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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 1861–1880 of 10,187, best-graded first.

B

82/100

Solaris Healthcare Charlotte Harbor

Port Charlotte, FL · Charlotte County

CMS 5/5 180 beds Non-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
47%
Serious cites
0

Solaris Healthcare Charlotte Harbor runs 180 certified beds as a nonprofit corporation, and its staffing sits at 3.61 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 9% below its own weekday levels, and turnover lands at 47.3%, a bit worse than the 45.8% national figure. The inspection record shows 15 deficiencies, none at harm or jeopardy level, but three tied to abuse, with the last full inspection in November 2023. Quality measures score well; staffing and health inspection both sit mid-range. What that adds up to is a home that isn't failing anyone outright but isn't staffed like the better homes around it, and the abuse-related citations are worth asking about directly.

B

82/100

Metro West Nursing And Rehab Center

Orlando, FL · Orange County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
43%
Serious cites
0

Metro West Nursing and Rehab Center is a for-profit limited liability company home in Orlando with 120 certified beds, and its numbers tell a mixed story. Nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, and weekends run roughly 10% lighter than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. The inspection record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025, so the findings are current. Staff turnover of 43.2% is slightly better than the 45.8% national figure, which matters for continuity of care.

B

82/100

Coral Reef Subacute Care Center Llc

Miami, FL · Miami-Dade County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
38%
Serious cites
0

Coral Reef runs 180 beds in Miami under for-profit LLC ownership, and its numbers point in different directions. Nurse staffing sits at 3.76 hours per resident day, just under the national average, and weekends drop roughly 11% below its own weekday level, worth asking about if your family visits mainly on Saturdays and Sundays. Turnover is 38.4%, better than the 45.8% national figure, so the aides and nurses you meet are more likely to stick around than elsewhere. What pulls the record down is the inspection side: 29 deficiencies on file, including one at the harm level and one abuse-related, plus a $10,039 fine, with the most recent inspection in June 2025. Ask to see the correction plan for those two serious findings.

B

82/100

Life Care Center At Wells Crossing

Orange Park, FL · Clay County

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

Life Care Center at Wells Crossing runs a leaner nursing floor than most: 3.68 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 9% below its own weekday coverage. The 48.2% annual turnover sits above the national rate too, so the faces around a resident may change fairly often. On the other hand, the home was inspected in September 2025, its 13 deficiencies include none at the harm or jeopardy level, and its quality measure score is perfect, which suggests the care being delivered is generally sound. Three abuse-related citations are worth asking about directly, since those can cover anything from documentation failures to actual resident treatment.

B

82/100

Solaris Healthcare Zephyrhills

Zephyrhills, FL · Pasco County

CMS 5/5 113 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
48%
Serious cites
0

Solaris Healthcare Zephyrhills runs a 113-bed for-profit operation, and its inspection record is genuinely solid, 18 deficiencies on file, none of them rising to harm or jeopardy, with the most recent state visit in May 2025. Quality measures score well too. Where it slips is staffing: 3.69 nurse hours per resident day sits about 5% under the national average, weekend coverage drops roughly 9% below its own weekday level, and turnover lands at 47.6%, a bit above the national figure. That combination, good oversight, thinner hands-on care, is what holds it back from the top tier. Worth asking how weekends and evenings actually feel.

B

82/100

Kissimmee Nursing & Rehabilitation Center

Kissimmee, FL · Osceola County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
31%
Serious cites
0

Kissimmee Nursing & Rehabilitation Center runs 120 beds under for-profit LLC ownership, and its staffing picture is mixed. Nurses provide 3.61 hours per resident day, roughly 6% under the national average, and weekends drop about 10% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover sits at 31%, well below the 45.8% national average, which suggests a steadier workforce than most places. The harder reading is on inspections: 24 deficiencies on the current record, including one at harm or jeopardy level and one abuse-related, with a February 2025 inspection date. Quality measure and health inspection ratings both land at 2 out of 5.

B

82/100

Life Care Center Of Sarasota

Sarasota, FL · Manatee County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
45%
Serious cites
0

Life Care Center Of Sarasota runs 120 certified beds on the individual for-profit side, and its staffing tells a two-part story: 3.75 nurse hours per resident day sits about 3% under the national average, and weekends drop roughly 12% below what the home staffs on weekdays. Turnover is 45.2%, essentially level with the national 45.8%. The record shows 19 deficiencies, none at the harm or jeopardy level but one tied to abuse, plus two fines totaling $18,780. Its last inspection was September 18, 2025. Quality measures score 5/5 while inspection and staffing each land at 3/5, strong clinical numbers, thinner coverage when you visit on a Saturday.

