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 1641–1660 of 10,187, best-graded first.

B

83/100

Potomac Valley Rehabilitation And Healthcare

Rockville, MD · Montgomery County

CMS 4/5 175 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
23%
Serious cites
0

Potomac Valley Rehabilitation and Healthcare runs 175 beds in Rockville under for-profit LLC ownership. Its nurse staffing sits at 3.41 hours per resident day, about 12 percent under the national average of 3.86, and weekends dip roughly 8 percent below its own weekday coverage, a pattern worth asking about if your relative needs help on Saturdays and Sundays. Turnover is the bright spot: 23.1 percent against a national 45.8 percent, meaning the aides and nurses here tend to stay. The current record shows 31 deficiencies, two tied to abuse, though none at the harm or jeopardy level. The last inspection was March 25, 2025, so the picture is recent.

B

83/100

Ft Washington Rehabilitation And Wellness Center

Fort Washington, MD · Prince Georges County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
37%
Serious cites
0

Ft Washington Rehabilitation and Wellness Center runs 150 certified beds in Prince George's County under corporate ownership. Nurse staffing sits at 3.57 hours per resident day, roughly 8 percent under the national average, and weekends run about a tenth thinner than weekdays, worth knowing if your family visits or calls on Saturdays and Sundays. Turnover lands at 36.9 percent, actually better than the 45.8 percent national figure, and the quality measure score is strong. The inspection record is the harder part. Sixty-five deficiencies are on file, including five tied to abuse and one at the harm or jeopardy level, with a $7,443 fine. The most recent inspection came in late November 2025, so the picture is current rather than stale. Ask about those abuse deficiencies directly before you decide.

B

83/100

Shady Grove Nursing And Rehabilitation Center

Rockville, MD · Montgomery County

CMS 3/5 154 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
31%
Serious cites
0

Shady Grove runs 154 beds in Rockville under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, and weekends drop roughly 9% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 30.6%, well under the 45.8% national figure, which suggests a steadier workforce than many peers. Then there's the inspection record: 86 deficiencies, including one at harm or jeopardy level and eight tied to abuse, with a 1-out-of-5 inspection rating and an $8,278 fine. The most recent inspection was March 2025. Whatever the quality measures say, that history is what regulators found.

B

83/100

Sterling Care Forest Hill

Forest Hill, MD · Harford County

CMS 5/5 156 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
35%
Serious cites
0

Sterling Care Forest Hill runs 156 certified beds in Harford County under corporate ownership, and its staffing sits just under the national average at 3.84 nurse hours per resident day. Weekends drop about 9% from its own weekday levels, which matters when you're thinking about who's actually on the floor on a Sunday. Turnover is the brighter spot: 34.8% against a national 45.8%, so caregivers tend to stick around longer here than at the typical home. The inspection record is where things get heavier, 39 deficiencies, including one at harm or jeopardy level and two tied to abuse, plus a $10,036 fine. The most recent inspection was December 2025.

B

83/100

Northampton Manor Nursing And Rehabilitation Cente

Frederick, MD · Frederick County

CMS 1/5 196 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
26%
Serious cites
0

Northampton Manor runs 196 beds in Frederick under for-profit LLC ownership, and its staffing sits at 3.44 nurse hours per resident day, about 11% under the national average of 3.86. Weekends drop roughly another 11% below its own weekday numbers, which matters if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 26.1% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The inspection record is where the concern lives: 67 deficiencies, including one at harm or jeopardy level and five tied to abuse, with a $16,562 fine and a January 2026 inspection.

B

83/100

Autumn Lake Healthcare At Oakview

Silver Spring, MD · Montgomery County

CMS 4/5 138 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
28%
Serious cites
0

Autumn Lake Healthcare at Oakview runs 138 beds in Silver Spring under for-profit LLC ownership, and its staffing sits about 12% under the national average at 3.39 nurse hours per resident day, with weekends running roughly 8% thinner than weekdays. That gap matters most on Saturdays and Sundays, when families often visit and notice less help on the floor. The current record carries 60 deficiencies, five of them abuse-related, though none rose to harm or jeopardy level. Turnover is the bright spot at 27.5% against a national 45.8%, meaning caregivers here tend to stay. The last inspection was August 2025, so the picture is fairly current. Quality measures score well; staffing and inspections land in the middle.

