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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 1741–1760 of 10,187, best-graded first.

B

83/100

Stevens Nursing And Rehabilitation Center Of Halle

Hallettsville, TX · Lavaca County

CMS 5/5 144 beds Government Medicaid
Nurse hours
3.43 /day
Staff turnover
30%
Serious cites
0

Stevens Nursing and Rehabilitation Center of Halle in Hallettsville runs on a hospital district's license, and its inspection record is genuinely strong, a 4/5 health inspection rating with 19 deficiencies on file and none at the harm or jeopardy level. Four of those are abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.43 nurse hours per resident day sits about 11% under the national figure, weekends run roughly 9% below its own weekdays, and the staffing rating lands at 2/5. Turnover is 30.2%, better than the 45.8% national average, so people tend to stay. The last inspection was recent, in May 2026.

B

83/100

The Manor Healthcare Residence

Mexia, TX · Limestone County

CMS 5/5 66 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
26%
Serious cites
0

The Manor Healthcare Residence runs on about 3.22 nurse hours per resident per day, roughly 17% under the national average of 3.86, and weekends dip another 8% below its own weekday staffing. Turnover is the bright spot: 25.8% against a national 45.8% means far more familiar faces than most homes manage. Inspections look strong, a perfect health inspection rating and a December 2025 visit, but 16 deficiencies sit on the current record, including one at harm level and two tied to abuse, which is worth asking about directly. For-profit, LLC-owned, 66 beds. Ask how they cover weekends when staff call out.

B

83/100

Colonial Pines Healthcare Center

San Augustine, TX · San Augustine County

CMS 4/5 107 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
49%
Serious cites
0

Colonial Pines runs a solid inspection record, 30 deficiencies on the books, but none rose to the level of actual harm or jeopardy, and the most recent survey came in January 2026. The staffing picture is closer to average: 3.72 nurse hours per resident day against a national 3.86, and weekends run about 12% leaner than weekdays, so coverage thins right when families tend to visit. Turnover sits at 48.8%, a few points above the national 45.8%. Two abuse-related deficiencies stand out on an otherwise clean record, and the home is owned by a for-profit limited liability company. Worth asking about weekend coverage and those abuse findings directly.

B

83/100

Avir At Temple East

Temple, TX · Bell County

CMS 5/5 138 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
41%
Serious cites
0

Avir At Temple East runs a 138-bed for-profit operation, and its most recent inspection in February 2026 came back clean on the things that matter most, 10 deficiencies on the current record, none of which rose to harm or jeopardy level. Staff turnover sits at 40.8%, which is actually better than the 45.8% national average, and that stability probably shows up in how consistently residents see the same faces. Where it slips is raw staffing volume: 3.46 nurse hours per resident day lands about 10% under the national average of 3.86, and weekends run slightly leaner than weekdays. One abuse-related deficiency is on the books, worth asking about directly.

B

83/100

Ambrosio Guillen Texas State Veterans Home

El Paso, TX · El Paso County

CMS 2/5 160 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
40%
Serious cites
0

The El Paso veterans home runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average. Weekends drop about 12% below its own weekday coverage, so the gap families feel most is often Saturday and Sunday. That said, turnover at 39.7% beats the national 45.8%, which matters for continuity of care. The inspection record is where the caution lives: 43 deficiencies, including 4 tied to abuse, with a 2-out-of-5 health inspection rating, though none reached harm or jeopardy level. The most recent inspection was April 2026.

B

82.5/100

Mitchell-Hollingsworth Nursing & Rehabilitation

Florence, AL · Lauderdale County

CMS 3/5 222 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
37%
Serious cites
0

Mitchell-Hollingsworth runs 222 certified beds in Florence under for-profit LLC ownership, and its staffing figure of 3.38 nurse hours per resident day sits about 12% under the national average of 3.86. Weekend coverage drops roughly 16% below what the home staffs on weekdays, so if you're visiting or calling on a Saturday, that's the stretch where help is thinnest. Turnover lands at 36.6%, which is actually better than the 45.8% national rate, aides and nurses here tend to stay longer than elsewhere. The current record shows 11 deficiencies, none at harm or jeopardy level, though two are abuse-related, and the last inspection was September 2025.