B

82/100

Brynwood Health And Rehabilitation Center

Monticello, FL · Jefferson County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
36%
Serious cites
0

Brynwood Health and Rehabilitation Center in Monticello runs on leaner nurse staffing than most homes, 3.49 hours per resident day against a national average of 3.86, and weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is a different story: 36.4% sits well under the 45.8% national figure, meaning the aides and nurses who are there tend to stay. Its 8 deficiencies include nothing at the harm or jeopardy level and no abuse citations, and a March 2026 inspection is recent. The five-star health inspection rating and four-star quality measures carry the record; staffing is the weak spot.

B

82/100

Solaris Healthcare Waterman

Tavares, FL · Lake County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
45%
Serious cites
0

Solaris Healthcare Waterman runs 120 certified beds in Tavares under corporate for-profit ownership, and the numbers here are mostly steady. Nurse staffing sits at 4.07 hours per resident day, roughly 5% above the national average, though weekends drop about 14% below what the home staffs on weekdays, worth asking about if your family member needs more help on Saturdays and Sundays. Turnover lands at 44.7%, essentially matching the national rate, so this isn't a home bleeding caregivers. Seventeen deficiencies are on the current record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measures and inspections both score well above average; staffing is close behind.

B

82/100

Gardens At Terracina Health & Rehabilitation

Naples, FL · Collier County

CMS 5/5 30 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
52%
Serious cites
0

The Gardens at Terracina runs 4.80 nurse hours per resident day, roughly a quarter more than the national average of 3.86, and its 30 beds make for a small, closely staffed building. Weekend coverage dips about 14% below weekday levels, which is common but worth asking about if your family visits on Saturdays. Annual turnover sits at 52.4%, above the 45.8% national figure, so ask how long the current director of nursing and weekday charge nurse have been there. Four deficiencies on record, none involving harm or abuse, two fines totaling $10,881, and a clean inspection in May 2024. Corporate-owned and consistently well-staffed.

B

82/100

South Dade Nursing And Rehabilitation Center

Miami, FL · Miami-Dade County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
17%
Serious cites
0

South Dade Nursing and Rehabilitation Center runs 180 beds under corporate ownership, and its strongest asset is stability: staff turnover of 17.1% sits far below the national 45.8%, meaning the people caring for residents tend to stick around. That matters more than a single star rating. The tradeoff shows up in hours at the bedside, 3.54 per resident day, roughly 8% under the national average, with weekends about 11% thinner than weekdays, so coverage can feel lighter when families visit. Inspections in December 2025 produced a 4-star result, but the record carries 21 deficiencies, including three at harm or jeopardy level and three tied to abuse. Quality measures score well; the harm findings are what a family should ask about directly.

B

82/100

Life Care Center Of Gwinnett

Lawrenceville, GA · Gwinnett County

CMS 4/5 163 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
44%
Serious cites
0

Life Care Center of Gwinnett runs 163 certified beds in Lawrenceville under corporate for-profit ownership, and its inspection record is genuinely solid, four out of five stars, eight deficiencies on the current books with none at the harm or jeopardy level and nothing abuse-related, and the most recent state visit came in April 2025. Staffing is where it thins out: 3.60 nurse hours per resident day sits about 7% under the national average, weekends run roughly 10% lighter than weekdays, and turnover lands at 44%, essentially tracking the national figure. Quality measures score a perfect five, which reflects how residents are actually doing day to day. The tension is real, good outcomes and clean inspections, carried by a crew that's stretched slightly thinner than average on weekends.

B

82/100

Heritage Inn Of Sandersville Health And Rehab

Sandersville, GA · Washington County

CMS 5/5 60 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
22%
Serious cites
0

Heritage Inn of Sandersville is a 60-bed nonprofit home that just went through a March 2025 inspection with a clean slate, zero deficiencies on its current record, including nothing at the harm level and nothing abuse-related. That's rare, and it's the main reason this one grades well. Staffing sits at 3.71 nurse hours per resident day, a bit under the national average, and weekends run leaner than weekdays by about 13%, so ask how that plays out on a Saturday. The standout number is turnover: 22.2% against a national average near 46%, which suggests people actually stay. Stable staff plus a clean inspection record usually means care holds up between visits.

