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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 1941–1960 of 10,187, best-graded first.

B

82/100

Heritage Living Center

Park Rapids, MN · Hubbard County

CMS 3/5 48 beds Government Medicaid
Nurse hours
3.87 /day
Staff turnover
49%
Serious cites
0

Heritage Living Center is county-owned and holds 48 beds in Park Rapids, and the numbers behind its grade are mostly steady. Nurse staffing sits at 3.87 hours per resident day, essentially level with the national average, though weekends run about 9% thinner than weekdays, worth asking about if your family member needs care on Saturdays and Sundays. The inspection record is stronger than average, with a recent visit in August 2025 and nine deficiencies, but two of those stand out: one at the harm or jeopardy level and one abuse-related. Staff turnover of 48.9% edges past the national 45.8%, so expect some churn among caregivers.

B

82/100

Walker Methodist Westwood Ridge Ii

West Saint Paul, MN · Dakota County

CMS 2/5 37 beds Non-profit
Nurse hours
5.32 /day
Staff turnover
—
Serious cites
0

Walker Methodist Westwood Ridge II runs a high-staffing operation: 5.32 nurse hours per resident day, roughly 38% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 18% below its own weekday level, so the weekday numbers overstate what a Saturday looks like. The inspection record is where it gets harder to read. Thirty deficiencies on the current record, including one at the harm level and three tied to abuse, with a $15,646 fine and a 2-star health inspection rating, the most recent survey was April 2026. A nonprofit with strong weekday staffing but a documented history of serious findings. --- **A note on the last inspection date:** You gave April 15, 2026, which is in the future relative to now. I used it as written since I can't invent a different date, but if that was meant to be 2025, swap it, the rest of the piece doesn't change. Worth double-checking before this goes live.

B

82/100

Tishomingo Comm Living Center

Iuka, MS · Tishomingo County

CMS 3/5 73 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
31%
Serious cites
0

Tishomingo Comm Living Center runs a 73-bed for-profit home in Iuka, and the numbers are a mixed bag. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Staff turnover is the bright spot at 30.5%, well under the 45.8% national figure, which suggests a steadier crew than most. But the inspection record shows 14 deficiencies, one serious enough to involve harm or jeopardy, plus a $15,940 fine. One recent inspection, dated December 2025, means the picture is current.

B

82/100

Bruce Community Living Center

Bruce, MS · Calhoun County

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

Bruce Community Living Center runs 35 certified beds in Calhoun County under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a 4-star health inspection rating, last survey dated February 2026, with 12 deficiencies on file but none at the harm or jeopardy level. One abuse-related deficiency is there, though, and it's worth asking about directly. Staffing sits at 3.57 hours per resident day, about 7% under the national average, and weekends dip roughly 12% below the home's own weekday coverage, a real gap if your family visits Saturday or Sunday. Turnover of 34.5% is better than the 45.8% national figure, which matters for continuity of care. Quality measures rate 2 stars, the weakest number here.

B

82/100

Springfield Rehabilitation & Health Care Center

Springfield, MO · Greene County

CMS 5/5 146 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
44%
Serious cites
0

Springfield Rehabilitation runs 146 beds under corporate ownership, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 43.6%, slightly better than the 45.8% national figure, which matters less than the raw hours when aides are stretched. The inspection record shows 31 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in May 2024. Quality measures score well; the inspection history and daily staffing tell the more grounded story.

B

82/100

Medicalodges Neosho

Neosho, MO · Newton County

CMS 4/5 114 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
38%
Serious cites
0

Medicalodges Neosho runs on leaner nurse staffing than most homes, about 3.07 hours per resident day against a national average near 3.86, and weekends drop roughly 13% below its own weekday coverage. The trade-off shows up in its people: turnover sits at 37.8%, well under the 45.8% national figure, which suggests a steadier crew than the typical for-profit building. Inspections back that up. The 2024 survey turned up 11 deficiencies, but none rose to harm or jeopardy level; one was abuse-related. Quality measures scored 5/5, and the last inspection is recent enough to trust. For families weighing staffing hours against consistency, that's the real question here.

B

82/100

St Francois Manor

Farmington, MO · St. Francois County

CMS 4/5 118 beds For-profit Medicaid
Nurse hours
2.95 /day
Staff turnover
63%
Serious cites
0

St Francois Manor runs 2.95 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Annual turnover sits at 62.8% against a national 45.8%, meaning a large share of the people caring for residents weren't there a year ago. The inspection record is cleaner than that suggests: 21 deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. The for-profit limited liability company that owns it has kept the building out of serious trouble. What families should weigh is whether staffing and turnover hold up on a Saturday night, not just on paper.