B

82.5/100

Crowne Health Care Of Mobile

Mobile, AL · Mobile County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
26%
Serious cites
0

Crowne Health Care Of Mobile runs 148 certified beds as a for-profit corporation, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That edge is real, though weekend coverage drops about 19% below its own weekday level, so the weekday numbers tell a rosier story than a Saturday does. Staff turnover is 25.7%, well under the national 45.8%, which matters for continuity of care. Against that, the quality measure rating is 1 out of 5, and the last health inspection was September 2019, nearly six years ago. Eight deficiencies on record, none at harm level, none abuse-related.

B

82.5/100

Dadeville Healthcare Center

Dadeville, AL · Tallapoosa County

CMS 3/5 144 beds For-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
35%
Serious cites
0

Dadeville Healthcare Center runs on a for-profit limited liability company and holds 144 certified beds. The staffing numbers are the real story here: 4.41 total nurse hours per resident day sits about 14% above the national average of 3.86. Turnover is 34.5%, noticeably lower than the 45.8% national figure, though weekend coverage drops roughly 15% below weekday levels, so care may thin out on Saturdays and Sundays. On paper, the clinical record is thinner than the staffing: 16 deficiencies total, none at the harm level but one abuse-related. The 2/5 inspection and quality ratings pull against the 5/5 staffing score, and the last inspection was April 2021, nearly four years without a fresh look at the building.

B

82.5/100

Nightingale At Stonegate

Crossett, AR · Ashley County

CMS 5/5 76 beds For-profit Medicaid
Nurse hours
2.94 /day
Staff turnover
35%
Serious cites
0

Nightingale At Stonegate runs a lean nursing floor for a 76-bed home: 2.94 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 16 percent further below its own weekday coverage. What offsets that is consistency and a clean recent record. Turnover sits at 34.7 percent, well under the 45.8 percent national figure, and the last inspection in July 2025 turned up 12 deficiencies with none at the harm level and nothing abuse-related. The inspection history is strong enough for five stars. If your family member needs frequent skilled nursing attention, ask how the weekend shift is actually staffed before you decide.

B

82.5/100

Pine Grove Healthcare & Wellness Centre, Lp

San Gabriel, CA · Los Angeles County

CMS 4/5 75 beds For-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
—
Serious cites
0

Pine Grove runs 4.35 nurse hours per resident day, about 13% above the national average, though weekends drop roughly 12% below what the home staffs during the week. The 49 deficiencies on its current record include four tied to abuse; none rose to actual harm or jeopardy. Its last inspection was in March 2026, so the record is recent rather than stale. Quality measures score 5 out of 5, while inspection and staffing each land at 3, and the home is a for-profit partnership with 75 certified beds. The staffing number is real, but the weekend dip and the abuse citations are worth asking about directly.

B

82.5/100

Oakland Healthcare & Wellness Center

Oakland, CA · Alameda County

CMS 5/5 98 beds For-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
—
Serious cites
0

Oakland Healthcare & Wellness Center runs 98 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.16 hours per resident day, roughly 8% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, which is worth asking about if your family tends to visit or call on Saturdays and Sundays. The current record shows 27 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated January 15, 2026. CMS gives it 4 stars for health inspections, 5 for quality measures, and 3 for staffing.

B

82.5/100

Friendship Manor Nursing & Rehab Center

National City, CA · San Diego County

CMS 5/5 104 beds For-profit Medicaid
Nurse hours
4.21 /day
Staff turnover
33%
Serious cites
0

Friendship Manor runs about 4.21 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 33.3% sits well below the national 45.8%, meaning the people caring for residents tend to stick around. Weekends run about 16% leaner than weekdays, which is common but worth asking about. The tradeoff shows up in its record: 29 deficiencies and four fines totaling $297,367, though none of those deficiencies rose to the level of actual harm or jeopardy, and one was abuse-related. Inspectors were last on site in July 2025.

B

82.5/100

Westminster Towers

Orlando, FL · Orange County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
—
Serious cites
0

Westminster Towers is a 120-bed nonprofit in Orlando, and its numbers pull in two directions. The clinical quality measures look strong, but the inspection record is where families should focus: 22 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with two fines totaling just over $22,000. Nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, and it thins out further on weekends, running roughly 8% below the home's own weekday level. The last inspection was in March 2025, so the picture is current.

B

82.5/100

Life Care Center Of Orlando

Orlando, FL · Orange County

CMS 5/5 132 beds For-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
—
Serious cites
0

Life Care Center of Orlando runs 4.37 nurse hours per resident day, about 13 percent above the national average. That's a real cushion, though weekend coverage dips roughly 12 percent below what the building does on weekdays, which is worth asking about if your family visits mostly Saturdays and Sundays. The record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, with a 4-out-of-5 health inspection rating. State inspectors were last in on December 18, 2025, so the findings are recent. Corporate for-profit ownership and a 5-out-of-5 quality measure score round things out. Strong staffing and clean inspections carry more weight here than the raw deficiency count suggests.

