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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 1461–1480 of 10,187, best-graded first.

B

84/100

Family Of Caring At Teaneck Llc

Teaneck, NJ · Bergen County

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

Family Of Caring At Teaneck runs 107 beds under corporate ownership, and its staffing numbers land just under the national mark, 3.70 nurse hours per resident day against 3.86, with weekends about 13% thinner than weekdays. That gap matters more than the headline figure, since care doesn't pause on Saturdays. Turnover sits at 30.4%, well below the 45.8% national average, which suggests a steadier workforce than most. Inspections in December 2025 turned up 18 deficiencies, none at harm or jeopardy level, though one was abuse-related. All three CMS star categories, health inspection, quality measures, and staffing, come in at 4 out of 5.

B

84/100

Majestic Center For Rehab & Sub-Acute Care

Camden, NJ · Camden County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
38%
Serious cites
0

Majestic Center runs 120 beds in Camden under individual for-profit ownership, and its staffing numbers are right at the national mark, 3.85 nurse hours per resident day against 3.86 nationally, with weekend coverage dipping about 11% below its own weekdays. Turnover sits at 38.3%, better than the 45.8% national figure, so the same faces are more likely to stay. What pulls the record down is the inspection side: 16 deficiencies on file, four of them serious enough to put residents in harm's way and two tied to abuse, plus $260,470 in fines across two cases. The most recent inspection closed in December 2025, so the picture is current.

B

84/100

Complete Care At Woodlands

Plainfield, NJ · Union County

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

Complete Care At Woodlands runs a tight ship on retention, 31.6% turnover is well under the 45.8% national figure, which matters because caregivers who stay know the residents. The tradeoff shows up in raw coverage: 3.59 nurse hours per resident day lands about 7% under the national average, and weekends dip roughly 5% below the home's own weekday staffing. Its inspection record is clean where it counts, with 16 deficiencies on file but none involving harm or abuse, and a July 2025 inspection keeps that picture current. For a 120-bed corporate-owned home, the quality measures score and the absence of harm-level findings suggest decent care, just ask how the weekend shift is covered before you decide.

B

84/100

Family Of Caring Healthcare At Montclair

Montclair, NJ · Essex County

CMS 4/5 70 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
32%
Serious cites
0

Family Of Caring Healthcare at Montclair runs 70 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.11 hours per resident day, about 6% above the national average of 3.86. That edge matters, though weekends run roughly 10% thinner than weekdays, so coverage isn't perfectly flat across the week. Staff turnover lands at 32.2%, well below the 45.8% national figure, which suggests a steadier workforce than most homes manage. The current record shows 15 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 30, 2025. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 out of 5.

B

84/100

Vestal Park Rehabilitation And Nursing Center

Vestal, NY · Broome County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
63%
Serious cites
0

Vestal Park runs 180 certified beds under for-profit LLC ownership, and the staffing numbers tell a mixed story. Total nurse hours sit at 3.82 per resident day, just under the national average, and weekends drop roughly 15% below the home's own weekday coverage, a gap families should ask about directly. Annual turnover hits 62.9% against a 45.8% national average, meaning more than half the nursing staff turns over each year. The inspection record shows 31 deficiencies, three tied to abuse, with the most recent survey in July 2024. Resident care measures score well, but consistent staffing and a clean inspection history are what keep a home safe day to day.

B

84/100

Ozanam Hall Of Queens Nursing Home Inc

Bayside, NY · Queens County

CMS 3/5 432 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
30%
Serious cites
0

Ozanam Hall runs 432 beds in Bayside as a nonprofit, and its staffing numbers tell a mixed story. Nurses provide 3.49 hours per resident day, roughly 10% under the national average of 3.86, and weekends dip about 7% below the home's own weekday levels, so coverage thins out when families tend to visit. Turnover is the bright spot: 30.3% against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. Inspections in October 2024 turned up 17 deficiencies, none at the harm level, though one was abuse-related. With 4/5 on quality and staffing measures and 3/5 on inspections, this is a solidly middle-to-upper home, not a standout.

B

84/100

Penfield Place

Penfield, NY · Monroe County

CMS 5/5 48 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
51%
Serious cites
0

Penfield Place runs a tight ship on the clinical side, its last inspection was in January 2025, and nine deficiencies on record with none at the harm level is a good place to be. That abuse-related citation is the one blemish worth asking about directly. Nurse staffing sits at 4.49 hours per resident day, about 16 percent above the national average, though weekends dip roughly 14 percent below its own weekday levels, so coverage isn't perfectly even. Staff turnover at 51 percent runs above the 45.8 percent national figure, which matters for continuity when you're talking about 48 beds and a for-profit individual owner. Good inspection and quality numbers; the questions here are about consistency and retention.

