Who owns Virginia nursing homes
Ownership shapes staffing and cost decisions. Here is how Virginia nursing homes compare by ownership type, and which chains operate the most homes.
CMS data as of August 1, 2026. Nursing homes only; assisted living is not covered by Medicare ratings.
By ownership type
| Ownership | Homes | Average Medicare stars | Typical nursing hours | Share fined |
|---|---|---|---|---|
| For profit | 222 | 2.6 | 3.35 hrs | 40% |
| Non profit | 58 | 4.1 | 4.69 hrs | 22% |
| Government | 9 | 4.4 | 4.03 hrs | 11% |
Largest chains in Virginia
74% of Virginia nursing homes belong to a chain. Counts are homes we list in Virginia.
- Lifeworks rehab35 homes · average 2.3 of 5 Medicare stars
- Saber healthcare group33 homes · average 3.4 of 5 Medicare stars
- Hill valley healthcare24 homes · average 1.8 of 5 Medicare stars
- EasTern healthcare group18 homes · average 1.5 of 5 Medicare stars
- Heritage hall15 homes · average 4.1 of 5 Medicare stars
- Marquis health sErvices12 homes · average 2.8 of 5 Medicare stars
- Commonwealth care of roanoke12 homes · average 3.6 of 5 Medicare stars
- Avardis health11 homes · average 2.0 of 5 Medicare stars
- Trio healthcare9 homes · average 1.6 of 5 Medicare stars
- RiversIde health sYsTem6 homes · average 3.3 of 5 Medicare stars
- Communicare health5 homes · average 1.6 of 5 Medicare stars
- Ciena healthcare/Laurel health care4 homes · average 2.5 of 5 Medicare stars
- Yad healthcare4 homes · average 1.8 of 5 Medicare stars
- Green tree health management3 homes · average 2.0 of 5 Medicare stars
- Lifepoint health2 homes · average 5.0 of 5 Medicare stars
Source: CMS Nursing Home Provider Information (ownership type, chain affiliation). Averages are simple averages of Medicare overall star ratings; they describe groups, not any single home. A ranking is a starting point for questions, not a verdict. Always check the current Medicare record and visit in person.