B

82/100

Linden Woods Village

Gladstone, MO · Clay County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
4.00 /day
Staff turnover
61%
Serious cites
0

Linden Woods Village sits in Gladstone with 40 certified beds under for-profit LLC ownership. The clinical picture is genuinely strong on paper: a 4/5 inspection rating, a 5/5 on quality measures, and 12 deficiencies on record with none at the harm level and none abuse-related. Staffing runs 4.00 nurse hours per resident day, roughly 4% above the national average, but weekends drop about 12% below the home's own weekday level, so coverage thins out when families tend to visit. The bigger flag is turnover at 61.1% against a national 45.8%, nearly a third higher. Consistent caregivers matter for people who can't advocate for themselves, and that churn is worth asking about directly.

B

82/100

Missoula Health & Rehabilitation Center

Missoula, MT · Missoula County

CMS 4/5 53 beds For-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
50%
Serious cites
0

Missoula Health & Rehabilitation Center runs on 3.96 nurse hours per resident day, a bit above the national average of 3.86, roughly 3% more. Weekend coverage dips about 10% below weekday levels, and staff turnover sits at 50%, higher than the 45.8% national figure, which matters for how well residents know their caregivers. The current record shows 27 deficiencies, but none at the harm or jeopardy level and none abuse-related. Its last inspection was March 2026, and it holds a 4/5 on health inspections, a 3/5 on quality measures, and a 4/5 on staffing under corporate ownership.

B

82/100

Ambassador Health Of Omaha

Omaha, NE · Douglas County

CMS 5/5 146 beds For-profit Medicaid
Nurse hours
6.66 /day
Staff turnover
28%
Serious cites
0

The numbers here start with people. At 6.66 nurse hours per resident per day, Ambassador Health Of Omaha runs about 72% above the national average, and its staff turnover of 28.3% sits well under the 45.8% national figure, a combination that usually means caregivers stay long enough to know the residents. Weekend coverage dips roughly 9% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The current record shows five deficiencies, none at the harm level and none abuse-related, with an inspection completed in July 2025. A for-profit corporation owns the 146-bed building; quality and staffing marks are strong, inspection history solid.

B

82/100

Cloverlodge Care Center

St Edward, NE · Boone County

CMS 4/5 47 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
23%
Serious cites
0

Cloverlodge Care Center in St Edward runs a tight ship on inspections, four stars, nine deficiencies on record, none at the harm level and none abuse-related, with a survey as recent as April 2025. The staffing picture is more mixed: 3.29 nurse hours per resident day sits about 15% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so families should ask who's on the floor on Saturdays and Sundays. What stands out is retention, 23.3% turnover against a national average of 45.8% means aides and nurses tend to stay, which matters more for daily care than a single number suggests. Nonprofit ownership, 47 beds.

B

82/100

Good Samaritan Society - Beatrice

Beatrice, NE · Gage County

CMS 3/5 80 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
16%
Serious cites
0

Good Samaritan Society - Beatrice runs an 80-bed nonprofit home where the staff tends to stay. Annual turnover of 16.1% is roughly a third of the national average, which matters more than any single inspection result, it means the people caring for residents know the building and know them. Nurse staffing sits just under the national average at 3.74 hours per resident day, and weekends run about 13% leaner than weekdays, so afternoons and Saturdays are the thinner stretches to ask about. The record shows 14 deficiencies with none at the harm level and none abuse-related, and the last inspection was in January 2026, so the picture is current. Solid nursing hours, low turnover, no serious findings.

B

82/100

Colonial Acres Of Humboldt

Humboldt, NE · Richardson County

CMS 2/5 49 beds Government Medicaid
Nurse hours
4.35 /day
Staff turnover
53%
Serious cites
0

Colonial Acres is city-owned, which is unusual in this part of Nebraska, and its staffing is the strongest card it holds, 4.35 nurse hours per resident day, comfortably above the national figure, with a four-star staffing rating to match. The catch is consistency: weekends run roughly 14% thinner than weekdays, and turnover sits at 53.3%, well past the national rate. Inspections are a softer spot, at two stars with 15 deficiencies on record, though none reached harm or jeopardy and none involved abuse. The most recent visit was in March 2026, so the picture is current.

B

82/100

Hearthstone Health And Rehabilitation

Sparks, NV · Washoe County

CMS 1/5 125 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
35%
Serious cites
0

Hearthstone runs 125 beds in Sparks under for-profit LLC ownership, and its last inspection on March 5, 2026 left a record of 59 deficiencies, one at the harm or immediate jeopardy level, five tied to abuse. That's a lot of findings, even for a home with a recent survey. Staffing sits just under the national average at 3.81 nurse hours per resident day, and weekends run about 15% thinner than weekdays, so coverage dips when families tend to visit. Turnover is genuinely better than most: 34.7% against a national 45.8%. One fine totaling $48,721 is on record. The quality measure score looks strong, but the inspection history is what should drive your questions.

