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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 161 to 180 of 10,187, best-graded first.

A

94/100

The Terraces Of Los Gatos

Los Gatos, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
30%
Serious cites
0

The Terraces of Los Gatos runs on a nonprofit model with 59 certified beds, and its nurse staffing sits about 22 percent above the national average, roughly 4.73 hours per resident per day against 3.86. Turnover is 30.4 percent, well below the national 45.8, which matters because consistent caregivers tend to know residents' routines. Weekend coverage does dip about 12 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection history is the catch: 30 deficiencies on record, including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,487. The most recent inspection was January 9, 2025, so the picture is current.

A

94/100

Trinity Terrace

Fort Worth, TX · Tarrant County

CMS 5/552 bedsNon-profit
Nurse hours
4.11 /day
Staff turnover
30%
Serious cites
0

Trinity Terrace runs on 4.11 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 30.2% is well below the 45.8% national figure, that kind of retention matters more than any single inspection result. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. As a nonprofit, it answers to a board rather than shareholders, and the survey history suggests problems get fixed before they endanger anyone.

A

93.5/100

The Green House Cottages Of Wentworth Place

Magnolia, AR · Columbia County

CMS 5/5126 bedsFor-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
30%
Serious cites
0

The Green House Cottages Of Wentworth Place runs on unusually strong staffing for a for-profit LLC home: 5.02 nurse hours per resident day, about 30% above the national average, with weekend coverage dipping roughly 16% below its own weekday level. Turnover sits at 29.9%, well under the 45.8% national figure, which matters for consistency of care. Inspections back it up, a 5/5 health inspection rating, 13 deficiencies on record but none at harm or jeopardy level and none abuse-related, with the last inspection dated March 12, 2026. The 126-bed home also earns 5/5 on quality measures. The weekend staffing gap is the one thing worth asking about directly.

A

93/100

Marion Regional Nursing Home

Hamilton, AL · Marion County

CMS 3/579 bedsNon-profitMedicaid
Nurse hours
4.26 /day
Staff turnover
21%
Serious cites
0

Marion Regional runs a tight ship on staffing. At 4.26 nurse hours per resident day, it sits about 10% above the national average, and a 20.6% turnover rate is less than half the national figure of 45.8%, that kind of stability usually means residents see the same faces. Weekends dip about 14% below the home's own weekday coverage, worth asking about if your family visits then. The tradeoff shows up in inspections: 13 deficiencies on record, including one abuse-related, and a 2-star health inspection rating from CMS. None of those deficiencies rose to harm or jeopardy level, and the most recent inspection was February 2025, so the record is current. A nonprofit operator with strong staffing and a recent, mostly low-level survey history.

A

93/100

Splendido At Rancho Vistoso

Tucson, AZ · Pima County

CMS 2/542 bedsFor-profit
Nurse hours
4.97 /day
Staff turnover
18%
Serious cites
0

Splendido At Rancho Vistoso runs 4.97 nurse hours per resident day, roughly 29% above the national average, and its 18.2% turnover is well under half the national figure. Those are real strengths. The catch is consistency: weekend staffing drops about 13% below weekday levels, and CMS gives the home just one star for staffing even with the high average, which suggests the hours aren't distributed as evenly as the total implies. Ten deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus an $8,018 fine. The last inspection was in March 2025. Quality measures score five stars, inspections four. This is a well-resourced home with a thin staffing cushion on weekends.

A

93/100

South Marin Health & Wellness Center

Greenbrae, CA · Marin County

CMS 4/572 bedsFor-profitMedicaid
Nurse hours
4.42 /day
Staff turnover
38%
Serious cites
0

South Marin runs 4.42 nurse hours per resident day, roughly 15% above the national average, and its staff turnover of 37.8% sits well below the typical 45.8%, both point to a home that keeps people and keeps them present. Weekend staffing dips about 13% from weekday levels, which is worth asking about directly. The 37 deficiencies on record include one tied to abuse, though none reached harm or jeopardy, and the most recent inspection was December 2025. Quality measures score 5/5 while inspections score 3/5, a split that suggests the day-to-day care looks stronger than the paperwork trail. As a for-profit LLC with 72 beds, it's worth asking who owns it and how long they've been there.

A

93/100

Pine Ridge Care Center

San Rafael, CA · Marin County

CMS 5/5101 bedsFor-profitMedicaid
Nurse hours
4.48 /day
Staff turnover
43%
Serious cites
0

Pine Ridge Care Center runs 101 certified beds in San Rafael, and the staffing numbers are the first thing worth knowing: 4.48 nurse hours per resident day, about 16% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 42.9%, slightly better than the national 45.8%. What complicates the picture is the inspection record, 44 deficiencies, one at harm or jeopardy level, four tied to abuse, and a 2/5 health inspection rating, despite 5/5 marks on staffing and quality measures. A single fine of $7,542 is on file, and the most recent inspection was December 5, 2025. For-profit partnership ownership.

