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4,510 Independent Nursing Homes in the United States

4,510 of the 14,697 Medicare-certified nursing homes in the United States (31%) are independently owned, and all are listed below. 1309 of the 4490 graded homes earn an A and 280 earn a D or F. They average 4.25 nursing hours per resident per day, 0.39 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 independently 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

4.25

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

43.3%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.6/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

1,309 grade A, 1,865 grade B, 1,036 grade C, 279 grade D, 1 grade F

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

Every independently owned nursing home in the United States

Showing 1 to 20 of 4,510, best-graded first.

A

100/100

Mclean Health Center

Simsbury, CT · Capitol County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
5.12 /day
Staff turnover
27%
Serious cites
0

Mclean Health Center runs on 5.12 nurse hours per resident per day, roughly a third more than the national average of 3.86, and its weekend coverage holds close to weekday levels. Staff turnover sits at 26.6% against a national average near 46%, which matters for how well aides know the residents in a 72-bed nonprofit home. The tradeoff is a longer deficiency record: 14 citations on file, one serious enough to involve harm or jeopardy, though none abuse-related. Its last inspection was April 2025, and CMS gives it top marks for staffing and quality measures, with a 4 out of 5 on health inspections.

A

100/100

Hill Top House

Bucklin, KS · Ford County

CMS 5/529 bedsGovernmentMedicaid
Nurse hours
4.38 /day
Staff turnover
29%
Serious cites
0

Hill Top House runs on a government hospital district budget in Bucklin, and the numbers suggest the money goes to people. Nurse staffing sits at 4.38 hours per resident day, about 13% above the national average, and weekends only dip roughly 5% below weekday levels, a small gap by nursing home standards. Staff turnover is 29%, well under the national 45.8%, so the aides and nurses here tend to stay. The tradeoff shows up in inspections: 15 deficiencies on record, one serious enough to reach harm or jeopardy level, and a middling 3 out of 5 inspection rating, though the last survey was recent, in November 2024, with nothing abuse-related. With 29 beds, it stays small enough that consistency matters more than scale.

A

100/100

Campion Health & Wellness, Inc

Weston, MA · Middlesex County

CMS 5/570 bedsNon-profitMedicaid
Nurse hours
6.80 /day
Staff turnover
31%
Serious cites
0

Campion Health & Wellness runs on 6.80 nurse staffing hours per resident day, roughly 76% above the national average of 3.86, a gap that shows up on weekends too, where hours dip only about 5% below the weekday pace. Staff turnover sits at 30.8% against a national average of 45.8%, and the home carries a single deficiency on its current record, none at the harm or jeopardy level and none abuse-related, with its last inspection in May 2025. It's a 70-bed nonprofit affiliated with a church, and its CMS stars come back 5/5 across health inspections, quality measures, and staffing. One family review so far, and it's a 5/5.

A

100/100

Parker At Somerset, Inc

Somerset, NJ · Somerset County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
6.07 /day
Staff turnover
18%
Serious cites
0

Parker At Somerset runs on 6.07 nurse hours per resident per day, which is roughly 57% above the national average of 3.86. Weekend coverage dips about 5% below its own weekday level, but that's a small gap compared to most homes. Staff turnover sits at 17.7% against a national average of 45.8%, meaning the people caring for residents tend to stick around, and the five deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related. The last inspection was in April 2025, so the picture is recent, and as a nonprofit it isn't answering to shareholders.

A

100/100

Hrh Transitional Care Unit(A D/B/A Entity Of Hrhs)

Meadowbrook, PA · Montgomery County

CMS 5/521 bedsNon-profit
Nurse hours
6.29 /day
Staff turnover
21%
Serious cites
0

The numbers at Hrh Transitional Care Unit in Meadowbrook are hard to argue with. Nurse staffing runs about 6.29 hours per resident day, roughly 63% above the national average, and turnover sits at 20.8%, well under half the national rate of 45.8%, which matters because consistent caregivers tend to know their residents. Inspections back it up: a 5/5 health inspection rating, three total deficiencies on record with none at the harm level and none abuse-related, and a recent survey from February 2026. It's a 21-bed nonprofit unit, so it's small, and the weekend staffing dip of about 3% below its own weekday level is minor. Nothing here looks like a red flag; the record reads like a home that staffs well and keeps its paperwork clean.

A

100/100

Transitional Sub-Acute Unit

Wyomissing, PA · Berks County

CMS 5/550 bedsNon-profit
Nurse hours
5.56 /day
Staff turnover
25%
Serious cites
0

The numbers here are hard to argue with: 5.56 nurse hours per resident per day, roughly 44 percent above the national average, and a 25.3 percent turnover rate against a national figure near 46 percent, meaning staff tend to stay, which matters more than almost anything for daily consistency. Weekend coverage dips only about 4 percent below weekdays, so care doesn't thin out when families are least likely to visit. On the regulatory side, the record is clean: zero deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent inspection in August 2025. A five-star rating across health inspections, quality measures, and staffing, under nonprofit ownership, is a rare combination.

