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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 1761–1780 of 10,187, best-graded first.

B

82.5/100

Diversicare Of Council Grove

Council Grove, KS · Morris County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.26 /day
Staff turnover
42%
Serious cites
0

Diversicare Of Council Grove runs 60 beds under corporate ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends get thinner still, dropping about 17 percent below the home's own weekday coverage, so families should ask how that gap gets filled. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse; the last inspection was August 2024, and CMS scored health inspections 2 out of 5. Turnover lands at 41.7 percent, a bit better than the 45.8 percent national figure. Quality measures scored 4 out of 5, which is where the stronger numbers live.

B

82.5/100

Clay Center Presbyterian Manor

Clay Center, KS · Clay County

CMS 5/5 30 beds Non-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
47%
Serious cites
0

Clay Center Presbyterian Manor runs 30 certified beds as a nonprofit, and its nurse staffing sits at 4.51 hours per resident day, roughly 17 percent above the national average of 3.86. That's a real margin, and it shows in a five-star staffing rating. The catch is weekends, when coverage drops about 17 percent below the home's own weekday level, so a Friday admission and a Sunday shift aren't the same experience. Turnover is 46.7 percent, slightly above the national 45.8 percent, meaning the people caring for your relative are often new. Fourteen deficiencies sit on the current record, though none reached harm or jeopardy and none involved abuse. Its last inspection was August 2024, and the health inspection rating came in at four stars.

B

82.5/100

Good Samaritan - Ellis

Ellis, KS · Ellis County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
29%
Serious cites
0

Good Samaritan Society - Ellis runs 42 certified beds as a nonprofit, and its strongest number is staff retention: 28.9% turnover against a national average of 45.8% means aides and nurses here tend to stay, which matters for residents who need consistent hands. Daily nurse staffing sits at 3.73 hours per resident, a touch under the 3.86 national figure, and weekends drop about 16% below the home's own weekday coverage, so care can thin out on Saturdays and Sundays. The inspection record shows 24 deficiencies, including one at the harm level and one abuse-related citation. The most recent survey was in December 2025, so that record is current rather than dated.

B

82.5/100

Signature Healthcare At Colonial Rehab & Wellness

Bardstown, KY · Nelson County

CMS 1/5 65 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Signature Healthcare at Colonial Rehab & Wellness runs on a corporate for-profit model with 65 certified beds, and the staffing picture is a mixed one. Nurse hours come to 3.81 per resident day, right around the national average of 3.86, but weekends drop roughly 18% below weekday coverage, that's when families tend to visit and notice. Turnover sits at 25%, well under the national 45.8%, so the people caring for your relative are more likely to stick around. The trouble is the inspection record. Six deficiencies, three of them serious enough to involve harm or jeopardy, plus one tied to abuse, and a $67,987 fine. A recent August 2025 inspection means the state has been watching closely. Strong quality scores don't erase that history.

B

82.5/100

Riviere De Soleil Community Care Center

Mansura, LA · Avoyelles County

CMS 3/5 130 beds Non-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
44%
Serious cites
0

Riviere De Soleil runs 4.54 nurse hours per resident per day, about 18% above the national average, and that staffing shows up in its four-star staffing and quality ratings. Turnover sits at 44.3%, slightly better than the national 45.8%, though weekend coverage drops roughly 15% below its own weekday level, worth asking about if your family visits Saturdays or Sundays. The record isn't clean: 24 deficiencies, including one at the harm level and one abuse-related, with a three-star inspection rating. That mix of strong daily staffing and a serious citation on file is what a B grade reflects here.

B

82.5/100

The Orchards At Southgate

Southgate, MI · Wayne County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
—
Serious cites
0

The Orchards at Southgate runs 100 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 6% below its own weekday numbers, so coverage thins exactly when families tend to visit. The inspection record is where the real concern lives: 21 deficiencies, including three at the harm or jeopardy level and three tied to abuse. Four fines total $47,691. A 5/5 quality measure rating and a recent September 2025 inspection look better on paper, but quality measures reflect resident health trends, not whether the building is safely run day to day. The staffing and deficiency picture tells you more.

