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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 1841–1860 of 10,187, best-graded first.

B

82/100

Sharon Center For Health & Rehabilitation

Sharon, CT · Nw Hills County

CMS 4/5 88 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
31%
Serious cites
0

Sharon Center runs on lighter nurse staffing than most homes, 3.55 hours per resident day against a national average of 3.86, and weekends get thinner still, dropping about 8% below its own weekday level. Turnover sits at 31.4%, which is meaningfully better than the 45.8% national figure, so the people who are there tend to stay. The inspection record is where the concern shows: 37 deficiencies on file, including one at the harm or jeopardy level and four tied to abuse, with the most recent inspection in August 2025. A corporation owns the 88-bed home, and the staffing stars reflect the hours scheduled, not necessarily the outcomes.

B

82/100

Autumn Lake Healthcare At West Hartford

West Hartford, CT · Capitol County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
42%
Serious cites
0

Autumn Lake Healthcare At West Hartford runs a for-profit corporation home with 75 certified beds, and its staffing sits at 4.08 nurse hours per resident day, roughly 6% above the national average of 3.86. Weekend coverage drops about 11% below its own weekday level, and turnover runs 41.6%, a bit under the 45.8% national figure. The harder numbers are on the inspection side: a 1-out-of-5 health inspection rating, 70 deficiencies on the current record, including one at the harm or jeopardy level and six tied to abuse. One fine totaling $24,453. The last inspection was November 18, 2025, so the record is recent. Quality measures score 5 out of 5, which makes the inspection findings stand out more, good clinical metrics don't erase what surveyors wrote down. Ask about those six abuse deficiencies directly before you visit.

B

82/100

Rehabilitation Center Of The Palm Beaches, The

West Palm Beach, FL · Palm Beach County

CMS 4/5 85 beds Non-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
21%
Serious cites
0

The Rehabilitation Center of the Palm Beaches runs on a nonprofit model with 85 certified beds, and its staff retention is the standout number here, 20.7% annual turnover is less than half the national average of 45.8%, which suggests people stick around and know the residents. Nurse staffing sits at 3.51 hours per resident day, about 9% under the national figure, and weekends dip roughly 8% below the home's own weekday coverage, so ask how that plays out on a Saturday. The inspection record is fairly clean: 10 deficiencies, none at harm or jeopardy level, no abuse findings, one fine of $6,900, and a survey as recent as March 2025.

B

82/100

Braden River Rehabilitation Center Llc

Bradenton, FL · Manatee County

CMS 4/5 208 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Braden River Rehabilitation Center runs 208 beds under for-profit LLC ownership, and its numbers land mostly in the middle. Nurse staffing sits at 3.69 hours per resident day, a little under the national average, and weekends dip roughly 8% below its own weekday levels, worth knowing if your family visits or calls on Saturdays and Sundays. Staff turnover is 47.5%, slightly above the national rate, so continuity of caregivers is a fair question to ask about. The current inspection record shows 27 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was in October 2024. Quality measures score well; staffing and inspections are more mixed.

B

82/100

Pearl At Fort Lauderdale Rehabilitation And Nursin

Fort Lauderdale, FL · Broward County

CMS 3/5 206 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
36%
Serious cites
0

Pearl At Fort Lauderdale runs 206 beds under for-profit LLC ownership, and its numbers pull in different directions. Nurse staffing sits at 3.59 hours per resident day, roughly 7% under the national average, and weekends drop about 9% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover is the bright spot at 36.4%, well under the 45.8% national figure, which suggests some stability in the workforce. Against that, the inspection record is heavy: 41 deficiencies, three serious enough to reach harm or jeopardy level, and one fine of $34,937. The last inspection was December 12, 2024, so the picture is recent. Quality measures score well, but quality scores come from resident-level data, not from how well the building is run day to day.

B

82/100

Plantation Nursing & Rehabilitation Center

Plantation, FL · Broward County

CMS 5/5 152 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
30%
Serious cites
0

Plantation Nursing & Rehabilitation Center runs 152 certified beds under for-profit LLC ownership, and its staffing sits at 4.97 nurse hours per resident day, roughly 29% above the national average of 3.86. That margin matters most on weekends, when hours dip about 7% below the home's own weekday level, so coverage stays comparatively strong even at its lowest point. Staff turnover is 30.4%, noticeably under the 45.8% national figure, which suggests less churn than many homes manage but still means about a third of the workforce turns over yearly. The current record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in June 2025.

