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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 1781–1800 of 10,187, best-graded first.

B

82.5/100

Draper Rehabilitation And Care Center

Draper, UT · Salt Lake County

CMS 4/5 93 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
40%
Serious cites
0

Draper Rehabilitation runs on 3.84 nurse hours per resident day, right at the national average of 3.86, but weekends dip about 15% below its own weekday staffing. Turnover sits at 40%, better than the 45.8% national figure, which matters for whether you see the same faces month to month. The current record shows six deficiencies, including one at the harm level and one abuse-related citation, those are the ones worth asking about directly, even with a recent inspection in November 2025 and four-out-of-five stars across health inspections, quality measures, and staffing. This is a for-profit LLC, so ask how the harm and abuse citations were resolved and how weekend coverage is handled.

B

82.5/100

Pinnacle Nursing And Rehabilitation Center

Price, UT · Carbon County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
39%
Serious cites
0

Pinnacle runs about 3.54 nurse hours per resident day, roughly 8% under the national average, and weekends dip 16% below its own weekday coverage, so the care you'd see on a Saturday isn't quite what you'd see on a Tuesday. Turnover is 39.3%, which is actually better than the 45.8% national figure. Fifteen deficiencies sit on the record, but none at harm or jeopardy level and none abuse-related, and the last inspection was January 29, 2026. Quality measures score 5/5. The main soft spot is staffing volume, not safety.

B

82.5/100

Life Care Center Of Port Orchard

Port Orchard, WA · Kitsap County

CMS 5/5 125 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
40%
Serious cites
0

Life Care Center of Port Orchard runs a tight ship on inspections, with a clean four-star health rating and no deficiencies at the harm level. Staffing sits just under the national average at 3.84 hours per resident day, and weekends run noticeably thinner than weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover at 39.8% beats the national 45.8%, which matters for whether your parent sees the same faces month to month. Thirty-three deficiencies on record and one abuse-related finding are the blemishes. Recent inspection date means the picture is current.

B

82.5/100

Beacon Hill Rehabilitation

Longview, WA · Cowlitz County

CMS 5/5 67 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
38%
Serious cites
0

Beacon Hill Rehabilitation runs 67 certified beds in Longview under corporate for-profit ownership, and its nurse staffing sits at 4.10 hours per resident day, roughly 6% above the national average. That edge narrows on weekends, when coverage drops about 19% below the home's own weekday level, so the weekday numbers aren't the whole picture. Staff turnover is 37.5%, better than the 45.8% national rate and a real point in its favor given how hard retention is in this industry. The health inspection and quality measure ratings both come in at five stars, and the most recent inspection was in May 2026. Against that, nine deficiencies are on the current record, including one at the harm level and one abuse-related, plus a single $25,350 fine.

B

82.5/100

Regency At Northpointe

Spokane, WA · Spokane County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
47%
Serious cites
0

Regency At Northpointe runs 4.72 nurse hours per resident day, about 22% above the national average, and that staffing shows in its four-out-of-five staffing stars. Weekends are thinner, though, running roughly 20% below the home's own weekday levels, so care can feel different on a Saturday. Turnover sits at 47%, just above the national 45.8%. Inspections earn four stars, with the most recent visit in August 2024, but the record holds 15 deficiencies, including one at the harm level and one abuse-related, plus a single $8,278 fine.

B

82.5/100

Cottesmore Of Life Care

Gig Harbor, WA · Pierce County

CMS 5/5 108 beds For-profit Medicaid
Nurse hours
4.32 /day
Staff turnover
44%
Serious cites
0

Cottesmore Of Life Care sits in Gig Harbor with 108 certified beds and a for-profit LLC owner. The nurse staffing number is the bright spot here: 4.32 hours per resident day, roughly 12% above the national average of 3.86, though weekends run about 18% thinner than weekdays. Turnover lands at 44.3%, slightly better than the 45.8% national figure. What pulls the record down is the inspection history, 38 deficiencies on the current record, including 2 at the harm or jeopardy level and 3 tied to abuse, with two fines totaling $29,595. The most recent inspection came on 2026-02-27. Strong staffing and a 5/5 quality measure score, but the deficiency count is what you'd want to ask about directly.

B

82.5/100

Pleasant Valley Healthcare Center

Point Pleasant, WV · Mason County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
25%
Serious cites
0

Pleasant Valley Healthcare Center runs 100 certified beds in Point Pleasant under corporate ownership, and its inspection record is the strongest thing going for it, a 5/5 health inspection rating and 16 deficiencies on file, none of which rose to harm or jeopardy level. Two abuse-related citations are worth asking about directly. Staffing is where it gets thinner: 3.46 nurse hours per resident day sits about 10% under the national average, and weekends drop roughly 17% below the home's own weekday coverage, so ask how that gap gets filled. Turnover at 24.7% is well below the national 45.8%, which suggests a steadier crew than most. Last inspection: May 2026.