B

83/100

Our Ladys Haven Of Fairhaven Inc

Fairhaven, MA · Bristol County

CMS 4/5 117 beds Non-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
36%
Serious cites
0

Our Ladys Haven runs on a church-affiliated nonprofit model, and the numbers mostly back that up. Nurse staffing sits at 3.76 hours per resident day, just under the national average of 3.86, but weekends dip about 8% below the home's own weekday coverage, so the quiet shifts are when you'd want to visit unannounced. The 35.9% turnover is a genuinely good figure against the 45.8% national rate, meaning aides and nurses tend to stay. Inspections turned up 19 deficiencies, none involving harm or abuse, and a 4-star health inspection with a recent November 2025 survey suggests the place gets checked and corrected. Worth a visit on a Saturday.

B

83/100

Care One At Wilmington

Wilmington, MA · Middlesex County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
18%
Serious cites
0

Care One At Wilmington runs 132 certified beds under corporate for-profit ownership, and the numbers that stand out most are on the inspection side: four deficiencies on the current record, none of them causing harm or jeopardy, and no abuse citations at all. The last inspection was July 31, 2025, so the record is recent. Staff turnover is the other headline, 18.4% against a national average of 45.8%, which means aides and nurses here tend to stay. Daily nurse staffing sits at 3.95 hours per resident, just above the national 3.86, though weekends run roughly 11% leaner than weekdays, a gap worth asking about if your family visits primarily on Saturdays or Sundays.

B

83/100

Timothy Daniels House

Holliston, MA · Middlesex County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
4.44 /day
Staff turnover
50%
Serious cites
0

Timothy Daniels House runs a tight ship on staffing, 4.44 nurse hours per resident day, roughly 15% above the national average, which is why CMS gives it top marks there. That matters in a 40-bed home. But 50% annual turnover means half the people caring for your relative will be new within a year, and weekend coverage dips about 5% below weekdays. The tradeoff shows up in inspections: 35 deficiencies on record, including one abuse-related citation, with the last state visit in March 2025. Nothing rose to the level of harm or jeopardy, but a 2-out-of-5 inspection rating suggests the paperwork and care planning haven't kept pace with the staffing numbers.

B

83/100

Oakpointe Senior Care And Rehab Center

Detroit, MI · Wayne County

CMS 5/5 106 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
30%
Serious cites
0

Oakpointe runs on thinner nurse coverage than most homes, 3.00 hours per resident day against a national average of 3.86, and weekends drop about 14% below its own weekday levels, so the gaps tend to show up when families visit. What offsets that is stability: turnover of 30.3% sits well under the 45.8% national figure, and its last inspection in June 2025 produced 14 deficiencies with none at the harm or jeopardy level and none tied to abuse. State surveyors rate the home's inspection record and quality measures at the top of the scale even as staffing lands in the middle. For-profit, limited liability ownership, 106 beds.

B

83/100

The Villa At City Center

Warren, MI · Macomb County

CMS 4/5 152 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
33%
Serious cites
0

The Villa At City Center runs 152 beds in Warren under corporate ownership, and its staffing sits at 3.64 nurse hours per resident day, about 6% under the national average of 3.86. Weekends drop roughly 12% below what the home staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Turnover is the bright spot: 33.1% against a national 45.8%, which suggests people stay. Inspections are recent (March 2026) and the record shows 25 deficiencies, none at harm or jeopardy level and none abuse-related, with five fines totaling $8,454. The health and quality ratings both land at 4 of 5; staffing is the weaker 3.

B

83/100

Allendale Nursing And Rehabilitation Community

Allendale, MI · Ottawa County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
52%
Serious cites
0

Allendale Nursing and Rehabilitation Community is a 60-bed for-profit home, and its numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average, and weekends run about 12% thinner than weekdays, so coverage dips exactly when families tend to visit. Annual turnover of 51.5% is well above the 45.8% national figure, which matters more than any single rating. The inspection record is the real concern: 33 deficiencies on file, two of them serious enough to involve harm or jeopardy, with the most recent inspection in February 2026. No abuse citations, which is worth noting. Quality and staffing each earned 4 stars, but a 2-star health inspection record with that many findings is what pulls the overall picture down to a middling grade.

B

83/100

Stratford Pines Nursing And Rehabilitation Center

Midland, MI · Midland County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
49%
Serious cites
0

Stratford Pines runs on a for-profit limited liability company out of Midland, and the staffing numbers are its strongest card: 4.15 nurse hours per resident day, roughly 7% above the national average, with a four-star staffing rating to match. The catch is weekends, when coverage drops about 8% below its own weekday level. Turnover sits at 49.1%, a bit worse than the 45.8% national figure, so the faces change fairly often. The health inspection side is the weak spot, 39 deficiencies on record, two of them serious enough to reach harm or jeopardy level, one fine of $16,801, and a two-star inspection rating. No abuse citations, though, and the last inspection was recent, in January 2025.