B

82/100

Savoy At Fort Lauderdale Rehabilitation And Nursin

Fort Lauderdale, FL · Broward County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
30%
Serious cites
0

Savoy At Fort Lauderdale runs 116 certified beds under corporate for-profit ownership, and its staffing sits at 3.74 nurse hours per resident day, about 3% under the national average of 3.86, with weekends running roughly 11% thinner than weekdays. Turnover is the genuine bright spot: 29.7% against a national 45.8%, meaning aides and nurses here tend to stick around longer than at the typical home, and the 5/5 quality measure rating reflects that stability. The inspection record tells a harder story, a 2/5 health inspection rating, 35 deficiencies including one at harm or jeopardy level and two abuse-related, plus a $29,816 fine, with the most recent inspection in October 2024. Ask about those abuse deficiencies directly.

B

82/100

Boca Raton Rehabilitation Center

Boca Raton, FL · Palm Beach County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
30%
Serious cites
0

Boca Raton Rehabilitation Center runs 120 beds as a nonprofit, and its strongest number is retention: 30.4% annual turnover against a national average of 45.8%. Staff tend to stay. Daily nurse staffing sits at 3.28 hours per resident, though, roughly 15% under the national 3.86, and weekends dip about 5% below the home's own weekday levels, so coverage thins out when families visit most. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. Quality measures score well; inspections are the weaker half of the picture. Ask what those 26 citations involved and how weekend coverage is handled on your mother's unit.

B

82/100

Medicana Nursing And Rehab Center

Lake Worth, FL · Palm Beach County

CMS 3/5 116 beds For-profit Medicaid
Nurse hours
3.80 /day
Staff turnover
36%
Serious cites
0

Medicana runs on thin margins in a couple of ways, but nothing alarming. Its 3.80 nurse staffing hours per resident day sit just under the national average of 3.86, and weekend coverage dips about 13% below what the home staffs on weekdays, a gap families should ask about directly. Turnover tells a better story: 35.6% versus 45.8% nationally means workers tend to stay longer here than at the average home. The 14 deficiencies on record include none at the harm level and none related to abuse, and the most recent inspection was January 2025. A for-profit corporation owns all 116 beds.

B

82/100

Crystal River Health And Rehabilitation Center

Crystal River, FL · Citrus County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
54%
Serious cites
0

Crystal River Health and Rehabilitation Center runs 150 beds under for-profit LLC ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That thin margin gets thinner on weekends, when coverage drops roughly 9% below the home's own weekday levels. Staff turnover is the bigger number here: 54.1% annually, well above the 45.8% national average, meaning more than half the nursing staff leaves each year. The current inspection record shows 26 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last survey was recent, in April 2026. Quality measures score well, but the staffing picture, high churn, weekend dips, is what a family should actually ask about.

B

82/100

Legacy At Boca Raton Rehabilitation And Nursing Ce

Boca Raton, FL · Palm Beach County

CMS 4/5 180 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
35%
Serious cites
0

Legacy at Boca Raton runs 180 certified beds under corporate ownership, and its nurse staffing sits at 3.63 hours per resident day, about 6% under the national average. Weekends dip roughly 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 35.2% against a national 45.8%, meaning caregivers here tend to stay longer than is typical. The inspection record shows 32 deficiencies, none at harm or jeopardy level, though two are abuse-related; the last survey was in August 2025. Quality measures score well, but staffing and inspection results sit mid-range, which is what holds this home back from the top tier.

B

82/100

Advanced Care Center

Clearwater, FL · Pinellas County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.50 /day
Staff turnover
51%
Serious cites
0

Advanced Care Center runs 120 certified beds in Clearwater under for-profit LLC ownership, and its staffing sits about 9% under the national average at 3.50 nurse hours per resident day. That gap widens on weekends, when coverage drops roughly 7% below the home's own weekday level, and annual turnover of 51.4% tops the national 45.8%, meaning the people caring for residents are often new to the building. The inspection record shows 18 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the most recent survey dates to December 2024. Quality measures score well; staffing and inspections land in the middle. Families weighing this home should ask directly about weekend coverage and how quickly caregivers cycle through.

B

82/100

Solaris Healthcare Plant City

Plant City, FL · Hillsborough County

CMS 5/5 180 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
43%
Serious cites
0

Solaris Healthcare Plant City runs 180 certified beds as a nonprofit corporation, and its numbers are steady across the board. Nurse staffing sits at 3.88 hours per resident day, just a hair above the national average of 3.86, though weekends drop about 10% below its own weekday coverage, worth asking about if your family visits on Saturdays or Sundays. Staff turnover lands at 42.5%, slightly better than the 45.8% national figure, which suggests people stick around a bit longer here. The inspection record is the strongest part: a 5/5 health inspection rating, last surveyed in February 2024, with 7 total deficiencies and none at the harm or jeopardy level and nothing abuse-related.

