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1,125 Best Non-Profit Nursing Homes in the United States

1,125 of the 14,697 Medicare-certified nursing homes in the United States (8%) are top-graded non-profit, and all are listed below. 1125 of the 1125 graded homes earn an A and 0 earn a D or F. They average 4.99 nursing hours per resident per day, 1.13 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How top-graded non-profit 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

4.99

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

32.8%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

90.9/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A

1,125 grade A,

The best-graded top-graded non-profit home in the United States is Mclean Health Center in Simsbury, CT, grade A, 100/100.

Every top-graded non-profit nursing home in the United States

Showing 281 to 300 of 1,125, best-graded first.

A

94/100

Trillium Place

Lancaster, PA · Lancaster County

CMS 5/5160 bedsNon-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
33%
Serious cites
0

Trillium Place runs 160 certified beds as a nonprofit corporation, and the staffing numbers are the story here: 4.79 nurse hours per resident day, roughly a quarter more than the national average of 3.86. Weekend coverage dips about 7% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.9%, well under the 45.8% national figure, so the people caring for residents tend to stick around. One deficiency on the current record, none at harm or jeopardy level, none abuse-related, with the last inspection in late November 2024.

A

94/100

Landis Homes

Lititz, PA · Lancaster County

CMS 5/5103 bedsNon-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
31%
Serious cites
0

Landis Homes sits on 103 certified beds in Lititz, run by a nonprofit corporation. Nurse staffing averages 5.43 hours per resident day, roughly 41% above the national figure of 3.86, though weekend coverage dips about 7% below its own weekday levels. Staff turnover lands at 30.6%, noticeably under the 45.8% national average, which matters because stable caregivers tend to know residents' routines. The tradeoff is in the inspection record: just one deficiency on file, but it's flagged at the harm or jeopardy level, and the most recent inspection was September 2025. That single serious citation is worth asking about directly, even though the quality and staffing ratings both sit high.

A

94/100

Fairmount Homes

Ephrata, PA · Lancaster County

CMS 5/5114 bedsNon-profitMedicaid
Nurse hours
4.39 /day
Staff turnover
25%
Serious cites
0

Fairmount Homes runs about 4.39 nurse hours per resident per day, roughly 14% above the national average, and its 25% turnover is well under the 45.8% typical elsewhere, both point to a staff that mostly stays put. Weekend coverage dips about 9% below weekday levels, so ask how that plays out on Saturdays and Sundays. The inspection record is clean: zero deficiencies, none at the harm level, no abuse findings, and the most recent survey was July 2025. As a nonprofit with 114 beds, it isn't chasing quarterly returns, and the numbers here reflect that steadiness.

A

94/100

Homewood Living Plum Creek, Inc

Hanover, PA · York County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.14 /day
Staff turnover
27%
Serious cites
0

Homewood Living Plum Creek runs on nurse staffing of 4.14 hours per resident day, roughly 7 percent above the national average, and its weekend coverage only dips about 10 percent below weekday levels, a smaller drop than many homes show. Staff turnover sits at 26.5 percent against a national average near 46 percent, which matters for whether caregivers actually know the residents. The tradeoff is a current record of 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $7,443. Its last inspection was in December 2025, so the picture is recent.

A

94/100

Kirkland Village

Bethlehem, PA · Northampton County

CMS 5/560 bedsNon-profit
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

Kirkland Village runs 4.71 nurse hours per resident per day, roughly 22% above the national average, and its staff turnover sits at 31.9% against a national 45.8%, both numbers point to a home that keeps its people and staffs them well. Weekend coverage dips about 13% below weekday levels, and the current inspection record shows nine deficiencies, one serious enough to reach harm or jeopardy, plus a single $21,645 fine. The last inspection was August 2025. Nonprofit ownership and a recent survey are worth noting, but that one harm-level finding is the piece of the record that deserves your attention before you decide.

A

94/100

Masonic Village At Warminster

Warminster, PA · Bucks County

CMS 5/543 bedsNon-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
31%
Serious cites
0

Masonic Village At Warminster runs 43 certified beds as a nonprofit, and the numbers behind it are unusually clean. Nurse staffing sits at 4.19 hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 8% below its own weekday level, a normal pattern, but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 30.8%, well under the national 45.8%, which matters because consistent caregivers learn residents' routines. The home carries a single deficiency on its current record, none at the harm level and none abuse-related, with its last inspection in July 2025. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

94/100

Garden Spot Village

New Holland, PA · Lancaster County

CMS 5/573 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
32%
Serious cites
0

Garden Spot Village runs nurse staffing at 5.00 hours per resident day, roughly 30% above the national average, and its staff turnover of 32.2% sits well below the national 45.8%, people tend to stay. Weekends dip about 14% below weekday coverage, which is worth asking about if your family visits then. The trade-off is in the inspection record: four deficiencies, two serious enough to reach harm or jeopardy level, and one fine of $8,018. The most recent inspection was January 2026. Strong staffing and better-than-average retention are real, but four deficiencies with two at the harm level means the care isn't flawless.

