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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 1541–1560 of 10,187, best-graded first.

B

83.5/100

Oxford Health & Rehab Center

Oxford, MS · Lafayette County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
4.38 /day
Staff turnover
42%
Serious cites
0

Oxford Health & Rehab Center runs about 4.38 nurse hours per resident per day, roughly 13% above the national average, and its staff turnover of 42% is slightly better than the typical 45.8%. Those are real strengths. The trouble sits elsewhere: 28 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse. A $8,788 fine and a two-star health inspection rating back that up, and the most recent inspection was in March 2026. Weekend staffing drops about 19% below its own weekday level, which matters when a resident needs help on a Saturday. The corporation owns it for profit.

B

83.5/100

Clark's Mountain Nursing Center

Piedmont, MO · Wayne County

CMS 5/5 91 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
39%
Serious cites
0

Clark's Mountain runs lean on direct care: 3.70 nurse hours per resident day sits about 4% under the national average, and weekends drop roughly 17% below its own weekday staffing. The tradeoff shows up in consistency, not credentials, 38.5% annual turnover is better than the 45.8% national figure, and a 5/5 health inspection rating with just 5 deficiencies, none at harm level and none abuse-related, suggests a stable core staff that knows the building. Quality measures also score 5/5. Inspectors were last in on January 31, 2025. The weak spot is the staffing rating itself, so if your family member needs frequent hands-on help, ask how weekend coverage actually works on the unit.

B

83.5/100

Advanced Health Care Of Henderson

Las Vegas, NV · Clark County

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

Advanced Health Care of Henderson runs a tight ship on staffing, clocking 5.95 nurse hours per resident day, well above the national 3.86, and its weekend coverage only dips about 15% below weekdays, which isn't unusual but matters if your family visits on Saturdays. Turnover sits at 37.7%, better than the 45.8% national average, so you're not looking at a constantly rotating crew. The catch is the inspection record: nine deficiencies, one serious enough to involve harm, and an $8,018 fine, though nothing tied to abuse. That mix, strong staffing and quality marks alongside a recent harm-level finding, is what keeps this from a clean sweep.

B

83.5/100

Highfield Gardens Care Center Of Great Neck

Great Neck, NY · Nassau County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
35%
Serious cites
0

Highfield Gardens runs 200 beds in Great Neck under corporate for-profit ownership, and the staffing numbers sit slightly under the national average, 3.80 nurse hours per resident day against 3.86, with weekends running about 19% thinner than weekdays, so ask how coverage holds up on a Sunday. Turnover is the brighter spot: 35.4% against a national 45.8%, meaning aides and nurses tend to stay longer here than at the typical home. The record shows 15 deficiencies, none at harm or jeopardy level and none abuse-related, with two fines totaling $4,922, and the last inspection was February 2025. Resident outcome measures score well above average; inspection history is merely ordinary.

B

83.5/100

Guthrie Cortland Medical Center

Cortland, NY · Cortland County

CMS 2/5 80 beds Non-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
27%
Serious cites
0

Guthrie Cortland Medical Center runs a rare split: the nursing hours are genuinely strong at 4.69 per resident day, well above the national average, and staff turnover of 27.2% is much lower than the typical home. The clinical quality measures look good too. But the inspection record is where this one falls apart, 15 deficiencies on the current record, four serious enough to put residents in harm's way, one tied to abuse, and two fines totaling more than a quarter million dollars. Weekend staffing also drops about a fifth below its own weekday level, meaning the coverage thins out exactly when families tend to visit. The last inspection was in February 2026, so this is a current picture, not a stale one.

B

83.5/100

Nc State Veterans Home-Kinston

Kinston, NC · Lenoir County

CMS 2/5 100 beds Government Medicaid
Nurse hours
5.04 /day
Staff turnover
38%
Serious cites
0

Nc State Veterans Home-Kinston runs a genuine staffing advantage: 5.04 nurse hours per resident day, roughly 30% above the national average, with weekend coverage dipping about 16% below its own weekday level. Turnover sits at 37.9%, better than the 45.8% national figure, and the state runs the place. But the inspection record is the problem. Ten deficiencies are on file, seven at harm or jeopardy level, three tied to abuse, and five fines total $74,987. The most recent inspection was November 14, 2025. Strong staffing and better-than-average retention don't erase a citation history that serious, and families should ask directly what changed since that visit.

B

83.5/100

Windsor Health Care Center

Youngstown, OH · Mahoning County

CMS 4/5 58 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
30%
Serious cites
0

Windsor Health Care Center in Youngstown runs 58 certified beds under for-profit corporate ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86. Weekends dip about 16% below the home's own weekday coverage, so if you're planning visits, that gap matters. Turnover is the bright spot at 30%, well below the national 45.8%, which suggests a steadier crew than most places. The current record shows 22 deficiencies, none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Quality measures score well and the last inspection was June 2025, so the picture is reasonably current.