B

84/100

Holliswood Center For Rehabilitation And Healthcar

Hollis, NY · Queens County

CMS 2/5 314 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
16%
Serious cites
0

Holliswood Center runs 314 certified beds in Queens under corporate ownership, and its nurse staffing sits about 11% above the national average at 4.30 hours per resident day. Weekend coverage dips roughly 6% below its own weekday level, which is worth asking about if your family visits or calls on Saturdays and Sundays. What stands out most is turnover: 15.9% annually against a national average near 46%. That kind of stability matters for residents who need consistent caregivers. The tradeoff shows up in inspections. Seventeen deficiencies are on the current record, including one at the harm level and three tied to abuse. The last inspection was April 2024, so that record is fairly recent. Strong staffing and retention, but a survey history that deserves your questions.

B

84/100

Western New York State Veterans Home

Batavia, NY · Genesee County

CMS 5/5 126 beds Government Medicaid
Nurse hours
3.60 /day
Staff turnover
50%
Serious cites
0

The state-run veterans home in Batavia runs a tight ship on the clinical side, five stars on both health inspections and quality measures, with just two deficiencies on record and none involving harm, jeopardy, or abuse. Staffing is where it gives ground. At 3.60 nurse hours per resident day, it sits about 7% under the national average, and weekends run roughly 11% thinner than weekdays, so coverage can feel different depending on when you visit. Turnover at 49.6% is higher than the 45.8% national figure, which matters for whether the same aides know your father's routines. The last full inspection was November 2023. Strong care record, thinner staffing, that's the trade-off here.

B

84/100

Glenflora

Lumberton, NC · Robeson County

CMS 4/5 52 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
54%
Serious cites
0

Glenflora runs on a nonprofit model with 52 beds in Lumberton, and its nurses put in 4.60 hours per resident day, roughly 19% above the national average. That's a real cushion, though weekends drop about 14% below the home's own weekday pace, so coverage isn't perfectly even across the week. Annual turnover sits at 54.4%, higher than the 45.8% national figure, which means familiar faces cycle out faster than average. The inspection record shows four deficiencies, two serious enough to involve harm or jeopardy, and one fine of $14,689. A February 2026 inspection is recent. Quality measures score well, but staffing stability and that harm-level citation are what pull the overall picture down.

B

84/100

Aston Park Health Care Center

Asheville, NC · Buncombe County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
40%
Serious cites
0

Aston Park runs a tight ship on the things that usually cause trouble: five deficiencies on its current record, none of them serious enough to count as harm or jeopardy, and nothing abuse-related. The last inspection was recent, in April 2026. Staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average, and weekends dip about 4% below the home's own weekday level, worth asking about if your family member needs more help on Saturdays and Sundays. The good news is turnover: 39.5% versus 45.8% nationally, meaning caregivers here tend to stick around longer than at the typical home. That stability, plus a clean inspection history as a nonprofit, is the real story behind the numbers.

B

84/100

The Stewart Health Center

Charlotte, NC · Mecklenburg County

CMS 2/5 65 beds Non-profit
Nurse hours
5.50 /day
Staff turnover
33%
Serious cites
0

The Stewart Health Center runs 5.50 nurse hours per resident day, roughly 42% above the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure. That's real consistency on the floor, though weekend coverage dips about 7% from weekday levels. Where the numbers get harder to explain is the inspection record: 14 deficiencies, two of them serious enough to involve harm or jeopardy, and two fines totaling $57,971. A 2-out-of-5 inspection rating against a 4-out-of-5 staffing rating is an unusual split, the people are there, but the last survey in May 2025 still found problems worth citing.

B

84/100

Mcnaughten Pointe Nursing And Rehab

Columbus, OH · Franklin County

CMS 3/5 124 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
22%
Serious cites
0

McNaughten Pointe runs nurse staffing at 4.53 hours per resident day, roughly 17 percent above the national average, and its staff turnover of 22.2 percent is less than half the national rate, a combination that matters more than most families realize, since consistent caregivers tend to know residents' routines and notice changes early. The trade-off shows up in the inspection record: 36 deficiencies on file, two of them serious enough to involve actual harm or jeopardy, though none abuse-related, and the most recent inspection was in September 2025. Weekend staffing dips about 14 percent below the weekday level, which is worth asking about directly. The for-profit individual ownership is neither a red flag nor a selling point on its own.

