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 141 to 160 of 10,187, best-graded first.

A

94/100

Good Samaritan Society - Comforcare

Austin, MN · Mower County

CMS 5/545 bedsNon-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
28%
Serious cites
0

Good Samaritan Society - Comforcare runs 45 certified beds in Austin under nonprofit ownership, and its staffing sits at 4.04 nurse hours per resident day, roughly 5% above the national average of 3.86. That margin matters less than the turnover number: 28.3% annually against a national average of 45.8%, which suggests aides and nurses here tend to stay. Weekend coverage dips about 8% below the home's own weekday level, so ask how that plays out on Saturdays. The inspection record is where the picture complicates. Fourteen deficiencies are logged, one at the harm or jeopardy level, with a single fine of $21,645. The most recent inspection was January 29, 2026. Four stars on health inspections, five on quality measures and staffing, solid marks undercut somewhat by that harm-level finding. Worth asking about directly.

A

94/100

Redeemer Health Care Center

Minneapolis, MN · Hennepin County

CMS 5/5119 bedsNon-profitMedicaid
Nurse hours
4.34 /day
Staff turnover
34%
Serious cites
0

Redeemer Health Care Center in Minneapolis runs 4.34 nurse hours per resident day, about 13 percent above the national average, and its staff turnover sits at 33.8 percent, noticeably lower than the 45.8 percent typical elsewhere. Weekend staffing dips roughly 10 percent below its own weekday coverage, worth asking about if your family visits Saturdays or Sundays. The 25 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was June 5, 2025, so the picture is current. This is a nonprofit corporation with 119 certified beds, and its federal ratings put quality measures and staffing at the top of the scale while health inspections land midrange.

A

94/100

Brighton Gardens Of Edison

Edison, NJ · Middlesex County

CMS 5/530 bedsFor-profitMedicaid
Nurse hours
6.52 /day
Staff turnover
15%
Serious cites
0

Brighton Gardens of Edison runs 6.52 nurse hours per resident day, roughly 69% above the national average, and its staff turnover sits at 14.6% against a national 45.8%. Those numbers explain a lot about how the place holds together day to day. The catch is the inspection record: 17 deficiencies, including one at the harm level and four tied to abuse. That combination, strong staffing and retention alongside a real citation history and a February 2026 inspection, is worth asking about directly. With only 30 certified beds, staffing swings show up fast, and weekend coverage already runs about 7% under weekday levels.

A

94/100

Continuing Care At Seabrook

Tinton Falls, NJ · Monmouth County

CMS 5/586 bedsNon-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
17%
Serious cites
0

Continuing Care At Seabrook runs on about 5.1 nurse hours per resident day, roughly a third more staffing than the national average, and its staff turnover of 16.9% is well under the 45.8% national figure, that kind of retention usually means residents see the same faces. Weekend coverage dips about 11% below its own weekday level, worth asking about if your family visits on Saturdays or Sundays. The home is nonprofit-owned, holds a five-star inspection rating with six deficiencies on record, none involving harm or abuse, and its last inspection was in September 2024.

A

94/100

Transylvania Regional Hospital

Brevard, NC · Transylvania County

CMS 5/510 bedsFor-profitMedicaid
Nurse hours
11.41 /day
Staff turnover
17%
Serious cites
0

Transylvania Regional Hospital runs a small ten-bed nursing unit inside a hospital in Brevard, and it's owned by a for-profit corporation. The inspection record is genuinely strong: five deficiencies total, none causing harm or jeopardy, none tied to abuse, and the last survey came in late November 2025, so it's current. That's the profile of a place Medicare rates four stars for health inspections. Quality measures land at three, which is middle of the pack. With only ten beds, staff attention per resident tends to be easier to sustain than in a large facility, and nothing in the record suggests families should worry about safety or oversight here.

A

94/100

Ohio Living Llanfair

Cincinnati, OH · Hamilton County

CMS 5/536 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
28%
Serious cites
0

Ohio Living Llanfair runs a small 36-bed nonprofit home in Hamilton County, and the staffing numbers are the story here. At 5.28 nurse hours per resident day, it's well above the national average, and weekend coverage only dips about 14% from weekdays, less than many places manage. Staff turnover sits at 28.2%, noticeably below the national rate, which matters for consistency of care. On the record: 14 deficiencies, none at harm or jeopardy level, though two are abuse-related and worth asking about directly. The most recent inspection was December 31, 2025, so the picture is current. For a family weighing options, the staffing depth and low turnover are the real signals behind the A.