B

82.5/100

Gold Country Health Center

Placerville, CA · El Dorado County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
46%
Serious cites
0

Gold Country Health Center sits on the high side for nurse staffing, 4.83 hours per resident day, roughly 25% above the national average, which is probably why its staffing star lands at 4 out of 5. The catch is consistency: weekends run about 17% thinner than weekdays, and turnover sits at 46.2%, essentially matching the national rate, so the faces change about as often here as anywhere. The 51 deficiencies on record, including 2 at harm level and $14,886 in fines, explain why inspections score 3 out of 5 despite strong quality measures. A for-profit LLC operates the 68-bed building, and its last inspection was September 2025.

B

82.5/100

West Covina Medical Center D/P Snf

West Covina, CA · Los Angeles County

CMS 4/5 33 beds For-profit Medicaid
Nurse hours
8.47 /day
Staff turnover
29%
Serious cites
0

Nurse staffing at West Covina Medical Center's distinct-part unit runs 8.47 hours per resident day, roughly double the national average of 3.86, a striking figure for a 33-bed for-profit home. Weekend coverage dips about 18% below weekday levels, and staff turnover sits at 29.3%, better than the 45.8% national average. The tradeoff shows up in the inspection record: 34 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level. State inspectors visited most recently in December 2025. A 4/5 health inspection rating and 4/5 quality measures offset a 3/5 staffing star, which may reflect the weekend gap more than raw hours.

B

82.5/100

Remington Transitional Care Of San Antonio

San Antonio, TX · Bexar County

CMS 4/5 60 beds Non-profit
Nurse hours
4.47 /day
Staff turnover
43%
Serious cites
0

Remington Transitional Care of San Antonio runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.47 hours per resident day, roughly 16% above the national average of 3.86. That staffing edge is real, though weekend coverage drops about 18% below the home's own weekday level, so care may look different on a Saturday than a Tuesday. Staff turnover is 42.9%, a bit better than the 45.8% national figure. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection in June 2025. The quality measure rating is strong at 5/5; health inspection and staffing ratings sit at 3/5 each.

B

82/100

Sumter Health And Rehabilitation, L L C

York, AL · Sumter County

CMS 3/5 125 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
37%
Serious cites
0

Sumter Health and Rehabilitation runs 125 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13 percent under the national figure of 3.86. Weekend coverage dips roughly 14 percent below what the home staffs on weekdays, so the quietest shifts are also the thinnest. Turnover lands at 36.8 percent, which is actually better than the 45.8 percent national average; keeping caregivers longer matters for residents who need consistency. The inspection record shows eight deficiencies, none involving harm or jeopardy and none abuse-related, though the last full inspection was April 2022. Quality and staffing each earned 4 of 5 stars from CMS; health inspection earned 3.

B

82/100

Eastern Shore Rehabilitation And Health Center

Daphne, AL · Baldwin County

CMS 4/5 117 beds Non-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
48%
Serious cites
0

Eastern Shore Rehabilitation and Health Center runs on 4.06 nurse hours per resident day, a bit more than the national average of 3.86, and that shows up in a five-star staffing rating. The catch is weekends, when coverage drops roughly 14% below what the home staffs during the week. Its inspection record shows seven deficiencies with none at the harm level and nothing abuse-related, though the last full inspection was in March 2021, so that picture is getting old. Staff turnover sits at 47.7%, slightly worse than the 45.8% national figure, which matters in a 117-bed nonprofit building where consistent caregivers are the point.

B

82/100

South Health And Rehabilitation, Llc

Birmingham, AL · Jefferson County

CMS 2/5 83 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
53%
Serious cites
0

South Health and Rehabilitation runs a for-profit shop with 83 beds in Birmingham, and the staffing numbers are genuinely a bright spot: 4.19 nurse hours per resident day, about 9% above the national average of 3.86. That's real coverage. But look closer and the picture gets uneven, weekends run roughly 27% leaner than weekdays, and annual turnover sits at 53.4% against a national average of 45.8%, so the people providing that care keep changing. Inspections tell a similar story: six deficiencies on record, two of them serious enough to involve harm or jeopardy, with $8,569 in fines and the last full look coming back in August 2023. Good weekday staffing, shakier consistency.