B

82/100

Palmetto Care Center And Rehab

Hialeah, FL · Miami-Dade County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
31%
Serious cites
0

Palmetto Care Center and Rehab runs 90 beds in Hialeah under for-profit LLC ownership, and the numbers tell a fairly steady story. Its 3.56 nurse staffing hours per resident day sit about 8% under the national average, and weekends dip roughly 8% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover is the bright spot: 30.9% against a national 45.8%, which suggests a more stable crew than most. Inspections are recent and clean at the serious end, with 11 deficiencies on record and none involving harm, jeopardy, or abuse.

B

82/100

Palm Garden Of Orlando

Orlando, FL · Orange County

CMS 4/5 132 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
38%
Serious cites
0

Palm Garden of Orlando runs 132 beds under for-profit LLC ownership, and its staffing sits right at the line, 3.81 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 7% below its own weekday coverage. Turnover is the brighter spot: 38.1% compared to the 45.8% national figure, so the people who are there tend to stay. What pulls the record down is the inspection side: 16 deficiencies on file, including two at harm or jeopardy level and one tied to abuse, plus two fines totaling $73,226. The most recent inspection was November 2024, so that picture is current. Ask about those harm-level findings specifically, and how weekend coverage gets backfilled.

B

82/100

Palm Garden Of Tampa

Tampa, FL · Hillsborough County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
48%
Serious cites
0

Palm Garden of Tampa runs 120 beds under corporate ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86. Weekends dip roughly 9% below its own weekday coverage, and turnover hits 47.5%, a bit above the national 45.8%. The inspection history is the bigger story: 25 deficiencies on record, though none at harm or jeopardy level and none abuse-related. That combination of a 2/5 inspection rating against a 5/5 quality measure score suggests the care processes look good on paper even where the survey trail is messy. The last inspection was November 2023, so that record is getting dated.

B

82/100

Nspire Healthcare Tamarac

Tamarac, FL · Broward County

CMS 3/5 141 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
27%
Serious cites
0

Nspire Healthcare Tamarac runs 141 beds under corporate for-profit ownership, and its staffing sits at 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 6% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 27.4% against a national average of 45.8%, meaning the people caring for your relative are more likely to still be there next year. The inspection record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in December 2025.

B

82/100

Surrey Place Healthcare And Rehabilitation

Bradenton, FL · Manatee County

CMS 4/5 74 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
40%
Serious cites
0

Surrey Place runs on about 4.04 nurse hours per resident day, roughly 5% above the national average, though weekend coverage drops about 9% below what the home staffs on weekdays. Turnover sits at 39.5%, better than the 45.8% national figure, a meaningful gap when you consider how much continuity matters for frail residents. The home carries 11 deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was in March 2025, so the picture is reasonably current. Quality measures score well; staffing and inspections land in the middle. For a 74-bed for-profit corporate home in Bradenton, that mix, solid direct-care hours, no serious citations, average oversight marks, reads as steady rather than exceptional.

B

82/100

Diamond Ridge Health And Rehabilitation Center

Lecanto, FL · Citrus County

CMS 5/5 142 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
43%
Serious cites
0

Diamond Ridge runs a tight ship on inspections. A 4 out of 5 health inspection star and a 5 out of 5 quality measure star, with a 2025 survey date that's recent enough to mean something. Thirteen deficiencies on record, but none at the harm level and none tied to abuse. That's a real distinction, not a technicality. Staffing sits just barely above the national average, 3.88 hours per resident day against 3.86. Essentially at the line, and weekends drop about 10% below weekdays, so coverage thins when families tend to visit. Turnover at 43% is slightly better than the 45.8% national figure, though still high enough that familiar faces rotate out. Individual for-profit ownership is worth asking about directly.

B

82/100

Harborview Health Center West Altamonte

Altamonte Springs, FL · Seminole County

CMS 2/5 116 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
33%
Serious cites
0

Harborview Health Center West Altamonte runs 116 certified beds under for-profit LLC ownership, and its staffing numbers tell a mixed story. At 3.56 total nurse hours per resident day, it sits about 8% under the national average, and weekends dip roughly 8% below its own weekday levels, so coverage thins out right when families tend to visit. Turnover is the brighter spot: 33% against a national 45.8% means more of the same faces stay on staff. On inspections, though, this home has drawn 19 deficiencies, three of them at harm or jeopardy level and one abuse-related, with two fines totaling $18,106. Its most recent inspection was October 2024.

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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