A

94/100

Regency Gresham Nursing & Rehabilitation Center

Gresham, OR · Multnomah County

CMS 5/5128 bedsFor-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
30%
Serious cites
0

Regency Gresham runs about 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86, and weekend staffing dips only about 9% below its own weekday level, so care doesn't thin out as much as it might when families visit. Turnover sits at 29.7% against a national 45.8%, which matters for whether you see the same faces. The 21 deficiencies on record include nothing at the harm level and nothing abuse-related, and the last inspection was September 2025. It's a for-profit LLC with 128 beds and strong marks on staffing and quality measures alike.

A

94/100

Reedwood Post Acute

Portland, OR · Multnomah County

CMS 5/564 bedsFor-profitMedicaid
Nurse hours
4.05 /day
Staff turnover
29%
Serious cites
0

Reedwood Post Acute runs 64 beds in Portland under corporate for-profit ownership, and the numbers behind its record are worth walking through. Nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average, though weekend coverage drops about 9% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 28.8%, well under the national 45.8%, which matters for continuity of care. The home carries 11 deficiencies, none at the harm or jeopardy level, with one abuse-related citation on record. Its last inspection was June 26, 2025, and it holds five stars across health inspections, quality measures, and staffing.

A

94/100

Regency Care Of Rogue Valley

Grants Pass, OR · Josephine County

CMS 5/5102 bedsFor-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
23%
Serious cites
0

Regency Care of Rogue Valley runs 5.14 nurse hours per resident day, roughly a third more than the national average, and its staff turnover of 23% is about half the national rate, a combination that usually shows up in how consistently residents see the same caregivers. Weekend staffing dips about 13% below weekday levels, worth asking about if your family visits mainly on Saturdays or Sundays. The inspection record shows 12 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in March 2026. Josephine County's for-profit corporate owner keeps the building fully staffed on paper, and the record largely backs that up.

A

94/100

Avamere At Three Fountains

Medford, OR · Jackson County

CMS 5/5117 bedsFor-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
44%
Serious cites
0

Avamere At Three Fountains sits in Medford with 117 certified beds and a for-profit LLC owner. The numbers worth knowing: nurse staffing runs about 5.06 hours per resident day, roughly a third above the national average, though weekends dip about 10% below its own weekday coverage. Staff turnover lands at 44%, essentially in line with the 45.8% national figure. Inspectors were last in on January 16, 2025, and the record shows 20 deficiencies total, including two at the harm or jeopardy level and one tied to abuse. Quality measure scores are strong; the inspection history is where the questions live.

A

94/100

Bethany Village Retirement Center

Mechanicsburg, PA · Cumberland County

CMS 5/569 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
27%
Serious cites
0

Bethany Village Retirement Center runs on 4.39 nurse hours per resident day, about 14 percent above the national average, and its weekend staffing only dips about 6 percent below weekdays, a fairly small drop compared with what many homes show. Staff turnover is 27.1 percent against a national average of 45.8 percent, which matters for whether your family sees the same faces month to month. The current record holds 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related, and the last inspection was in December 2025. This is a nonprofit operation, and the quality measure rating comes in at 5 out of 5.

A

94/100

Fairmount Homes

Ephrata, PA · Lancaster County

CMS 5/5114 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
25%
Serious cites
0

Fairmount Homes runs about 4.39 nurse hours per resident per day, roughly 14% above the national average, and its 25% turnover is well under the 45.8% typical elsewhere, both point to a staff that mostly stays put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean: zero deficiencies, none at the harm level, no abuse findings, and the most recent survey was July 2025. As a nonprofit with 114 beds, it isn't chasing quarterly returns, and the numbers here reflect that steadiness.