A

93/100

Piedmont Gardens Health Facility

Oakland, CA · Alameda County

CMS 5/594 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
21%
Serious cites
0

Piedmont Gardens runs on a nonprofit model with 94 certified beds, and the staffing numbers are where it separates itself. At 4.76 nurse hours per resident day, it sits roughly 23 percent above the national average of 3.86, and weekend coverage only dips about 5 percent below its own weekday levels, which is a smaller drop than many homes manage. Staff turnover tells a similar story: 21.2 percent against a national average of 45.8 percent, meaning the people caring for residents tend to stay. Eleven deficiencies appear on the current record, none at the harm level and none abuse-related, with the most recent inspection in January 2025. For a family weighing options, the pattern here is steady hands and few red flags.

A

93/100

Cottonwood Healthcare Center

Woodland, CA · Yolo County

CMS 5/598 bedsFor-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
43%
Serious cites
0

Cottonwood Healthcare Center runs on 4.44 nursing hours per resident per day, roughly 15% above the national average, though weekends dip about 10% below what the home staffs on weekdays. Staff turnover sits at 43.4%, a touch better than the 45.8% national figure, and the current record shows 43 deficiencies with none at the harm or jeopardy level and nothing abuse-related. The last inspection was July 30, 2025. This is a for-profit limited liability company with 98 certified beds, and its federal ratings split sharply: five stars each for staffing and quality measures, three for health inspections, strong day-to-day care numbers sitting alongside a longer inspection history.

A

93/100

Alden Terrace Convalescent Hospital

Los Angeles, CA · Los Angeles County

CMS 5/5210 bedsFor-profitMedicaid
Nurse hours
4.03 /day
Staff turnover
31%
Serious cites
0

Alden Terrace runs on more nurse hours than the typical American nursing home, 4.03 per resident day against a national average of 3.86, and weekend coverage dips only about 6% below its own weekday level, which matters when families visit on Saturdays and Sundays. Staff turnover sits at 31%, well under the national 45.8%, so the people caring for residents tend to stick around longer than elsewhere. The tradeoff shows up in its inspection history: 35 deficiencies on the current record, including one at the harm level and one abuse-related, despite a recent November 2025 inspection and strong marks on quality measures. For-profit corporate ownership, 210 beds.

A

93/100

Providence Little Co Of Mary Transitional Care Ctr

Torrance, CA · Los Angeles County

CMS 5/5115 bedsNon-profitMedicaid
Nurse hours
6.85 /day
Staff turnover
25%
Serious cites
0

Providence Little Co Of Mary Transitional Care Center runs on 6.85 nurse hours per resident per day, roughly 77% above the national average, and its staff tends to stay, turnover of 24.5% is about half the national figure. Weekend coverage dips around 10% below weekday levels, so ask how that plays out on Saturdays and Sundays. The record shows 28 deficiencies, none at the harm or jeopardy level, with one abuse-related citation worth asking about directly. Inspections are current as of April 2026, and this church-affiliated nonprofit holds a 4 out of 5 on health inspections and a 5 on staffing.

A

93/100

Willowbrooke Court At St Andrews Estates

Boca Raton, FL · Palm Beach County

CMS 4/589 bedsNon-profitMedicaid
Nurse hours
4.17 /day
Staff turnover
21%
Serious cites
0

Willowbrooke Court runs on a nonprofit model in Boca Raton, and the staffing numbers are the story here: 4.17 nurse hours per resident day, roughly 8% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 21.4%, less than half the national rate of 45.8%, which matters because consistent caregivers tend to know residents' routines and catch changes early. Weekend coverage dips about 7% below weekday levels, worth asking about if your family visits mostly on Saturdays and Sundays. The inspection record shows 17 deficiencies, none at the harm level and none abuse-related, with the most recent survey completed in May 2025.

A

93/100

Plaza West

Sun City Center, FL · Hillsborough County

CMS 3/5113 bedsFor-profitMedicaid
Nurse hours
4.98 /day
Staff turnover
21%
Serious cites
0

Plaza West runs on strong staffing numbers. At 4.98 nurse hours per resident day, it sits about 29% above the national average, and its staff turnover of 21.4% is roughly half the national figure, that kind of retention usually means residents see familiar faces. Weekends dip about 10% below weekday coverage, worth asking about if your family visits on Saturdays. The tradeoff is inspections: a 2/5 health inspection rating and 19 deficiencies on record, though none at the harm level and none abuse-related. A recent July 2025 inspection means the picture is current. For-profit LLC ownership, 113 beds.