B

84/100

Locust Ridge Healthcare Llc

Williamsburg, OH · Brown County

CMS 5/5 61 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
47%
Serious cites
0

Locust Ridge runs a leaner floor than most: 3.41 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 12% below what the home staffs on weekdays. Turnover sits at 46.9%, just above the national 45.8%, so the faces on the floor change about as often as they do anywhere else. What holds the record together is the inspection side, five stars, last survey in May 2026, and 16 deficiencies with none reaching harm or jeopardy and nothing abuse-related. Family-owned for-profit, 61 beds. The care documented is clean; the question is whether the staffing margin holds on a Saturday.

B

84/100

Pearlview Rehab & Wellness Ctr

Brunswick, OH · Medina County

CMS 2/5 68 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
44%
Serious cites
0

Pearlview runs about 68 beds in Brunswick under for-profit LLC ownership, and its staffing sits roughly 9% under the national average at 3.52 nurse hours per resident day. Weekends drop another 12% below its own weekday coverage, so if your family visits mainly on Saturdays or Sundays, that gap is worth asking about directly. Turnover lands at 44.1%, a hair under the national figure. The inspection record shows 23 deficiencies, none at harm level, though two are abuse-related, a small number but not zero. Its last full inspection was November 2023, so the picture is reasonably current. Quality measures score well; staffing is the weaker leg.

B

84/100

Indian Lake Rehabilitation Center

Lakeview, OH · Logan County

CMS 5/5 40 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
26%
Serious cites
0

Indian Lake Rehabilitation Center runs 40 certified beds in Lakeview under corporate for-profit ownership. Nurse staffing sits at 3.39 hours per resident day, about 12% under the national average of 3.86, and weekends drop roughly another 10% below the home's own weekday coverage. What stands out is retention: turnover is 25.9%, well below the 45.8% national figure, so the aides and nurses here tend to stay. The current record shows 16 deficiencies, none at the harm or jeopardy level, though three are abuse-related, and the most recent inspection was June 2024. Federal ratings land at 5 stars for health inspections, 4 for quality measures, and 4 for staffing.

B

84/100

Avon Oaks Nursing Home

Avon, OH · Lorain County

CMS 5/5 99 beds For-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
47%
Serious cites
0

Avon Oaks runs about 4.53 nurse hours per resident per day, which is roughly 17% more hands-on care than the national average of 3.86, a real difference when you're talking about how often someone checks on your mom. Staff turnover sits at 46.6%, essentially the national rate, so this isn't a stable building, but it isn't a revolving door either. Weekends drop about 8% below weekday staffing, which is typical but worth asking about. The health inspection record is clean where it counts: 15 deficiencies on file, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Corporate for-profit ownership, 99 beds.

B

84/100

Vancrest Health Care Ctr Of Ho

Holgate, OH · Henry County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
40%
Serious cites
0

Vancrest Health Care Center of Ho sits in Holgate, and the numbers tell a fairly steady story. Nurse staffing runs 3.80 hours per resident day, a hair under the national average, and weekends dip about 10% below its own weekday levels, so coverage thins out on Saturdays and Sundays. Staff turnover is 39.7%, which is better than the 45.8% national figure, a sign people tend to stay. The home carries 12 deficiencies on its current record, but none at the harm level and none abuse-related, and its last inspection was in February 2026. With four out of five stars on health inspections, quality measures, and staffing, this is a corporate-owned home performing above the middle of the pack.

B

84/100

Lakes Of Monclova Health Campus The

Maumee, OH · Lucas County

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

Lakes Of Monclova Health Campus runs 60 certified beds in Maumee under for-profit LLC ownership, and the numbers show a home that's generally doing right by its residents. Nurse staffing sits at 4.00 hours per resident day, a bit above the national average, though weekend coverage drops roughly 11% below what the home provides on weekdays, worth asking about if your family visits or needs care on Saturdays and Sundays. Staff turnover of 44.4% is essentially in line with the national figure, not a red flag. The home carries 18 deficiencies on its current record, but none at the harm or jeopardy level and none abuse-related. Its last inspection was April 2026, so the record is recent.

B

84/100

Vancrest Of Ada

Ada, OH · Hardin County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
43%
Serious cites
0

Vancrest of Ada runs 60 beds under for-profit LLC ownership, and its staffing sits slightly above the national average, 3.92 nurse hours per resident day against 3.86, with a 4/5 staffing rating and turnover at 43.1%, a bit better than the 45.8% norm. Weekends, though, drop about 13% below its own weekday coverage, so care may thin out when families visit. The record shows 21 deficiencies, including one at harm or jeopardy level and one abuse-related, and the health inspection rating is just 2/5 despite the most recent survey in February 2025. Quality measures score 4/5, so the clinical numbers look stronger than the inspection history.

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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