A

94/100

Village At Penn State, The

State College, PA · Centre County

CMS 4/536 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at The Village at Penn State runs 5.23 hours per resident day, roughly a third above the national average, and weekends barely dip from weekday levels, which matters because short-staffed weekends are where a lot of problems show up. Turnover sits at 27.9% against a national 45.8%, so the people caring for residents tend to stick around. The current record holds 13 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was in May 2026. Its three stars on health inspections and quality measures are middling; staffing is where it stands out.

A

94/100

Avera Prince Of Peace

Sioux Falls, SD · Minnehaha County

CMS 4/5126 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
25%
Serious cites
0

Avera Prince Of Peace runs on church-affiliated nonprofit ownership, and the staffing numbers show it: 5.74 nurse hours per resident day, roughly half again the national average, with turnover at 25% against a national 45.8%. Weekend coverage dips about 7% below weekday levels, but that's a modest drop for a 126-bed home. The caution sits in the inspection record. Seventeen deficiencies, three tied to abuse and one serious enough to reach harm or jeopardy, plus an $8,278 fine, pulled the health inspection rating down to 2 of 5 despite strong marks on quality measures and staffing. The most recent survey closed in August 2025, so that record is current.

A

94/100

Kendal At Lexington

Lexington, VA · Lexington City County

CMS 4/560 bedsNon-profitMedicaid
Nurse hours
4.88 /day
Staff turnover
40%
Serious cites
0

Kendal At Lexington runs a nonprofit home with 60 certified beds, and the staffing numbers are the strongest part of the story: 4.88 nurse hours per resident day, roughly 26 percent above the national average of 3.86. Weekend coverage dips about 14 percent below its own weekday level, and staff turnover sits at 40 percent, better than the 45.8 percent national figure, though still a reminder that retaining caregivers is hard work everywhere. The inspection record is a different matter. Twenty-three deficiencies, one at the harm or jeopardy level and one abuse-related, with a $10,033 fine and a 2-out-of-5 inspection rating from CMS. The last full look came in April 2024. Strong staffing and quality scores coexist here with a citation history worth asking about directly.

A

94/100

Shenandoah Valley Westminster Canterbury

Winchester, VA · Frederick County

CMS 4/551 bedsNon-profitMedicaid
Nurse hours
5.65 /day
Staff turnover
25%
Serious cites
0

Shenandoah Valley Westminster Canterbury runs 51 certified beds as a nonprofit, and the staffing numbers are the story here: 5.65 nurse hours per resident day, roughly 46% above the national average. Weekend coverage dips about 9% below its own weekday levels, so ask how that plays out on a Sunday. Annual turnover sits at 25%, well under the national 45.8%. The trade-off is inspection history, 28 deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in March 2023. Quality and staffing measures score well; the health inspection record is more middling. Worth reading the actual deficiency reports before deciding.

A

94/100

Norton Community Hospital Snf Unit

Norton, VA · Wise County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
7.23 /day
Staff turnover
12%
Serious cites
0

Norton Community Hospital's skilled nursing unit runs on unusually heavy staffing: 7.23 nurse hours per resident day, roughly double the national figure. Turnover sits at 11.8 percent against a national average near 46 percent, so the people caring for residents tend to stay. The trade-off is a longer deficiency record, 21 findings, one serious enough to involve harm, though nothing abuse-related, and the last inspection was recent. A single $10,400 fine is modest by industry standards. Weekend coverage dips about 12 percent below weekday levels, worth asking about if your family visits on Saturdays or Sundays. For a 44-bed nonprofit unit, the numbers point to consistent hands-on care with some paperwork problems behind it.

A

94/100

Arleigh Burke Pavilion

Mc Lean, VA · Fairfax County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
25%
Serious cites
0

The numbers at Arleigh Burke Pavilion in McLean mostly speak for themselves. Nurse staffing runs 4.70 hours per resident day against a national average of 3.86, and the 24.6% annual turnover is roughly half the national rate, a sign people stick around. Weekend coverage dips about 11% below weekdays, worth asking about if your family visits Saturdays. The 13 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the last inspection was January 2025, so the picture is current. For a 49-bed nonprofit, that combination of low turnover and steady inspection history is the real story behind the grade.

A

94/100

Shorehaven Hlth & Rehab Ctr

Oconomowoc, WI · Waukesha County

CMS 5/588 bedsNon-profitMedicaid
Nurse hours
5.41 /day
Staff turnover
39%
Serious cites
0

Shorehaven runs on a nonprofit model with 5.41 nurse hours per resident day, roughly 40% above the national average of 3.86, that staffing depth is the core of its profile. Weekend coverage dips about 10% below its own weekday level, and turnover sits at 38.8%, better than the 45.8% national rate. Those numbers support the top CMS marks in staffing and quality measures, plus a 4/5 on health inspections. The record isn't clean, though. Ten deficiencies are on file, two at the harm or jeopardy level and two abuse-related, with the last inspection dated June 2025. For a family weighing this home, that combination, strong day-to-day staffing, some serious past findings, is what deserves your questions.