B

82.5/100

Medilodge Of Kalamazoo

Kalamazoo, MI · Kalamazoo County

CMS 2/5 39 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
39%
Serious cites
0

Medilodge Of Kalamazoo runs 39 beds under for-profit LLC ownership, and its nurse staffing sits at 3.64 hours per resident day, about 6% under the national average of 3.86. Weekend coverage drops roughly 15% below its own weekday level, which matters if your family visits or calls on Saturdays and Sundays. Staff turnover is 39%, better than the 45.8% national figure, so workers tend to stick around longer than at the typical home. Inspections in July 2025 turned up 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, worth asking about directly. Quality and staffing each earned 4 of 5 stars from CMS; health inspection earned 3.

B

82.5/100

Medilodge Of Portage

Portage, MI · Kalamazoo County

CMS 3/5 117 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
45%
Serious cites
0

Medilodge of Portage runs 117 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average of 3.86. Weekends dip roughly 21% below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record is the heavier concern: 53 deficiencies, five at harm or jeopardy level and three tied to abuse, plus two fines totaling $35,317. Annual turnover of 44.8% is essentially the national rate, so that's not the outlier here. The most recent inspection was April 2025, so the picture is current.

B

82.5/100

Trend Health And Rehab Of Brookhaven

Brookhaven, MS · Lincoln County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
23%
Serious cites
0

Trend Health And Rehab Of Brookhaven runs 60 certified beds under for-profit limited liability ownership, and its staffing is the strongest part of the picture: 4.22 nurse hours per resident day, roughly 9% above the national average, with a 5-out-of-5 staffing rating. Turnover sits at 22.8%, about half the national rate, so the people caring for residents tend to stay. Two things pull against that. Weekend staffing drops about 18% below the home's own weekday level, so care thins out on Saturdays and Sundays. And the quality measure rating is 2 out of 5, meaning clinical outcomes don't track with the staffing strength. Fourteen deficiencies are on record, none at harm or jeopardy level, none abuse-related, with the most recent inspection in February 2026.

B

82.5/100

The Madison Health And Rehab

Madison, MS · Madison County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.62 /day
Staff turnover
59%
Serious cites
0

The Madison Health And Rehab runs 60 beds under for-profit LLC ownership, and its nurse staffing sits about 20 percent above the national average, a real edge, though weekends drop roughly 23 percent below the home's own weekday coverage, so care thins out when families visit. Turnover is the bigger worry: 58.9 percent annually against a national 45.8 percent means aides and nurses cycle through often, and that churn can undercut even good staffing numbers. The inspection record shows 25 deficiencies, including one tied to abuse, with no harm-level findings and a survey as recent as January 2025.

B

82.5/100

Heritage House Nursing Center

Vicksburg, MS · Warren County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
30%
Serious cites
0

Heritage House runs 60 beds in Vicksburg under corporate for-profit ownership, and its staffing picture is genuinely strong: 3.86 nurse hours per resident day sits right at the national average, and the 5/5 staffing star reflects that consistency. Turnover is the real bright spot, 29.6% against a national average of 45.8% means aides and nurses are staying put, which matters for residents who need familiar faces. The caveats are on the inspection side: 17 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was recent. Weekend staffing drops about 18% below weekday levels, so ask how weekends are covered.

B

82.5/100

Barnes-Jewish Extended Care

Saint Louis, MO · St. Louis County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
5.09 /day
Staff turnover
55%
Serious cites
0

Barnes-Jewish Extended Care runs 120 certified beds as a nonprofit, and its nurse staffing sits at 5.09 hours per resident day, roughly a third above the national average of 3.86. That's the strongest part of the picture, though weekends dip about 19% below the home's own weekday coverage. Staff turnover is 54.5%, higher than the 45.8% national average, so people are cycling through even with the generous staffing numbers. The inspection record shows 30 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated March 2026. Federal ratings land at 3 stars for health inspections and quality measures, 4 for staffing.

B

82.5/100

Good Samaritan Society - Albion

Albion, NE · Boone County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
40%
Serious cites
0

Good Samaritan Society - Albion runs on 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends dip about 18% below what the home staffs Monday through Friday. That gap matters more than the weekday number, since falls and infections don't schedule themselves around a lighter weekend roster. Turnover sits at 40.4%, better than the 45.8% national figure, and the inspection record is clean where it counts: four deficiencies total, none at harm or jeopardy level, though one is abuse-related. A 5/5 inspection rating and a May 2026 survey mean the state found this place in good shape. The tradeoff is thin daily coverage, especially on weekends.

