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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 1661–1680 of 10,187, best-graded first.

B

83/100

Benedictine Living Community Of St. Peter

St Peter, MN · Nicollet County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
43%
Serious cites
0

Benedictine Living Community of St. Peter runs a 79-bed nonprofit home where the nursing hours are the strongest part of the picture: 4.05 hours per resident per day, about 5% above the national average, with turnover at 42.9% that's actually a bit better than the typical 45.8%. The catch is consistency, weekend staffing drops roughly 12% below weekday levels. On inspections, the record shows 18 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was in January 2026. Quality measure scores sit at 2 out of 5 stars, which is the weakest number here. Solid staffing, middling clinical outcomes, no serious safety findings.

B

83/100

Legacy Manor Nursing And Rehabilitation Center

Greenville, MS · Washington County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
32%
Serious cites
0

Legacy Manor runs 60 beds in Greenville under for-profit limited liability ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially dead even with the national average of 3.86. Weekend coverage drops about 13% below what the home staffs on weekdays, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover is the genuinely bright spot here: 31.7% against a national average of 45.8%, which suggests aides and nurses are staying put longer than at most homes. The caution is the inspection record, 13 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and $27,024 in fines across two penalties.

B

83/100

Northwood Hills Care Center

Humansville, MO · Polk County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
44%
Serious cites
0

Northwood Hills runs on thinner staffing than most homes, 3.47 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below what the building manages Monday through Friday. That pattern matters, because weekends are when families often can't visit and problems go unnoticed longest. The inspection record shows 33 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Turnover sits at 43.6%, slightly better than the national figure. The most recent inspection was November 2024. Three stars across health inspections, quality measures, and staffing tells you this is a middle-of-the-road operation: not failing, not excelling. Worth a visit on a weekend afternoon to see what staffing actually looks like.

B

83/100

Country Meadows

Park Hills, MO · St. Francois County

CMS 5/5 72 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
44%
Serious cites
0

Country Meadows runs lean on nurse staffing, 3.38 hours per resident day against a national average of 3.86, and weekends dip another 8% below its own weekday schedule. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and the health inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in July 2025. The quality measure side is the softer spot. What you're looking at is a for-profit corporate home that inspectors have found little to fault, but where the daily nurse hours your family member actually sees will land below what most homes provide.

B

83/100

Linden Court

North Platte, NE · Lincoln County

CMS 2/5 135 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
39%
Serious cites
0

Linden Court runs a nonprofit shop with 135 beds, and its staffing sits right at the national average, 3.90 nurse hours per resident day against 3.86. That's a thin margin. Weekends drop about 15% below its own weekday coverage, so the hours aren't distributed evenly across the week. Turnover comes in at 39%, better than the 45.8% national figure, which matters for consistency of care. The inspection record is the weaker side: 17 deficiencies on file, including one at the harm level and one abuse-related, plus a $14,017 fine. The most recent inspection was April 2026.

B

83/100

Maple Crest Health Center

Omaha, NE · Douglas County

CMS 2/5 175 beds For-profit Medicaid
Nurse hours
4.46 /day
Staff turnover
38%
Serious cites
0

Maple Crest runs a corporate-owned, 175-bed operation in Omaha with a staffing picture that stands out: 4.46 nurse hours per resident day, roughly 15 percent above the national average, and turnover at 38.1 percent compared with 45.8 percent nationally. Weekends dip about 10 percent below weekday coverage, so a Friday-to-Sunday stretch looks thinner than the weekday numbers suggest. The inspection record is where the tension sits. That staffing strength earned top marks on the federal staffing measure, but health inspections landed at the lowest rating, with 37 deficiencies on file, five tied to abuse, none flagged at the harm or jeopardy level. The most recent inspection closed in September 2025, so the record is current, and the quality measures sit below middle.

B

83/100

Harmon Hospital - Snf

Las Vegas, NV · Clark County

CMS 5/5 10 beds For-profit Medicaid
Nurse hours
8.58 /day
Staff turnover
—
Serious cites
0

Harmon Hospital - Snf is a small for-profit home in Las Vegas, just 10 certified beds, and its staffing numbers stand out: 8.58 total nurse hours per resident day, well more than double the national average of 3.86. That's an unusual level of attention per resident, and weekend coverage barely dips, running about 3% under weekday staffing. Its inspection history is recent, from January 2026, and the health inspection rating is a perfect 5 out of 5. But the record isn't clean. Ten deficiencies are documented, including one at the harm or jeopardy level, along with one fine of $8,018. No abuse-related citations appear. Strong staffing and recent inspections sit alongside real quality concerns, which is why it lands where it does.

