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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 1901–1920 of 10,187, best-graded first.

B

82/100

Kennybrook Village

Grimes, IA · Polk County

CMS 3/5 40 beds For-profit Medicaid
Nurse hours
4.54 /day
Staff turnover
49%
Serious cites
0

Kennybrook Village sits in Grimes with 40 certified beds and an individual for-profit owner. The nurse staffing number is the standout: 4.54 hours per resident day, roughly 18% above the national average, which is why CMS gives it 4 stars on staffing. Weekend coverage drops about 12% from weekday levels, so ask how that plays out on Saturdays. Turnover runs 49.1%, a bit above the national 45.8%, not alarming, but worth knowing. Twelve deficiencies are on record, none at harm or jeopardy level and none abuse-related, and the last inspection was January 2026. Inspection and quality measures both sit at 3 stars.

B

82/100

The Cottages

Pella, IA · Marion County

CMS 1/5 100 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
50%
Serious cites
0

The Cottages in Pella runs a nonprofit shop with 100 certified beds, and its nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekend coverage dips about 7% below its own weekday levels, and half the staff turns over each year against a 45.8% national figure. That mix helps explain a staffing rating of 4 out of 5 and quality measures at 4 out of 5, but the health inspection side tells a harder story: 21 deficiencies on record, including 2 at the harm or jeopardy level and 3 tied to abuse, with $40,054 in fines across two penalties. The most recent inspection was August 25, 2025, so the record is current rather than stale. Good day-to-day care numbers, serious inspection findings.

B

82/100

Wheatland Nursing & Rehabilitation Center

Russell, KS · Russell County

CMS 5/5 45 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
31%
Serious cites
0

Wheatland runs a tight ship on the things that matter most. The health inspection record is clean, five stars, nine deficiencies on file with none rising to harm or jeopardy, and no abuse citations, and that inspection happened recently, in June 2025. Staff turnover sits at 31%, well under the national average of 45.8%, which suggests people stick around here. The tradeoff is daily coverage: 3.75 nurse hours per resident is a bit under the national 3.86, and weekends drop roughly 14% below weekdays, so a Saturday or Sunday shift may feel thinner than a Tuesday. For-profit corporate ownership, 45 beds, and mid-range quality measures round out the picture. Solid, not spotless.

B

82/100

Smith Center Health And Rehab

Smith Center, KS · Smith County

CMS 4/5 45 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
23%
Serious cites
0

Smith Center Health and Rehab runs a tight ship on staff retention, 22.5% annual turnover is half the national average, which matters more than almost anything else for day-to-day consistency of care. The trade-off is raw staffing hours: 3.67 per resident day sits about 5% under the national average, and weekends drop roughly 12% below the home's own weekday coverage. Inspections look solid, a 4/5 health inspection rating, most recent visit in April 2025, but 14 deficiencies are on record, one serious enough to involve harm or jeopardy, plus a $16,153 fine. For-profit corporate ownership, 45 beds. The retention story is real; the weekend staffing dip is worth asking about directly.

B

82/100

Garden Park Nursing & Rehab Ctr, Llc

Shreveport, LA · Caddo County

CMS 3/5 160 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
31%
Serious cites
0

Garden Park runs a 160-bed for-profit operation in Shreveport, and its nurse staffing sits at 3.79 hours per resident day, a hair under the national average of 3.86. Weekend coverage drops roughly 13% below what the home staffs on weekdays, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover is the bright spot: 30.9% annually against a national 45.8%, meaning caregivers here tend to stick around longer than the typical home. The inspection record shows 15 deficiencies, two tied to abuse, though none rose to actual harm or jeopardy. A September 2025 inspection keeps the record current.

B

82/100

Mansfield Nursing Center

Mansfield, LA · De Soto County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
33%
Serious cites
0

Mansfield Nursing Center runs on 4.07 total nurse hours per resident per day, roughly 5% above the national average, and its staff turnover of 33.3% sits well below the 45.8% national figure, both good signs for consistency of care. The catch is weekends, when staffing drops about 14% below the home's own weekday level, so coverage is thinner exactly when families tend to visit. Inspections in August 2025 turned up 15 deficiencies, none rising to harm or jeopardy, though one was abuse-related and worth asking about directly. This is a for-profit LLC with 100 certified beds, and its most recent federal inspection is on the current record.

B

82/100

Desoto Retirement & Rehab Ctr, Llc

Mansfield, LA · De Soto County

CMS 3/5 135 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
27%
Serious cites
0

Desoto Retirement & Rehab runs 135 certified beds in Mansfield under for-profit LLC ownership, and its staffing is the strongest card it holds: 4.40 nurse hours per resident day, roughly 14% above the national average, with a 27.3% turnover rate that's well below the 45.8% national figure, a relatively stable crew. Weekends dip about 12% below weekday coverage, which is typical but worth watching. The weaker side shows in two 2/5 ratings, for health inspections and quality measures, on a record of 15 deficiencies, including 2 tied to abuse. None rose to harm or jeopardy level, and the most recent inspection was February 2025.