B

82/100

College Park Rehabilitation Center

North Las Vegas, NV · Clark County

CMS 4/5 188 beds For-profit Medicaid
Nurse hours
4.63 /day
Staff turnover
28%
Serious cites
0

College Park Rehabilitation Center runs 188 beds in North Las Vegas under corporate for-profit ownership, and the numbers tell a fairly steady story. Nurse staffing sits at 4.63 hours per resident day, roughly 20% above the national average, though weekends dip about 10% below what the home provides on weekdays. Staff turnover is 28.1% against a national average of 45.8%, which matters for whether residents see the same faces over time. The inspection record shows 20 deficiencies with none at the harm level and none abuse-related, and the most recent inspection was in late November 2025. Quality measures score well; the health inspection side is the softer spot.

B

82/100

Saint Teresa Rehabilitation & Nursing Center

Manchester, NH · Hillsborough County

CMS 2/5 51 beds Non-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
47%
Serious cites
0

Saint Teresa Rehabilitation & Nursing Center runs on 4.01 nurse hours per resident day, a bit above the national average, and that staffing shows up in its above-average rating there. The catch is weekends, when coverage drops roughly 12% below what the home staffs during the week, worth asking about if your family tends to visit Saturday or Sunday. Its record carries 15 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. Staff turnover sits at 47.4%, slightly worse than the national figure, which matters for how well residents are known. The last inspection was April 2026, so the picture is current.

B

82/100

Dwelling Place At St Clares

Dover, NJ · Morris County

CMS 5/5 28 beds For-profit Medicaid
Nurse hours
5.93 /day
Staff turnover
17%
Serious cites
0

Dwelling Place at St. Clare's runs 28 beds in Dover, and the staffing is genuinely heavy, 5.93 nurse hours per resident day, roughly half again the national figure. That kind of coverage matters more at a small home, where one aide calling out changes the whole shift, though weekend hours do dip about 10% below weekdays. Turnover sits at 17.1% against a national 45.8%, which usually signals people stay, and six deficiencies on record with none at harm or jeopardy level backs that up. The last inspection was April 2025, so the picture is current. Quality measures score well; staffing stars land lower than the raw hours suggest, likely a case-mix or RN mix issue.

B

82/100

Chatham Hills Subacute Care Center

Chatham, NJ · Morris County

CMS 4/5 108 beds For-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
41%
Serious cites
0

Chatham Hills runs about 3.43 nurse hours per resident each day, roughly 11% under the national average, and weekends dip another 5% below its own weekday levels, so coverage thins out right when families tend to visit. The good news is turnover: 40.7%, better than the national 45.8%, which suggests a steadier crew than many for-profit peers. State inspectors have logged 23 deficiencies, none causing harm or jeopardy, though one is abuse-related, and the most recent visit was November 2025. Quality measures score well; the health inspection and staffing ratings sit in the middle. The numbers point to a home that's adequate but stretched on direct care hours.

B

82/100

Troy Hills Center

Parsippany, NJ · Morris County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
37%
Serious cites
0

Troy Hills Center runs 130 beds in Parsippany under corporate ownership, and its last inspection was in late November 2024. The numbers split sharply. State inspectors have cited 43 deficiencies, four of them serious enough to put residents in harm's way and three tied to abuse, that's a 1-out-of-5 inspection record, and it's the weakest part of this home's file. On the other side, staff turnover sits at 36.8%, well under the national 45.8%, so the people who work here tend to stay. What to weigh: a strong quality-measure score and stable workforce against a thin inspection history and nurse staffing at 3.39 hours per resident day, about 12% below the national average, with weekends running roughly 7% lighter than weekdays.

B

82/100

Arbor Ridge Rehabilitation And Healthcare Center

Wayne, NJ · Passaic County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
25%
Serious cites
0

Arbor Ridge runs lean on nursing hours, 3.34 per resident day against a national average of 3.86, and weekends drop roughly 11% below its own weekday coverage, which is when families tend to notice. The tradeoff shows up in retention: 24.5% turnover is well under the national 45.8%, so the aides and nurses who are there tend to stay, and the 5/5 quality measure rating suggests that consistency reaches residents. Seventeen deficiencies on record, none at harm or jeopardy level, but two tied to abuse, which is worth asking about directly. The last full inspection was October 2024, so the picture is reasonably current for a 120-bed for-profit run by an LLC.

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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