A

100/100

Goodwin House Alexandria

Alexandria, VA · Alexandria City County

CMS 5/580 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
18%
Serious cites
0

Goodwin House Alexandria runs on 5.34 nursing hours per resident per day, about 38% above the national average, and that staffing holds up on weekends, roughly 5% below its own weekday level, which is a smaller drop than many homes show. Annual turnover sits at 17.8% against a national average near 46%, so the people caring for residents tend to stay. The current inspection record shows 14 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in April 2023. This is a church-related nonprofit with 80 certified beds, and the pattern across staffing, retention, and inspection history is unusually steady.

A

99/100

Searhc Sitka Long Term Care

Sitka, AK · Sitka County

CMS 5/519 bedsNon-profitMedicaid
Nurse hours
7.89 /day
Staff turnover
31%
Serious cites
0

Searhc Sitka Long Term Care runs on unusually heavy nurse staffing, 7.89 hours per resident day, roughly double the national figure, and it holds that level up on weekends, when coverage dips only about 7% below its own weekday numbers. That consistency matters in a small 19-bed home, where one absence can strain a whole shift. Staff turnover sits at 31.4%, well under the national 45.8%, so the people caring for residents tend to stay. The current inspection record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey date of April 2026. The nonprofit ownership is worth noting too. Nothing here is flashy; the numbers just hold up.

A

99/100

Community Memorial Continuing Care Center

Ojai, CA · Ventura County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.23 /day
Staff turnover
27%
Serious cites
0

Community Memorial Continuing Care Center in Ojai runs on about 5.23 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, 26.7% turnover against a national rate near 46%. The current record shows 15 deficiencies, none of them involving harm or jeopardy and none abuse-related, with the most recent inspection in January 2026. Weekend coverage dips about 7% below weekday levels, which is worth asking about if your family member needs more help on Saturdays and Sundays. This is a nonprofit corporation with 75 certified beds, and the staffing, inspection, and quality measure ratings all sit at the top of CMS's scale.

A

99/100

Alameda County Medical Center D/P Snf

San Leandro, CA · Alameda County

CMS 5/5109 bedsGovernmentMedicaid
Nurse hours
6.40 /day
Staff turnover
7%
Serious cites
0

Alameda County Medical Center D/P SNF runs on a government hospital district license with 109 certified beds, and the numbers behind its record are unusually steady. Nurse staffing sits at 6.40 hours per resident day, roughly two-thirds above the national average, and weekend coverage dips only about 7% from weekday levels, a gap that's small compared to what most homes show. Staff turnover is 6.9% against a national average near 46%, which matters because consistent caregivers tend to know residents' routines. The 18 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was in August 2024. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 5 out of 5.

A

99/100

Crestwood Treatment Center

Fremont, CA · Alameda County

CMS 5/588 bedsFor-profitMedicaid
Nurse hours
5.05 /day
Staff turnover
12%
Serious cites
0

Crestwood Treatment Center runs on numbers that mostly hold up. Nurse staffing sits at 5.05 hours per resident day, roughly a third above the national average, and the 12.3% turnover rate is far below the typical 45.8%, that kind of stability usually means consistent caregivers who know the residents. Weekend coverage dips about 14% against weekdays, worth asking about. The current record shows 11 deficiencies, none at the harm or jeopardy level, though one is abuse-related. A February 2025 inspection means the findings are recent rather than stale. With a 4/5 on health inspections and 5/5 on quality measures, the picture is of a corporate-owned home in Fremont that performs well above average on most measures, with a single abuse citation to look into directly.

A

99/100

Jefferson House

Newington, CT · Capitol County

CMS 5/5104 bedsNon-profitMedicaid
Nurse hours
5.17 /day
Staff turnover
31%
Serious cites
0

Jefferson House runs on 5.17 nurse hours per resident per day, roughly a third more staffing than the typical American nursing home, and the weekend gap is only about 12% below weekdays, modest by industry standards. Staff turnover sits at 31%, well under the 45.8% national figure, which matters because consistent caregivers know residents' routines. The trade-off is a longer deficiency record: 25 citations on file, including two tied to abuse, though none rose to the level of actual harm or jeopardy. State inspectors last visited in January 2025. For a nonprofit home of 104 beds, the money is clearly going into the floor.

A

99/100

Southington Care Center

Southington, CT · Capitol County

CMS 5/5130 bedsNon-profitMedicaid
Nurse hours
4.72 /day
Staff turnover
34%
Serious cites
0

Southington Care Center runs on 4.72 nurse hours per resident day, roughly a fifth more than the national average, and its staff turnover of 33.6% sits well under the 45.8% norm, two signs of a stable, well-resourced floor. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays. The record isn't spotless: 14 deficiencies, one tied to abuse, though none rose to harm or jeopardy. A May 2024 inspection and top federal marks across health, quality, and staffing round out the picture.

A

99/100

Village On The Isle

Venice, FL · Sarasota County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
5.74 /day
Staff turnover
10%
Serious cites
0

Village On The Isle runs 48 certified beds in Venice, and the numbers behind its grade are mostly about people, not paperwork. Nurse staffing sits at 5.74 hours per resident day, roughly half again the national average, and turnover is 9.7% against a national 45.8%, that stability matters more than any single inspection finding. Weekend coverage dips about 8% below weekdays, which is worth asking about directly. Three deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2024. It's a for-profit corporate home, but the staffing and retention figures don't read like one.