B

82/100

Marshwood Center

Lewiston, ME · Androscoggin County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
34%
Serious cites
0

Marshwood Center runs 108 certified beds in Lewiston under corporate for-profit ownership, and the staffing numbers are its clearest strength: 3.98 nurse hours per resident day, a bit above the national average, with weekend coverage dipping only slightly below weekdays. Staff turnover of 33.6% is well under the national 45.8%, which matters for whether caregivers actually stick around long enough to know residents. The current record shows 29 deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection came March 18, 2026, so the picture is recent rather than stale. Where it gives ground is inspections, rated 3 out of 5, while quality measures and staffing each sit at 4.

B

82/100

Seaside Healthcare Llc

Portland, ME · Cumberland County

CMS 4/5 147 beds For-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
47%
Serious cites
0

Seaside Healthcare in Portland runs a 147-bed for-profit operation that, on paper, staffs better than most. Its 4.34 nurse hours per resident day sit about 12% above the national average, though weekends run roughly 9% lighter than weekdays, worth asking about if your family visits on Saturdays. Turnover is 46.9%, nearly identical to the national 45.8%, so consistency at the bedside is average, not exceptional. The inspection record shows 22 deficiencies with none at harm or jeopardy level and none abuse-related, and the last survey was recent, in November 2025. A four-star inspection rating backs that up. The quality measure score is the softer spot at three stars.

B

82/100

Complete Care At Annapolis

Annapolis, MD · Anne Arundel County

CMS 5/5 97 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
45%
Serious cites
0

Complete Care At Annapolis is a for-profit, 97-bed home in Anne Arundel County, and its inspection record is the strongest part of the picture: a 4 out of 5 health inspection rating, with the most recent survey in March 2026. The staffing is where it gets thinner. At 3.63 nurse hours per resident day, it sits below the national average of 3.86, and weekends run about 14% below its own weekday level, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Turnover at 44.9% is essentially the national norm, not a red flag. Thirty deficiencies are on record, none at harm or jeopardy level, though two are abuse-related and worth asking about directly.

B

82/100

Complete Care At Wheaton

Wheaton, MD · Montgomery County

CMS 5/5 116 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
42%
Serious cites
0

Complete Care At Wheaton is a for-profit LLC home with 116 beds in Montgomery County. Its nurse staffing sits at 3.38 hours per resident day, roughly 12% under the national average, and weekends dip about 6% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover at 41.7% is slightly better than the 45.8% national figure, which matters for continuity. The current record shows 42 deficiencies, including one at the harm level and one abuse-related, though the most recent inspection was April 2025. Quality measures score well; the inspection and staffing picture is more mixed.

B

82/100

Complete Care At Hyattsville

Hyattsville, MD · Prince Georges County

CMS 2/5 270 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
37%
Serious cites
0

Complete Care At Hyattsville runs 270 beds under for-profit LLC ownership, and its numbers pull in two directions. Nurse staffing sits at 4.01 hours per resident day, a bit above the national average of 3.86, and annual turnover of 36.9% is actually better than the 45.8% national figure. But weekend coverage drops about 11% below its own weekday level, and the inspection record is where the trouble shows: 63 deficiencies, including one at the harm or jeopardy level and one abuse-related. CMS gave it one star for health inspections, though five for quality measures. The most recent inspection was September 2025. Strong staffing and weak oversight can coexist at the same address.

B

82/100

Future Care Northpoint

Baltimore, MD · Baltimore County

CMS 5/5 180 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
40%
Serious cites
0

Future Care Northpoint runs a 180-bed for-profit operation in Baltimore with a solid inspection record, four out of five stars from CMS and no deficiencies at the harm or jeopardy level, though one abuse-related citation sits on the books. Where it gives ground is staffing: 3.58 nurse hours per resident day, roughly 7% under the national average, and weekends drop about 11% below the home's own weekday coverage. Turnover is the bright spot at 40.1%, better than the 45.8% national figure, which suggests a relatively stable crew even if there aren't quite enough of them. Its quality measures score is strong, but that's self-reported data, and the thinner weekend staffing is what families should watch.