B

83.5/100

Arbors At Woodsfield

Woodsfield, OH · Monroe County

CMS 5/5 85 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
35%
Serious cites
0

Arbors At Woodsfield runs on 3.91 nursing hours per resident per day, a hair above the national average, and its staff turnover of 34.7% beats the 45.8% national figure, a meaningful sign people stick around. Weekend staffing, though, drops roughly 20% below weekday levels, so care on Saturdays and Sundays looks thinner than the weekday numbers suggest. The home carries 36 deficiencies on its current record, including one at the harm level and one tied to abuse, though a June 2025 inspection keeps that record recent and its inspection rating sits at 4 of 5. For-profit, LLC-owned, and Medicare-certified for 85 beds.

B

83.5/100

Locust Grove Retirement Village

Mifflin, PA · Juniata County

CMS 3/5 104 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
34%
Serious cites
0

Locust Grove Retirement Village runs 104 certified beds in Mifflin under corporate for-profit ownership, and its nurse staffing sits just barely above the national average, 3.91 hours per resident day against 3.86. That thin margin matters, because weekend coverage drops roughly 17% below what the home staffs on weekdays, so the cushion you see in the yearly figure isn't there every day of the week. Turnover is the genuine bright spot: 34.3% against a national 45.8%. But the inspection record carries 39 deficiencies, including one at harm or jeopardy level and four tied to abuse, plus a $12,831 fine. The most recent inspection was June 27, 2025, so the picture is current. Ask about weekend staffing and those abuse-related citations directly.

B

83.5/100

Barclay Friends

West Chester, PA · Chester County

CMS 5/5 64 beds Non-profit Medicaid
Nurse hours
4.47 /day
Staff turnover
—
Serious cites
0

Barclay Friends runs 4.47 nurse hours per resident day, roughly 16% above the national average of 3.86. Weekend staffing does dip about 5% below its own weekday level, which is worth asking about if your family visits mostly on Saturdays or Sundays. The inspection record is thin in a good way: one deficiency total, none at the harm or jeopardy level, none abuse-related, and the last inspection was June 2025, so the picture is current. CMS rated the health inspection side 4 out of 5, with quality measures and staffing each at 3. As a nonprofit corporation with 64 certified beds, it's small enough that you'll likely get to know the staff. The staffing number is the real strength here; the mid-range quality and staffing stars are what keep it from scoring higher.

B

83.5/100

Pruitthealth- Walterboro

Walterboro, SC · Colleton County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
29%
Serious cites
0

Pruitthealth-Walterboro runs 132 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average. Weekends are the real soft spot: staffing drops about 23% below what the home runs on weekdays, so a Saturday or Sunday shift has noticeably fewer hands than a Tuesday. Turnover is the bright spot at 29.4%, well under the national 45.8%, which suggests less churn in who's actually at the bedside. The inspection record shows 21 deficiencies, including one at the harm level and two tied to abuse; the most recent inspection was January 28, 2026, so the picture is current. Quality measures score better than staffing does.

B

83.5/100

Patewood Post Acute

Greenville, SC · Greenville County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
44%
Serious cites
0

Patewood Post Acute runs 120 beds in Greenville under for-profit LLC ownership, and its nurse staffing sits at 3.92 hours per resident day, barely above the 3.86 national average. That thin margin matters more on weekends, when coverage drops roughly 17% below the home's own weekday levels. Staff turnover lands at 43.9%, which is actually a bit better than the 45.8% national figure, so retention isn't the problem here. The current record shows 13 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Quality measures score well; the health inspection side is more middling.

B

83.5/100

Avera Eureka Health Care Center

Eureka, SD · Mc Pherson County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.10 /day
Staff turnover
33%
Serious cites
0

Avera Eureka runs a lean nursing floor: 3.10 nurse hours per resident day against a national average of 3.86, and weekends dip about 18% below its own weekday coverage. That matters for a 56-bed home where a call-out can't easily be absorbed. Turnover, though, is genuinely better than most, 32.5% against a national 45.8%, which suggests the staff who are there tend to stay, even if there aren't many of them per resident. The inspection record is the weak spot: eight deficiencies, one serious enough to reach harm or jeopardy level, and a $12,252 fine, all from a February 2025 visit. No abuse findings, and the quality and staffing stars sit at 4 each, but that harm-level citation is the number to ask about directly.