B

83/100

Coronado Ridge Skilled Nursing & Rehabilitation Ce

Henderson, NV · Clark County

CMS 3/5 121 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
45%
Serious cites
0

The nurse staffing here runs about 4.56 hours per resident day, roughly 18% above the national average, that's a real margin, though weekend coverage drops about 12% below what the home staffs on weekdays, so ask how that gap gets handled. Staff turnover sits at 45.1%, essentially in line with the national 45.8%, meaning this isn't a building bleeding caregivers faster than everyone else. Twenty deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2025. For-profit, LLC-owned, 121 beds, and consistently mid-to-high marks on inspections, quality measures, and staffing. The numbers describe a stable home rather than an exceptional one.

B

83/100

Spring Grove Rehabilitation And Healthcare Center

New Providence, NJ · Union County

CMS 3/5 106 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
30%
Serious cites
0

Spring Grove runs 106 beds in New Providence, owned by a limited liability company, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends about 6% thinner than weekdays. Turnover is where it looks better than most: 29.5% against a national 45.8%, so the aides and nurses who are there tend to stay. The tradeoff shows up in its inspection record: 32 deficiencies, including one at the harm level and one abuse-related, a $10,527 fine, and a 2-star health inspection rating, though the last inspection was recent, in March 2026. Its quality measure scores are strong, but those come from resident data, not from how the building is run day to day.

B

83/100

Elmora Hills Health & Rehabilitation Center

Elizabeth, NJ · Union County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
28%
Serious cites
0

Elmora Hills runs about 3.47 nurse hours per resident day, roughly 10% under the national average of 3.86, and weekends are thinner still, about 8% below its own weekday staffing. The tradeoff is retention: turnover sits at 27.9%, well under the national 45.8%, so the aides and nurses here tend to stick around. Inspections look solid, a 4-star health inspection rating, a 5 on quality measures, and its last survey was December 12, 2025. The 28 deficiencies on record include one abuse-related citation, though none rose to actual harm or jeopardy. This is a for-profit, 200-bed home that's recently inspected, well-rated on care quality, and slightly light on daily staffing hours.

B

83/100

Birchwood Rehabilitation And Healthcare Center

Cranford, NJ · Union County

CMS 5/5 200 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
30%
Serious cites
0

Birchwood runs 200 certified beds in Cranford under for-profit LLC ownership, and the staffing numbers are the main thing to know. At 3.35 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover, though, is a genuine bright spot at 30.3% against a national 45.8%, which suggests people stay. The current record shows 25 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection in December 2025. Good inspection and quality scores; the staffing gap is what pulls it down.

B

83/100

Careone At Holmdel

Holmdel, NJ · Monmouth County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
15%
Serious cites
0

Careone at Holmdel runs 130 beds under corporate ownership, and its strongest card is stability: staff turnover sits at 15.4% against a national average of 45.8%, which means the people caring for residents tend to stick around. That matters more than the raw staffing number, which is 3.73 hours per resident day, roughly 3% under the national average, and weekends run about 11% thinner than weekdays, so ask how coverage holds up on a Saturday. The inspection record shows 19 deficiencies, three tied to abuse, though none rose to harm or jeopardy level, and the most recent visit was July 2025. Quality measures and inspections both score well; staffing is the softer spot.

B

83/100

Waterfront Rehabilitation And Healthcare Center

Raritan, NJ · Somerset County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
34%
Serious cites
0

Waterfront Rehabilitation runs 2.97 nurse staffing hours per resident day, about 23 percent below the national average of 3.86, and weekends dip roughly 6 percent below its own weekday levels. Turnover sits at 34.3 percent, better than the 45.8 percent national figure, and the home carries 28 deficiencies, none at harm or jeopardy level but one tied to abuse. A recent inspection in November 2025 and strong marks on quality measures round out a picture where care outcomes look solid even as daily staffing runs thin.