B

82/100

Future Care Canton Harbor

Baltimore, MD · Baltimore City County

CMS 5/5 160 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
38%
Serious cites
0

Future Care Canton Harbor sits on Baltimore's east side with 160 certified beds and a corporate owner. Inspectors visited recently, in September 2025, and the record still carries 53 deficiencies, including one tied to harm or jeopardy and seven flagged as abuse-related, a heavy count for a single building, even with a five-star inspection rating attached. Staffing runs about 3.67 hours per resident day, roughly 5% under the national average, and weekends drop about 8% below the home's own weekday coverage. Turnover lands at 38%, better than the 45.8% national figure, which suggests some stability in who's showing up. The quality measures look strong on paper; the deficiency history is what pulls the overall picture down.

B

82/100

Carriage Hill Bethesda

Bethesda, MD · Montgomery County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.97 /day
Staff turnover
25%
Serious cites
0

Carriage Hill Bethesda runs 108 beds under for-profit LLC ownership, and the staffing numbers are its strongest card: 3.97 nurse hours per resident day, a bit above the national average, with turnover at 24.5%, roughly half the national rate. That kind of retention usually means consistent caregivers who know the residents. The catch is weekends, when hours drop about 11% below the weekday level, so coverage isn't evenly spread across the week. The inspection record shows 43 deficiencies, none at harm or jeopardy level, but five tied to abuse, worth asking about directly. A recent March 2026 inspection means the picture is current.

B

82/100

Willow Brooke Ct Skilled Care Ctr At Heron Point

Chestertown, MD · Kent County

CMS 5/5 38 beds Non-profit Medicaid
Nurse hours
4.75 /day
Staff turnover
—
Serious cites
0

Willow Brooke runs a small 38-bed nonprofit home in Chestertown with real nurse coverage: 4.75 hours per resident day, roughly 23% above the national average, and that's the number families should weigh most. Weekends dip about 13% below its own weekday staffing, so ask how that gap gets covered. The inspection record is where the picture gets murkier. Twenty-six deficiencies are on file, including one at the harm level and two tied to abuse, with a single $15,440 fine. The most recent inspection was December 2025, so the record is current. Strong staffing and a recent survey coexist here with real findings, worth asking about directly.

B

82/100

South River Rehabilitation And Wellness Center

Edgewater, MD · Anne Arundel County

CMS 4/5 111 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
41%
Serious cites
0

South River runs 111 certified beds in Edgewater under for-profit LLC ownership, and its staffing tells the main story: 3.36 total nurse hours per resident day, about 13 percent under the national average, with weekends dropping roughly another 12 percent below its own weekday level. Turnover sits at 41.3 percent, a bit better than the 45.8 percent national figure, so this isn't a churn problem so much as a coverage problem. The record shows 52 deficiencies, including one at harm or jeopardy level and two abuse-related, though the most recent inspection was March 13, 2026. Quality measures score well; the inspection history is where the caution lies.

B

82/100

Oak Crest Village

Parkville, MD · Baltimore County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
50%
Serious cites
0

Oak Crest Village sits in Parkville with 80 certified beds and a non-profit owner. Its nurse staffing runs 4.39 hours per resident day, roughly 14% above the national average, though weekends drop about 9% below its own weekday levels, and turnover hits 50% against a national 45.8%. The inspection record is where things get complicated: 26 deficiencies total, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $49,725. The last inspection was February 2026, so the record is recent. Strong staffing and 4-out-of-5 stars across inspection, quality, and staffing measures coexist with a genuinely concerning deficiency history. Ask about the abuse citations and the weekend coverage gap directly.

B

82/100

Royal Braintree Nursing And Rehabilitation Center

Braintree, MA · Norfolk County

CMS 2/5 204 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
30%
Serious cites
0

Royal Braintree runs 204 beds as a for-profit LLC, and its last health inspection came in February 2026. The record shows 33 deficiencies, none at harm or jeopardy level, but one is abuse-related, worth asking about directly. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 10% thinner than weekdays, so coverage dips when families tend to visit. What stands out favorably is turnover: 29.9% against a national 45.8% means aides and nurses are staying put, which matters for consistency of care. Quality and staffing each earned 4 of 5 stars from CMS; inspections earned 2. The gap between those numbers is the real story here.

B

82/100

M I Nursing & Restorative Center

Lawrence, MA · Essex County

CMS 3/5 250 beds Non-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
28%
Serious cites
0

M I Nursing & Restorative Center runs 250 certified beds in Lawrence under nonprofit ownership, and its staff retention is genuinely unusual: 28.1% annual turnover against a national average of 45.8%. That stability shows in the staffing stars, though the raw bedside hours, 3.83 per resident day, sit just under the national figure, and weekends drop roughly 9% below the home's own weekday coverage. The inspection record is where the picture darkens: 25 deficiencies on file, two serious enough to involve harm or jeopardy, plus $17,011 in fines across two penalties. Two stars each for health inspections and quality measures tell you regulators and clinical metrics both land mid-range. No abuse citations, at least, and the most recent inspection is recent, January 2026.

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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