A

94/100

Homewood Living Plum Creek, Inc

Hanover, PA · York County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Homewood Living Plum Creek runs on nurse staffing of 4.14 hours per resident day, roughly 7 percent above the national average, and its weekend coverage only dips about 10 percent below weekday levels, a smaller drop than many homes show. Staff turnover sits at 26.5 percent against a national average near 46 percent, which matters for whether caregivers actually know the residents. The tradeoff is a current record of 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent.

A

94/100

Kirkland Village

Bethlehem, PA · Northampton County

CMS 5/560 bedsNon-profit
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

Kirkland Village runs 4.71 nurse hours per resident per day, roughly 22% above the national average, and its staff turnover sits at 31.9% against a national 45.8%, both numbers point to a home that keeps its people and staffs them well. Weekend coverage dips about 13% below weekday levels, and the current inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy, plus a single $21,645 fine. The last inspection was August 2025. Nonprofit ownership and a recent survey are worth noting, but that one harm-level finding is the piece of the record that deserves your attention before you decide.

A

94/100

Avera Prince Of Peace

Sioux Falls, SD · Minnehaha County

CMS 4/5126 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
25%
Serious cites
0

Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.

A

94/100

William E Christofferson Salt Lake Veterans Home

Salt Lake City, UT · Salt Lake County

CMS 5/581 bedsFor-profitMedicaid
Nurse hours
4.38 /day
Staff turnover
39%
Serious cites
0

The Salt Lake Veterans Home runs leaner on staff turnover than most places, 38.5% a year against a national average near 46%, and that stability shows up in the nurse hours, 4.38 per resident day, about 13% above the national figure. Weekends dip roughly 10% below the home's own weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is mostly clean, with one deficiency serious enough to cause harm among the twelve total. A single fine of $12,735 sits on file, and the most recent inspection was in March 2026. It's a for-profit LLC, so ask who's actually on the floor on a Sunday.

A

94/100

Kendal At Lexington

Lexington, VA · Lexington City County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
40%
Serious cites
0

Kendal At Lexington runs a nonprofit home with 60 certified beds, and the staffing numbers are the strongest part of the story: 4.88 nurse hours per resident day, roughly 26 percent above the national average of 3.86. Weekend coverage dips about 14 percent below its own weekday level, and staff turnover sits at 40 percent, better than the 45.8 percent national figure, though still a reminder that retaining caregivers is hard work everywhere. The inspection record is a different matter. Twenty-three deficiencies, one at the harm or jeopardy level and one abuse-related, with a $10,033 fine and a 2-out-of-5 inspection rating from CMS. The last full look came in April 2024. Strong staffing and quality scores coexist here with a citation history worth asking about directly.

A

94/100

St Andrews

Los Angeles, CA · Los Angeles County

CMS 5/559 bedsFor-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
28%
Serious cites
0

St Andrews runs lean on turnover, 27.6% compared to a national average near 46%, which matters more than any single inspection score, because stable staff know the residents. Nurse hours come in at 4.70 per resident day, roughly a fifth above the national figure, though weekends dip about 12% below the home's own weekday pace, so ask how that gap gets covered. The 51 deficiencies on record sound like a lot until you note none reached harm or jeopardy; one was abuse-related, which is worth asking about directly. State inspectors were last in on April 18, 2025, so the picture is recent.

A

94/100

Sunny View Manor

Cupertino, CA · Santa Clara County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
14%
Serious cites
0

Sunny View Manor runs on unusually heavy staffing for a nursing home, 4.92 nurse hours per resident each day, roughly a quarter more than the national average, and its staff tend to stay, with turnover at 14.3% against a national rate near 46%. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 27 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse, and a single fine of $8,176. Its last inspection was in April 2025, and the nonprofit owner keeps both quality and staffing marks at the top of the federal scale.

A

94/100

Glenwood Care Center

Oxnard, CA · Ventura County

CMS 5/599 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
30%
Serious cites
0

Glenwood Care Center in Oxnard runs on 4.48 nurse hours per resident day, about 16% above the national average of 3.86. Weekends dip roughly 12% below its own weekday staffing, so ask how that plays out on a Sunday afternoon. Turnover sits at 30.1%, well under the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The 15 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was May 30, 2025. It's a for-profit LLC with 99 certified beds.

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