A

93/100

Vi At Lakeside Village

Lantana, FL · Palm Beach County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.56 /day
Staff turnover
13%
Serious cites
0

Vi at Lakeside Village runs 5.56 nurse hours per resident per day, roughly 44% above the national average of 3.86, that's a real staffing cushion, not a marginal one, and it's the main reason this home stands out. Just as telling: annual turnover sits at 12.9% against a national average of 45.8%, meaning the people caring for residents mostly stay put, which matters more than any single inspection score. Weekend staffing drops about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Ten deficiencies are on record with none at the harm level and none abuse-related, and the last inspection was February 2026, recent enough to trust.

A

93/100

Westminster St Augustine

Saint Augustine, FL · St. Johns County

CMS 5/530 bedsNon-profit
Nurse hours
4.38 /day
Staff turnover
17%
Serious cites
0

Westminster St Augustine runs a small house, 30 certified beds under church-related nonprofit ownership, and the numbers suggest it's staffed accordingly. Nurse coverage sits at 4.38 hours per resident day, roughly 13% above the national average, and weekend hours dip only about 5% below weekday levels. Staff turnover is the standout: 16.7% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines and catch changes early. On the inspection side, the home carries just three deficiencies, none at harm or jeopardy level and none abuse-related, with its last survey completed in August 2025. Federal ratings land at five stars across health inspections, quality measures, and staffing.

A

93/100

Bentley Care Center

Naples, FL · Collier County

CMS 3/584 bedsFor-profit
Nurse hours
6.45 /day
Staff turnover
31%
Serious cites
0

Bentley Care Center runs on unusually heavy staffing for a for-profit home, 6.45 nurse hours per resident per day, roughly two-thirds above the national average, and turnover sits at 31%, well under the typical 46%. That combination is the main reason it scores as well as it does. The softer spots are worth knowing about: weekend coverage drops about 10% below its own weekday levels, and the last health inspection turned up 17 deficiencies, though none involved actual harm or abuse. Inspectors were last in the building in November 2024. The two-star inspection rating says the paperwork and physical plant have had problems; the five-star staffing rating says someone is usually there when a resident needs help.

A

93/100

Kindred Hospital South Florida Hollywood

Hollywood, FL · Broward County

CMS 5/530 bedsFor-profit
Nurse hours
5.03 /day
Staff turnover
24%
Serious cites
0

Kindred Hospital South Florida Hollywood runs on unusually heavy staffing for a 30-bed home, 5.03 nurse hours per resident day, roughly a third more than the national average, which is why CMS gives it the top staffing mark. Turnover sits at 23.5%, about half the national rate, so the people caring for residents tend to stick around. The trade-off shows up in inspections: 19 deficiencies on the current record, though none involved harm or abuse, and the most recent visit was in December 2024. Weekend coverage dips about 9% below its own weekday levels, worth asking about if your family visits then.

A

93/100

The Ching Villas

Honolulu, HI · Honolulu County

CMS 4/5163 bedsFor-profitMedicaid
Nurse hours
6.46 /day
Staff turnover
36%
Serious cites
0

The Ching Villas runs on unusually heavy nurse staffing, 6.46 hours per resident day, roughly two-thirds more than the national average, and that shows up in its five-star staffing rating. Weekend coverage dips about 13% below its own weekday level, so ask how that plays out on a Saturday. Turnover sits at 36.3%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The catch is the inspection record: 40 deficiencies, though none at harm or jeopardy level and none abuse-related, and the most recent inspection was in January 2026. For-profit, limited liability ownership. Strong care numbers, a long paper trail to read.

A

93/100

Mercy Harvard Hospital Care Center

Harvard, IL · Mc Henry County

CMS 5/534 bedsNon-profitMedicaid
Nurse hours
6.76 /day
Staff turnover
36%
Serious cites
0

Mercy Harvard runs 34 beds as a nonprofit, and the staffing numbers are the story here: 6.76 nurse hours per resident day, roughly 75% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but that's a narrow gap and staff turnover sits at 35.5%, well under the 45.8% national figure. The current record shows 9 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A 5/5 inspection rating with a February 2026 survey means the state looked recently and found nothing serious. Small homes live or die on consistency, and this one has it.

A

93/100

Vi At The Glen

Glenview, IL · Cook County

CMS 5/547 bedsFor-profit
Nurse hours
4.54 /day
Staff turnover
38%
Serious cites
0

Vi at The Glen runs 47 certified beds in Glenview, and the numbers behind its record are hard to argue with. Nurse staffing sits at 4.54 hours per resident day, roughly 18 percent above the national average, and weekend coverage dips only about 12 percent from its own weekday level, a smaller drop than many homes show. Annual turnover is 37.9 percent, well under the 45.8 percent national figure, which matters for whether caregivers actually stick around. Six deficiencies sit on the current record, none at the harm or jeopardy level, though one is abuse-related, and the last inspection came in June 2025. Corporate, for-profit ownership, three 5-star CMS ratings across inspections, quality measures, and staffing.

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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