B

82/100

The Rehabilitation Center At The Palazzo

Phoenix, AZ · Maricopa County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.33 /day
Staff turnover
52%
Serious cites
0

The Rehabilitation Center At The Palazzo runs 4.33 nurse hours per resident day, roughly 12% above the national average, though weekends drop about 13% below its own weekday pace. Staff turnover sits at 51.6%, higher than the 45.8% national figure, and the current record shows 29 deficiencies, including two tied to abuse, none at the harm level. A 2025 inspection is recent, and the quality measures score well, but the inspection history and turnover are the numbers worth weighing against the staffing cushion.

B

82/100

Heritage Health Care Center

Globe, AZ · Gila County

CMS 4/5 96 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
26%
Serious cites
0

Heritage Health Care Center in Globe runs a tight ship on retention, 25.5% annual staff turnover is well under the 45.8% national average, which means familiar faces on the floor. That stability shows in the inspection record: a 4/5 health inspection rating and a recent February 2026 survey with no deficiencies at the harm or jeopardy level. The tradeoff is raw hours. At 3.36 nurse staffing hours per resident day, this home sits about 13% below the national average, and weekends dip roughly 14% below its own weekday coverage, so ask specifically who's on duty Saturday and Sunday. Nine total deficiencies, three tied to abuse, are worth reading in full before you visit.

B

82/100

Haven Of Yuma

Yuma, AZ · Yuma County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Haven Of Yuma runs 120 beds under for-profit LLC ownership, and its staffing sits at 3.47 nurse hours per resident day, roughly 10% under the national average of 3.86. Weekends dip about 15% below its own weekday coverage, so the gaps aren't evenly spread. Turnover lands at 39.6%, better than the 45.8% national figure, which matters for continuity. The health inspection side is the weak spot: 2 of 5 stars, 13 deficiencies on record, one serious enough to involve harm or jeopardy, though none abuse-related. A July 2025 inspection means the record is recent. Quality measures score 5 of 5, but that's self-reported MDS data, not an outside observer.

B

82/100

The Center At Val Vista, Llc

Gilbert, AZ · Maricopa County

CMS 5/5 96 beds For-profit
Nurse hours
4.64 /day
Staff turnover
41%
Serious cites
0

The Center at Val Vista sits in Gilbert with 96 certified beds, individually owned for profit. Nurse staffing runs 4.64 hours per resident day, roughly a fifth more than the national average, and turnover comes in slightly under the national figure at 41.3%, both signs of an operation that keeps its people and staffs up. Weekend coverage dips about 11% below weekdays, which is worth asking about if your family visits then. Six deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in late December 2023.

B

82/100

The Blossoms At Mountain View Rehab & Nursing Cen

Mountain View, AR · Stone County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
39%
Serious cites
0

The Blossoms At Mountain View runs 97 certified beds under for-profit LLC ownership, and its last health inspection on March 26, 2026 landed clean, five deficiencies on record, none at the harm or jeopardy level and none abuse-related. That inspection record is the strong part. The weaker part is staffing: 3.20 nurse hours per resident day sits about 17 percent under the 3.86 national average, with weekend coverage dropping roughly 12 percent below its own weekday level. Annual turnover of 38.7 percent does beat the 45.8 percent national figure, so workers are at least staying longer than average. If you're weighing this one, ask how the weekend shift is actually covered.

B

82/100

River Ridge Rehabilitation And Care Center

Wynne, AR · Cross County

CMS 3/5 100 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
46%
Serious cites
0

River Ridge runs on thinner nurse coverage than most American nursing homes, about 3.49 hours per resident day against a national average near 3.86, and weekends dip another 14% below what the home itself staffs during the week. Turnover sits at 46.2%, roughly in line with the national figure, so continuity of caregivers isn't unusually bad here. The current record shows 31 deficiencies, none flagged at harm or jeopardy level and none abuse-related, and the last inspection was in June 2025. Cross County's for-profit, LLC-owned home scores well on quality measures but middling on inspections. If you're weighing it, ask how weekend coverage is actually filled.

B

82/100

The Springs Of Camden

Camden, AR · Ouachita County

CMS 4/5 106 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
49%
Serious cites
0

The Springs of Camden runs a 106-bed for-profit operation in Ouachita County, and its recent inspection history is a mixed bag. Twenty-three deficiencies show up on the current record with none rising to actual harm or jeopardy, but one abuse-related citation is there, and that's the kind of thing worth asking about directly. Staffing sits slightly above the national average at 3.96 nurse hours per resident day, though weekends drop roughly 14% below weekday coverage, a gap families often feel on Saturday and Sunday. Turnover runs 48.8%, a few points above the national rate, which means the people caring for your relative may not be the same faces month to month. The last inspection was May 2025, so the record is current.

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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