B

82/100

Sparta Health And Rehabilitation

Sparta, GA · Hancock County

CMS 5/5 81 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
36%
Serious cites
0

Sparta Health and Rehabilitation runs 81 certified beds as a nonprofit, and its inspection record is the strongest part of the story: a five-star health inspection rating with only three deficiencies on file, none of them causing harm or involving abuse, and a survey completed just this April. Nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average, and weekends drop about 11% below the home's own weekday coverage, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 36.4%, better than the 45.8% national figure, which suggests workers tend to stay.

B

82/100

Christian City Rehabilitation Center

Union City, GA · Fulton County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.73 /day
Staff turnover
40%
Serious cites
0

Christian City Rehabilitation Center runs 200 certified beds in Union City under individual for-profit ownership, and its staffing sits at 3.73 nurse hours per resident day, just under the national average of 3.86. Weekends drop roughly 15% below its own weekday coverage, which matters if your family visits or calls on Saturdays and Sundays. Turnover runs 39.7%, better than the 45.8% national figure, so workers tend to stay longer here than at the typical home. Inspections in April 2025 turned up 25 deficiencies, none at harm or jeopardy level, though one was abuse-related. Its quality measure scores are strong; the health inspection side is where it gives ground.

B

82/100

Rockmart Health

Rockmart, GA · Polk County

CMS 5/5 73 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
28%
Serious cites
0

Rockmart Health runs a tight ship on inspections, zero deficiencies on its current record, none involving harm or abuse, and a five-star health inspection rating from CMS. That's rare company. Staff turnover sits at 27.5%, well under the national average of 45.8%, which suggests people actually stay. The tradeoff shows up in daily coverage: 3.66 nurse hours per resident day, about 5% under the national average, with weekends running roughly 7% thinner than weekdays. So you get consistency and a clean regulatory record, but slightly less hands-on time than average, especially on Saturdays and Sundays. Worth asking the administrator how weekend coverage is actually staffed.

B

82/100

Brandel Health And Rehab

Northbrook, IL · Cook County

CMS 5/5 102 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
23%
Serious cites
0

Brandel Health And Rehab runs on 4.19 nurse hours per resident day, roughly 9% above the national average, and weekend staffing dips only about 6% below weekdays, a smaller drop than many homes show. Annual turnover of 22.7% is about half the national rate, which matters for whether the aides and nurses caring for your family member stick around. Inspections are recent and the health inspection rating is strong, but the record still carries three deficiencies, including one at the harm level and one abuse-related, and the quality measure rating sits at 2 out of 5. That split, solid staffing and inspection results against weaker clinical quality measures, is what pulls the grade to a B.

B

82/100

Lincolnwood Place

Lincolnwood, IL · Cook County

CMS 5/5 40 beds For-profit
Nurse hours
4.15 /day
Staff turnover
29%
Serious cites
0

Lincolnwood Place runs a tight ship on staffing, and that matters more than anything else here. Nurses provide 4.15 hours per resident day, roughly 7% above the national average, and only about 29% of staff leave each year compared to 46% nationally, a big deal for consistency of care. Weekends dip about 5% below weekday coverage, worth asking about. The tradeoff shows up in the inspection record: nine deficiencies, two serious enough to involve harm or jeopardy, and $42,026 in fines. The most recent inspection was November 2025, so the picture is current. For a 40-bed for-profit home, the low turnover and strong staffing are real strengths; the two harm-level citations are the piece to press them on.

B

82/100

Alta Rehab At Wauconda

Wauconda, IL · Lake County

CMS 5/5 149 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
28%
Serious cites
0

Alta Rehab At Wauconda runs 149 certified beds under corporate ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends drop roughly 10% below weekday coverage, worth asking about if your family visits on Saturdays. Turnover is the genuine bright spot: 28.2% against a national 45.8%, meaning aides and nurses here tend to stay. Inspections tell a more mixed story. The most recent was August 2024, and the record carries 28 deficiencies, including three at harm or jeopardy level and three tied to abuse. One fine totaling $7,443 has been issued. Quality measures score well; staffing is middling.

B

82/100

Citadel Care Center-Wilmette

Wilmette, IL · Cook County

CMS 5/5 80 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
27%
Serious cites
0

Citadel Care Center-Wilmette runs 80 beds in Cook County under for-profit LLC ownership, and its inspection record is strong: four deficiencies on file, none involving harm or jeopardy, none abuse-related, and a recent survey in April 2026. Quality measures also score at the top of CMS's scale. The staffing picture is more mixed. At 3.62 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekend coverage drops roughly 11% below its own weekday levels, worth asking about if your family visits or needs care on Saturdays and Sundays. Turnover of 26.8% is well below the national 45.8%, which suggests a relatively stable crew despite the leaner hours.

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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