B

82.5/100

Life Care Center Of Idaho Falls

Idaho Falls, ID · Bonneville County

CMS 3/5 109 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
46%
Serious cites
0

Life Care Center of Idaho Falls runs 109 beds under for-profit LLC ownership, and the staffing numbers are the strongest part of its story: 4.24 nurse hours per resident day, roughly 10% above the national average, earning 4 out of 5 stars from CMS. That cushion shrinks on weekends, though, when hours drop about 18% below the facility's own weekday level, and turnover sits at 46.2%, essentially matching the national rate, so continuity isn't a selling point here. The real caution is the inspection record: a 2/5 health inspection rating, 33 deficiencies with one at the harm level, and a $13,247 fine. Quality measures score 5/5, and the last inspection was recent, in March 2026.

B

82.5/100

Pearl Of Crystal Lake, The

Crystal Lake, IL · Mc Henry County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
35%
Serious cites
0

Pearl Of Crystal Lake runs a tight ship on nurse retention: 35.1% turnover beats the national 45.8% by a wide margin, and inspections in March 2025 turned up zero deficiencies at the harm level. The tradeoff shows up in raw hours. At 3.79 nurse staffing hours per resident day, it sits slightly under the national 3.86, and weekends run about 18% thinner than weekdays, a drop families feel when aides are stretched. Thirty-two deficiencies on record, one tied to abuse, and corporate for-profit ownership round out the picture. Strong quality marks and few serious problems, but ask about weekend coverage before you commit.

B

82.5/100

Bethlehem Woods Nursing And Rehabilitation

Fort Wayne, IN · Allen County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
41%
Serious cites
0

Bethlehem Woods runs a 90-bed for-profit operation in Fort Wayne, and the numbers show a home that's mostly steady. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends dip about 18% below its own weekday coverage, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover lands at 41.4%, a bit better than the 45.8% national figure, which suggests less churn than many peers. Inspections are current as of March 2026 with four deficiencies on record, none involving harm or abuse, and the quality measure rating is strong even though staffing scores lower.

B

82.5/100

Regency Park Nursing & Rehab Center Of Carroll

Carroll, IA · Carroll County

CMS 5/5 46 beds For-profit Medicaid
Nurse hours
3.48 /day
Staff turnover
—
Serious cites
0

Regency Park's inspection record is the strongest card here, a four-star health inspection and a five-star quality measure score, both built on a survey done in November 2025 with nine total deficiencies and just one at the harm level. No abuse findings on the record. Where it slips is staffing: 3.48 nurse hours per resident day, about 10% under the national average, with weekends running roughly 13% thinner than weekdays. Forty-six beds under corporate ownership means the numbers aren't hiding much. Ask how the weekend shift is covered, especially on evenings, and who's on call when it isn't.

B

82.5/100

Good Samaritan - Manson

Manson, IA · Calhoun County

CMS 4/5 42 beds Non-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
36%
Serious cites
0

Good Samaritan - Manson runs 42 beds as a nonprofit, and its strongest number is staffing stability: turnover at 35.7% sits well under the 45.8% national average, which matters in a small rural home where familiar faces do the work. The catch is raw hours, 3.25 nurse hours per resident day is about 16% under the national average, and weekends drop roughly 20% below its own weekday coverage, so care thins out exactly when families tend to visit. Fourteen deficiencies on the current record include one abuse-related citation, though none rose to harm or jeopardy. The last inspection was May 2025. Quality measures score well; the inspection history is the weaker half of the picture.

B

82.5/100

Elkader Care Center

Elkader, IA · Clayton County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
55%
Serious cites
0

Elkader Care Center runs 40 beds as a for-profit LLC, and its inspection record is genuinely strong, a 4-out-of-5 health inspection rating with a recent survey from December 2025. But look at the direct-care picture: 3.73 nurse hours per resident per day sits slightly under the national average of 3.86, and weekends drop about 17% below the home's own weekday staffing. Annual turnover of 54.5% tops the national 45.8%, which means the people helping your relative bathe and eat are changing often. Four deficiencies are on record, one involving harm or jeopardy and one tied to abuse. Good inspections, thinner hands-on coverage, worth asking about.

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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