B

83.5/100

Nhc Healthcare, Somerville

Somerville, TN · Fayette County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
38%
Serious cites
0

Nhc Healthcare, Somerville runs 72 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86. That margin is thin, though, and weekends dip about 16% below the home's own weekday coverage, which matters when that's when families tend to visit. Staff turnover comes in at 37.5%, better than the 45.8% national figure, so the people caring for residents are staying longer than is typical. The current record shows five deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations. Its most recent inspection was February 19, 2026.

B

83.5/100

Life Care Center Of Morristown

Morristown, TN · Hamblen County

CMS 5/5 161 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
25%
Serious cites
0

Life Care Center of Morristown runs 161 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.35 hours per resident per day, roughly 13% under the national average of 3.86. Weekends drop about 22% below the home's own weekday coverage, so the hours your relative gets on a Saturday won't match a Tuesday. What stands out favorably is turnover: 24.6% against a national average of 45.8%, meaning the people showing up tend to stay. Inspections in August 2025 found 8 deficiencies with nothing at the harm level, though one was abuse-related. Quality measures score 5/5; staffing scores 3/5.

B

83.5/100

W D Bill Manning Tennessee State Veterans Home

Humboldt, TN · Gibson County

CMS 5/5 140 beds Government Medicaid
Nurse hours
4.24 /day
Staff turnover
22%
Serious cites
0

The state runs this 140-bed veterans home in Humboldt, and the numbers back up the operation. Nurse staffing sits at 4.24 hours per resident per day, roughly 10% above the national average, and weekend coverage dips only about 15% below its own weekday level, modest, as these gaps go. Staff turnover of 21.9% is less than half the national rate, which suggests people stay. On the record: 7 deficiencies, none at harm or jeopardy level, none abuse-related, with the last inspection in October 2023. All three CMS star ratings land at 4 out of 5. A stable, well-staffed home with a clean recent inspection history and no serious findings.

B

83.5/100

Pickett Care And Rehabilitation Center

Byrdstown, TN · Pickett County

CMS 4/5 69 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
32%
Serious cites
0

Pickett Care runs 69 certified beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.78 nurse hours per resident day. That gap is small, but weekends thin out roughly 20% below the home's own weekday coverage, which is where short-staffing tends to bite. Turnover at 31.5% is meaningfully better than the 45.8% national figure, so caregivers here stick around longer than at the typical home. The current inspection record shows 17 deficiencies, including two at harm or jeopardy level and one tied to abuse, worth asking about directly. A recent April 2025 inspection and solid quality and staffing ratings round out a mixed but workable picture.

B

83.5/100

Life Care Center Of Gray

Gray, TN · Washington County

CMS 1/5 133 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
33%
Serious cites
0

Life Care Center of Gray runs on leaner nursing hours than most homes, 3.40 per resident day against a national average of 3.86, and weekends get thinner still, dropping roughly 18% below what the building staffs during the week. Turnover sits at 33.3%, which is actually better than the 45.8% national figure, so the people who are there tend to stay. The trouble is inspections: a one-star health inspection rating, 16 deficiencies with four serious enough to put residents at risk of harm, three tied to abuse, and a $10,039 fine. Quality and staffing measures score well, but the last full look at this building was September 2023.

B

83.5/100

Somerfield At The Heritage

Brentwood, TN · Williamson County

CMS 3/5 66 beds For-profit
Nurse hours
4.23 /day
Staff turnover
48%
Serious cites
0

Somerfield At The Heritage runs 4.23 nurse hours per resident day, about 10% above the national average, and weekends dip roughly 15% below its own weekday coverage, worth knowing if most of your visits fall on Saturdays and Sundays. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, though the last inspection was April 2022, so that record is getting old. Annual turnover sits at 47.6%, slightly worse than the national 45.8%, which means roughly half the staff you meet this year may not be there next year. The county's for-profit LLC ownership is typical for Tennessee. Strong marks on health inspections and quality measures, thinner on staff retention.

B

83.5/100

Regency Canyon Lakes Rehab And Nursing Center

Kennewick, WA · Benton County

CMS 5/5 53 beds For-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
36%
Serious cites
0

Regency Canyon Lakes runs about 4.85 nurse hours per resident day, roughly 25% above the national average, and its staff turnover of 35.5% beats the national 45.8%. Weekend coverage does dip about 18% below weekdays, so ask how that plays out on Saturdays and Sundays. The inspection record is mixed: a five-star health inspection rating and a recent April 2025 survey, but 11 deficiencies on file, three of them at the harm or jeopardy level, plus two fines totaling $18,220. No abuse-related citations. Quality measures sit at three stars. It's a for-profit corporate home where the daily staffing is a real strength and the deficiency history is the part 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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