A

99/100

Edward J Healey Rehabilitation And Nursing Center

Riviera Beach, FL · Palm Beach County

CMS 5/5120 bedsGovernmentMedicaid
Nurse hours
5.56 /day
Staff turnover
6%
Serious cites
0

Edward J Healey is county-owned, and that shows up in how it's run: nurse staffing runs 5.56 hours per resident day against a national average of 3.86, and turnover sits at 6.4% while the typical American nursing home churns through nearly half its staff each year. Just two deficiencies sit on the current record, none involving harm or abuse, and the most recent inspection closed out in December 2024. Weekend staffing dips about 9% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The low turnover matters most here, steady, familiar aides usually mean better day-to-day care than any scoreboard can capture.

A

99/100

Lodge At Cypress Cove, The

Fort Myers, FL · Lee County

CMS 5/564 bedsNon-profit
Nurse hours
5.72 /day
Staff turnover
21%
Serious cites
0

The Lodge at Cypress Cove runs 5.72 nurse hours per resident per day, roughly half again the national figure of 3.86, and its weekend staffing only dips about 11 percent below weekday levels, a gap that trips up plenty of homes. Staff turnover sits at 21.2 percent against a national average of 45.8, meaning most of the people caring for residents here tend to stick around. Five deficiencies on record, none at the harm level and none abuse-related, with an inspection completed in September 2025. As a nonprofit with 64 certified beds, it's small enough that consistency is easier to hold onto, and the numbers suggest it does.

A

99/100

Glenridge On Palmer Ranch Inc.

Sarasota, FL · Sarasota County

CMS 5/561 bedsNon-profit
Nurse hours
5.05 /day
Staff turnover
19%
Serious cites
0

Glenridge on Palmer Ranch runs about 5.05 nurse hours per resident each day, roughly a third more than the national average of 3.86, and its weekend coverage dips only slightly below its own weekday levels. Staff turnover sits at 18.5 percent against a national average near 46 percent, people tend to stay here. The current record shows no deficiencies at all, none at the harm level and none tied to abuse, and the last inspection dates to April 2024. As a nonprofit with 61 beds, it's small enough to know its residents. The three CMS star ratings all come in at the top mark.

A

99/100

Villa Maria West Skilled Nursing Facility

Hialeah Gardens, FL · Miami-Dade County

CMS 5/527 bedsNon-profit
Nurse hours
5.23 /day
Staff turnover
25%
Serious cites
0

Villa Maria West runs on a nonprofit, church-affiliated model, and the numbers back up what that structure often buys: nurses deliver 5.23 hours per resident day, roughly a third more than the national average, and staff turnover sits at 25% against a national figure near 46%. Ten deficiencies appear on the current record, but none involve harm or jeopardy, and none are abuse-related, which matters more than the raw count. The last inspection was recent, in September 2025, so the picture is current rather than stale. Weekend coverage dips about 12% below weekday levels, a gap worth asking about directly if your family member needs more help on Saturdays and Sundays.

A

99/100

Hi'olani Care Center At Kahala Nui

Honolulu, HI · Honolulu County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
6.39 /day
Staff turnover
24%
Serious cites
0

Hi'olani Care Center at Kahala Nui is a small nonprofit home, just 20 certified beds, and the staffing numbers are where it stands out. At 6.39 nurse hours per resident day, it runs roughly two-thirds above the national average, and its staff turnover of 23.9% is about half the national rate, which matters because consistent caregivers know their residents. Weekend coverage dips only slightly below weekdays, so care doesn't thin out on Saturdays and Sundays. The trade-off is in inspections: a three-star health inspection rating and 24 deficiencies on the current record, though none at the harm level and none abuse-related. The last state visit was June 2024. Strong staffing and quality scores, a middling inspection history.

A

99/100

Oneida County Hospital & Long Term Care Facility

Malad, ID · Oneida County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
5.85 /day
Staff turnover
27%
Serious cites
0

Oneida County Hospital & Long Term Care runs on county money in a small Idaho town, and the numbers back up the setup. Nurse staffing sits at 5.85 hours per resident day, roughly half again the national average, and weekend coverage dips only about 10% below its own weekday level, a smaller drop than many homes manage. Staff turnover is 26.8% against a national 45.8%, so the people caring for residents tend to stay. Inspectors found 13 deficiencies, none involving harm or abuse, and the most recent visit was in May 2026. Five stars across inspections, quality measures, and staffing, with 33 certified beds, tells you this is a stable, well-run county operation.

Frequently asked questions

How many independently owned nursing homes are there in the United States?
There are 4,510 independently owned Medicare-certified nursing homes in the United States, 31% of the 14,697 nursing homes there.
Are independently owned nursing homes better staffed?
In the United States they average 4.25 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.39 hours. Staff turnover averages 43.3% against 45.8%.
Which independently owned nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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