B

82.5/100

South Haven Living Center

Wahoo, NE · Saunders County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
32%
Serious cites
0

South Haven Living Center runs on better-than-average nurse coverage, 3.95 hours per resident day against a national figure near 3.86, and its staff stick around at a rate most homes would envy, with turnover at 32.2% versus 45.8% nationally. Weekend hours drop roughly 15% below weekday levels, so ask how that plays out on a Sunday afternoon. The inspection record is clean where it matters most: six deficiencies, none involving harm or abuse, and the most recent survey came in July 2025. Quality measure scores sit lower than the staffing and inspection marks, which is the tension worth asking about when you visit.

B

82.5/100

Whispering Pines Nursing & Rehab Center

Fayetteville, NC · Cumberland County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
41%
Serious cites
0

Whispering Pines runs 4.34 nurse hours per resident day, about 12% above the national average, and its 41% turnover is a few points better than the typical home. The catch is weekends, when staffing drops roughly 19% below its own weekday level, that's when gaps tend to show up. On inspections, the record is strong: a 5-star health inspection rating from CMS, last survey in April 2025, and just three deficiencies, though one rose to the harm level. One fine totaling $8,512 is on file. For-profit corporate ownership, 86 beds, and a consistent staffing picture overall.

B

82.5/100

St Benedicts Health Center

Dickinson, ND · Stark County

CMS 5/5 124 beds Non-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
54%
Serious cites
0

St. Benedicts runs a leaner nursing floor than most: 3.75 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 18% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families tend to visit and when care needs don't take the weekend off. The nonprofit's inspection record is genuinely strong, a five-star health inspection rating, a clean slate on harm-level deficiencies, and a survey completed in April 2025, though one abuse-related citation and a 53.9% annual turnover rate, well above the 45.8% national figure, are worth asking about directly. Quality measures sit mid-range at three stars.

B

82.5/100

Southbrook Healthcare, Inc

Ardmore,, OK · Carter County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
33%
Serious cites
0

Southbrook runs a tight ship on inspections, a five-star health inspection rating and ten total deficiencies on record, none of them causing harm or involving abuse. The tradeoff shows up in day-to-day coverage: nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 17% thinner than weekdays, so care can feel different depending on when you visit. Staff retention works in its favor, though, with turnover at 33.3% against a national average near 46%. Ownership is corporate and for-profit, and the last full inspection was in January 2025.

B

82.5/100

Juniper Village At Brookline-Rehabilitation And Sk

State College, PA · Centre County

CMS 5/5 116 beds For-profit
Nurse hours
4.65 /day
Staff turnover
46%
Serious cites
0

Juniper Village at Brookline runs a leaner weekend than weekday, with staffing dropping about 19% on Saturdays and Sundays, so if you're planning visits or asking about care then, that gap is worth knowing. Overall nurse hours sit at 4.65 per resident day, roughly a fifth above the national average, and turnover lands at 45.5%, essentially the national rate, not better. The inspection record shows 16 deficiencies with none rising to harm or jeopardy and nothing abuse-related, and the most recent survey was in March 2026. State College families weighing this one against others nearby are looking at a home that staffs generously on paper but carries a persistent weekend dip.

B

82.5/100

Jeanne Jugan Residence

Pawtucket, RI · Providence County

CMS 5/5 49 beds Non-profit Medicaid
Nurse hours
5.93 /day
Staff turnover
—
Serious cites
0

Jeanne Jugan Residence runs on 5.93 nurse hours per resident per day, well above the 3.86 national average, and weekends barely dip from weekday coverage, about 5%. Its last inspection, in April 2026, turned up three deficiencies, none involving harm or abuse, and the health inspection rating sits at the top of the scale. The quality measure rating is where it thins out, landing at 2 of 5, so the clinical numbers families often weigh don't match the staffing strength. As a nonprofit with 49 beds, it's small enough that nurse coverage translates directly to the floor. Ask what's driving the quality measures before you decide.

B

82.5/100

City Creek Post Acute

Salt Lake City, UT · Salt Lake County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
—
Serious cites
0

City Creek Post Acute sits in Salt Lake City with 108 certified beds and a for-profit partnership structure. The numbers here pull in opposite directions: residents' clinical outcomes score well on federal quality measures, but staffing earns only one star out of five, and the home carries 21 deficiencies on its current record, including three at the harm or jeopardy level and three tied to abuse. That staffing figure is the one worth sitting with, since day-to-day care depends on people, not charts. The most recent inspection closed in March 2026, so the picture is current. Ask about direct-care hours per resident per day and how the abuse-related findings were resolved before you make a decision.

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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