B

83/100

Qualicare Nursing Home

Detroit, MI · Wayne County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
33%
Serious cites
0

Qualicare runs 3.24 nursing hours per resident day, about 16 percent under the national average of 3.86, and weekends drop roughly 12 percent below its own weekday numbers, so the thinnest coverage lands when families tend to visit. Turnover sits at 32.6 percent, well under the 45.8 percent national figure, which matters for consistency of care. Against that, the current record shows 17 deficiencies, including one at the harm level and one abuse-related. The last inspection was February 2026, so the picture is recent. A corporation owns the 96-bed home.

B

83/100

Guardian Angels Health & Rehab Center

Hibbing, MN · St. Louis County

CMS 2/5 65 beds Non-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
26%
Serious cites
0

Guardian Angels in Hibbing runs a stable ship on the staffing side, 3.99 nurse hours per resident day sits slightly above the national average, and a 26.1% turnover rate is well below the typical 45.8%. That consistency matters, especially on weekends, when coverage still dips about 13% below weekday levels. Where the record gets harder to read is inspections: 41 deficiencies, four serious enough to put residents in harm's way, one tied to abuse, and $26,481 in fines, all reflected in a one-star health inspection rating that last came around in June 2025. Good staffing and a rough regulatory history can coexist, and here they do.

B

83/100

Maplewood Rehabilitation Center

Maplewood, MN · Ramsey County

CMS 1/5 115 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
36%
Serious cites
0

Maplewood Rehabilitation Center runs 115 certified beds under for-profit LLC ownership, and its numbers pull in different directions. Nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86, and weekends drop about 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 35.8%, well under the 45.8% national figure, which suggests the staff who are there tend to stay. What drags the record down is the inspection history: 43 deficiencies on file, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated December 2025.

B

83/100

St Benedicts Care Center

Saint Cloud, MN · Sherburne County

CMS 3/5 75 beds Non-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
62%
Serious cites
0

St Benedicts runs a nonprofit home in Saint Cloud with 75 beds, and the day-to-day nursing hours are genuinely above average, 4.46 per resident, roughly 15% more than the national figure. Weekends thin out some, about 11% below its own weekday coverage, and that gap matters when families visit and notice fewer hands on deck. Staff turnover sits at 62.3%, well above the 45.8% national rate, which is the kind of churn that wears on consistency of care even when raw staffing numbers look strong. The inspection history is recent and mostly clean, though ten deficiencies on record with one at the harm level is not nothing.

B

83/100

Zumbrota Care Center

Zumbrota, MN · Goodhue County

CMS 4/5 42 beds Non-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
41%
Serious cites
0

Zumbrota Care Center runs 42 beds as a nonprofit, and its staffing numbers tell a mixed story. Nurses provide 3.66 hours per resident day, about 5% under the national average, and weekend coverage drops roughly 15% below what the home staffs on weekdays. Turnover sits at 40.5%, which is actually better than the 45.8% national figure, and CMS gives the home five stars for staffing. The trouble is inspections: 24 deficiencies on the current record, including one at the harm level and one abuse-related, plus a $28,321 fine. The most recent inspection was August 2025, and CMS rates that side of things two stars out of five.

B

83/100

Maranatha Care Center

Brooklyn Center, MN · Hennepin County

CMS 4/5 97 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
25%
Serious cites
0

Maranatha Care Center runs on strong staffing: 4.24 nurse hours per resident day, roughly 10% more than the national average, with weekend coverage dipping about 8% below its own weekdays. Turnover sits at 25%, well under the 45.8% national figure, a real advantage in a field where constant retraining costs residents familiar faces. The inspection record backs that up, with no deficiencies at the harm or jeopardy level and a recent survey from May 2026. Two abuse-related deficiencies and a quality measure rating of 1 out of 5 are the counterweight; whatever the staffing strength buys, it hasn't translated into strong clinical outcomes on paper. The church-affiliated nonprofit ownership is a steadying factor.

B

83/100

Good Samaritan Society - Woodland

Brainerd, MN · Crow Wing County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
45%
Serious cites
0

Good Samaritan Society - Woodland runs 40 certified beds as a nonprofit corporation, and its inspection record is the strongest part of the story: a five-star health inspection rating, with the last visit on February 11, 2026 and just three deficiencies on file. One of those three rose to the harm or jeopardy level, which is worth asking about directly, though none involved abuse. Where it gives ground is staffing. At 3.48 nurse hours per resident day, it sits roughly 10 percent under the national average, and weekends drop about 14 percent below its own weekday coverage. Turnover, at 44.9 percent, lands right around the national figure. Ask how weekends are covered before you decide.

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