A

94/100

St John Kronstadt Convalescent Center

Castro Valley, CA · Alameda County

CMS 5/549 bedsNon-profitMedicaid
Nurse hours
4.22 /day
Staff turnover
12%
Serious cites
0

St. John Kronstadt runs about 4.22 nurse hours per resident day, roughly 9% above the national average, though weekend coverage dips about 12% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. The turnover number is the real standout: 12.2% against a national average near 46%, which suggests a stable crew that knows the residents. The tradeoff is a longer deficiency record, 33 total, including one at the harm level and one abuse-related, so read the actual inspection reports rather than trusting the star ratings alone. The most recent state visit was November 2025, so the picture is current.

A

94/100

Acc Care Center

Sacramento, CA · Sacramento County

CMS 5/599 bedsNon-profitMedicaid
Nurse hours
5.42 /day
Staff turnover
43%
Serious cites
0

Acc Care Center runs on unusually heavy staffing for a nursing home, 5.42 nurse hours per resident day against a national average of 3.86, and weekends dip only about 8% below its own weekday levels, which matters because weekend coverage is where a lot of homes quietly thin out. Turnover sits at 43.3%, slightly better than the 45.8% national figure. The tradeoff shows up in its inspection record: 45 deficiencies, two tied to abuse, and six fines totaling $24,087, though none reached harm or jeopardy level. The most recent inspection was in September 2025, so the picture is current.

A

94/100

Sunny View Manor

Cupertino, CA · Santa Clara County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
14%
Serious cites
0

Sunny View Manor runs on unusually heavy staffing for a nursing home, 4.92 nurse hours per resident each day, roughly a quarter more than the national average, and its staff tend to stay, with turnover at 14.3% against a national rate near 46%. Weekend coverage dips about 12% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows up in its record: 27 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse, and a single fine of $8,176. Its last inspection was in April 2025, and the nonprofit owner keeps both quality and staffing marks at the top of the federal scale.

A

94/100

The Terraces Of Los Gatos

Los Gatos, CA · Santa Clara County

CMS 5/559 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
30%
Serious cites
0

The Terraces of Los Gatos runs on a nonprofit model with 59 certified beds, and its nurse staffing sits about 22 percent above the national average, roughly 4.73 hours per resident per day against 3.86. Turnover is 30.4 percent, well below the national 45.8, which matters because consistent caregivers tend to know residents' routines. Weekend coverage does dip about 12 percent below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection history is the catch: 30 deficiencies on record, including four at the harm or jeopardy level and one tied to abuse, plus two fines totaling $32,487. The most recent inspection was January 9, 2025, so the picture is current.

A

94/100

Trinity Terrace

Fort Worth, TX · Tarrant County

CMS 5/552 bedsNon-profit
Nurse hours
4.11 /day
Staff turnover
30%
Serious cites
0

Trinity Terrace runs on 4.11 nurse hours per resident per day, about 7% above the national average, and its staff turnover of 30.2% is well below the 45.8% national figure, that kind of retention matters more than any single inspection result. Weekend staffing dips about 13% below its own weekday level, which is common but worth asking about if your family member needs more help on Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in March 2025. As a nonprofit, it answers to a board rather than shareholders, and the survey history suggests problems get fixed before they endanger anyone.

A

94/100

Sagecrest Alzheimers Care Center

San Angelo, TX · Tom Green County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.73 /day
Staff turnover
16%
Serious cites
0

Sagecrest runs about 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86, and that staffing holds up beyond the weekday, with weekends dipping only about 10% below its own weekday level. Turnover sits at 15.9% against a national average of 45.8%, which matters for dementia care, where unfamiliar faces can unsettle residents. The home carries nine deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, and its last inspection was September 2024. As a nonprofit in San Angelo, it isn't chasing quarterly returns. The numbers point to steady, well-attended care rather than anything flashy.

Frequently asked questions

How many top-graded non-profit nursing homes are there in the United States?
There are 1,125 top-graded non-profit Medicare-certified nursing homes in the United States, 8% of the 14,697 nursing homes there.
Are top-graded non-profit nursing homes better staffed?
In the United States they average 4.99 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +1.13 hours. Staff turnover averages 32.8% against 45.8%.
Which top-graded non-profit nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being top-graded non-profit mean a nursing home is safe?
No. Of the 1,125 graded top-graded non-profit homes in the United States, 1,125 grade A and 0 grade D or F.
Do top-graded non-profit nursing homes in the United States accept Medicaid?
935 of the 1,125 are certified to accept Medicaid. See Medicaid and nursing homes.

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