B

83/100

Grove Park Healthcare And Rehabilitation Center

East Orange, NJ · Essex County

CMS 2/5 185 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
32%
Serious cites
0

Grove Park runs 185 beds in East Orange under individual for-profit ownership, and the numbers pull in different directions. Nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, and weekends drop about 10 percent below the home's own weekday levels. Turnover is 31.7 percent, which is actually better than the 45.8 percent national figure, so the people who stay seem to stay. The trouble is inspection history: 31 deficiencies on the current record, one at harm or jeopardy level, two tied to abuse, and a $50,642 fine. A February 2026 inspection is recent, and the quality measure score is strong, but staffing shortfalls on weekends plus that deficiency count are what hold this one back.

B

83/100

Aristacare At Cedar Oaks

South Plainfield, NJ · Middlesex County

CMS 3/5 230 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
26%
Serious cites
0

AristaCare at Cedar Oaks runs 230 beds in South Plainfield, and the nurse staffing works out to about 3.21 hours per resident day, roughly 17 percent under the national average of 3.86. Weekends dip another 10 percent below its own weekday level, so coverage thins out exactly when families tend to visit. What stands out is the inspection record: 20 deficiencies, two of them serious enough to put residents in harm's way and one tied to abuse, with the most recent inspection in November 2024. The quality measure stars look strong on paper, but a survey history like this is the part worth asking about directly.

B

83/100

Lakeland Nursing & Rehab

Haskell, NJ · Passaic County

CMS 4/5 201 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
25%
Serious cites
0

Lakeland Nursing & Rehab runs 201 beds in Haskell, and the numbers tell a mixed story. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 9% thinner than weekdays, so coverage gets tightest exactly when families tend to visit. Turnover is the bright spot: 24.7% against a national 45.8%, meaning aides and nurses largely stick around, which matters for residents who need consistent hands. But the inspection record carries 23 deficiencies, including one at the harm level and five tied to abuse, and the last full inspection was September 2022, nearly three years ago. Strong quality measures and stable staff, weighed against thin weekend coverage and a dated, serious citation history.

B

83/100

South Mountain Hc

Vauxhall, NJ · Union County

CMS 3/5 195 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
23%
Serious cites
0

South Mountain Hc runs 195 certified beds in Vauxhall under for-profit LLC ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average, with weekends running roughly 8% lighter than its own weekdays. Turnover is the standout number here: 23.4% against a national average of 45.8%, so the workforce is unusually stable for this sector. The inspection record is where the caution sits: 22 deficiencies on file, one of them abuse-related, none rising to harm or jeopardy, and the most recent visit was August 25, 2025. State surveyors gave two stars for health inspections, while quality measures came in at five.

B

83/100

Clayton Nursing And Rehab Center

Clayton, NM · Union County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
46%
Serious cites
0

Clayton Nursing and Rehab Center runs 45 beds under for-profit LLC ownership, and its recent inspection history is the strongest thing it has going. The last survey was in February 2026, and the 24 deficiencies on record include none at the harm or jeopardy level and none tied to abuse. Staffing is where the picture gets thinner: 3.12 nurse hours per resident day sits about 19% under the national average of 3.86, and weekends run roughly 15% below the home's own weekday coverage. Annual turnover of 46.4% is essentially the national rate, so nothing there stands out either way. Inspections look clean; daily coverage looks stretched.

B

83/100

University Center For Rehabilitation And Nursing

Bronx, NY · Bronx County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
26%
Serious cites
0

The University Center for Rehabilitation and Nursing is a small for-profit home in the Bronx, 46 certified beds, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends run roughly 4% thinner than weekdays, so coverage dips when families tend to visit. What stands out is retention: annual turnover of 25.6% is well below the national 45.8%, meaning the aides and nurses you meet are likelier to still be there next year. Inspections in May 2024 turned up 10 deficiencies, none at the harm level, though one was abuse-related.

B

83/100

Glen Cove Center For Nursing And Rehabilitation

Glen Cove, NY · Nassau County

CMS 4/5 154 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
34%
Serious cites
0

Glen Cove Center runs 154 certified beds under a for-profit limited liability company, and its nurse staffing sits at 4.03 hours per resident day, roughly 4% above the national average of 3.86. Weekend coverage dips about 9% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 34.4%, noticeably lower than the national 45.8%, so the people caring for residents tend to stick around. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Its most recent inspection was December 18, 2025, so the picture is current. Quality measures score well; the health inspection and staffing ratings sit in the middle.

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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