ramsey County

CMS 4/5 128 beds Non-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
19%
Serious cites
0

Presbyterian Homes of Arden Hills runs on a nonprofit model with 128 certified beds, and its staffing is the clearest strength here, 4.16 nurse hours per resident day, roughly 8% above the national average, with a 5/5 CMS staffing rating to back it up. Weekend coverage dips about 8% below weekday levels, which matters if your family visits or calls on Saturdays and Sundays. Turnover sits at 19.4%, well under the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The caution side: 22 deficiencies on record, including one at the harm level and one abuse-related, a 3/5 inspection rating, and a 2/5 quality measure score. The last inspection was September 2024.

B

84/100

Lakewood Care Center

Baudette, MN · Lake Of Woods County

CMS 4/5 32 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
37%
Serious cites
0

Lakewood Care Center runs on a church-affiliated nonprofit model with 32 beds in Baudette, and its staffing is the clear strength here: 4.41 nurse hours per resident day sits about 14% above the national average, with turnover at 37% compared to 45.8% nationally. That's a real retention advantage in a rural market where it's hard to keep nurses. The tradeoffs show up elsewhere. Twenty deficiencies sit on the current record, including one at the harm or jeopardy level and one abuse-related citation. Health inspection scoring landed at 3 out of 5, and the quality measure rating is 2 out of 5. The last inspection was June 26, 2025, so the record is recent. Strong staffing, thinner outcomes on care measures and inspection findings.

B

84/100

Good Samaritan Society - St James

St James, MN · Watonwan County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
3.32 /day
Staff turnover
34%
Serious cites
0

Good Samaritan Society - St James runs 42 certified beds in Watonwan County under nonprofit corporate ownership, and its staffing picture is more interesting than the headline number. Direct care sits at 3.32 hours per resident day, roughly 14% under the national average of 3.86, and weekends dip about 11% below the home's own weekday level, so coverage thins out exactly when families tend to visit. What offsets that is retention: turnover is 34.4% against a national 45.8%, meaning the aides and nurses who are there tend to stay. Eighteen deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection completed May 29, 2025.

B

84/100

Carondelet Village Care Center

Saint Paul, MN · Ramsey County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
34%
Serious cites
0

Carondelet Village Care Center runs on a church-affiliated nonprofit model with 45 certified beds in Saint Paul, and its staffing is genuinely a strength, 4.44 nursing hours per resident day, roughly 15% above the national average of 3.86, with a 5 out of 5 staffing rating and turnover at 34% compared to 45.8% nationally. Weekends dip about 11% below its own weekday coverage, though, so care isn't perfectly even across the week. The weaker side shows up in the inspection record: 11 deficiencies, including one at the harm level and one abuse-related, plus a $9,113 fine. A quality measure rating of 2 out of 5 and a health inspection rating of 4 out of 5 suggest the clinical outcomes don't fully match the staffing investment.

B

84/100

St Therese Of Woodbury Llc

Woodbury, MN · Washington County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
31%
Serious cites
0

St. Therese of Woodbury runs on 56 beds as a nonprofit, and its nurse staffing sits at 4.70 hours per resident day, roughly 22% above the national average of 3.86. That's the strongest number here, and it shows up in the five-star staffing rating. Turnover is 31.4%, well below the 45.8% national figure, so the people caring for residents tend to stick around. Weekends run about 12% leaner than weekdays, worth asking about if your family visits then. The tradeoff is a longer deficiency record: 21 citations, two of them serious enough to involve harm or jeopardy. None were abuse-related. Inspections are recent, and quality and health inspection ratings both land mid-range.

B

84/100

Diversicare Of Eupora

Eupora, MS · Webster County

CMS 2/5 119 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
41%
Serious cites
0

Diversicare of Eupora runs 119 certified beds under corporate for-profit ownership, and its staffing sits at 3.24 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 14% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.6%, a bit better than the 45.8% national figure. The current record carries 31 deficiencies, none at harm or jeopardy level, though three are abuse-related. The last inspection was February 26, 2026, so the record is recent. Quality and staffing measures rate 4 out of 5; health inspections rate 2.

B

84/100

Rolla Presbyterian Manor

Rolla, MO · Phelps County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
53%
Serious cites
0

Rolla Presbyterian Manor runs a tight ship on nurse staffing, 4.49 hours per resident day, about 16 percent more than the national average, enough to earn the top federal staffing rating. That's the strongest thing going for it. Turnover sits at 53.3 percent, though, higher than the 45.8 percent national figure, and weekend coverage dips roughly 8 percent below its own weekday level. Eight deficiencies appear on the current record, none involving harm or abuse, and the last inspection was in March 2025. As a small nonprofit with 30 beds, it's the kind of place where you can ask directly who stays on weekends and how long aides tend to last.

B

84/100

Heritage Of Emerson

Emerson, NE · Dakota County

CMS 5/5 38 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
39%
Serious cites
0

Heritage of Emerson runs 38 beds under corporate ownership, and its staffing is the weak spot: 3.04 nurse hours per resident day, roughly a fifth under the national average, with weekends about 13% thinner than weekdays. Turnover sits at 39.3%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections look solid, a 4/5 health inspection rating, a 5/5 on quality measures, and the most recent visit was June 2025. Nine deficiencies are on record, none at the harm level, though one is abuse-related, which is worth asking about directly.

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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