257 of the 656 Medicare-certified nursing homes in Pennsylvania (39%) are independently owned, and all are listed below. 101 of the 257 graded homes earn an A and 11 earn a D or F. They average 4.24 nursing hours per resident per day, 0.35 hours above the 3.89 for every home in Pennsylvania. Transitional Sub-Acute Unit in Wyomissing grades highest at A (100 out of 100).
How independently owned homes in Pennsylvania compare
This group set against every nursing home in Pennsylvania, from the current CMS release.
Nursing hours per resident per day
4.24
All homes in Pennsylvania: 3.89
Better than the local average
Nurse staff turnover
41%
All homes in Pennsylvania: 44.5%
Better than the local average
Average ElderGrade score
78.4/100
All homes in Pennsylvania: 73.9/100
Better than the local average
Grade spread
A
B
C
101 grade A, 78 grade B, 67 grade C, 11 grade D,
The best-graded independently owned home in Pennsylvania is
Transitional Sub-Acute Unit
in Wyomissing, PA, grade A, 100/100.
Every independently owned nursing home in Pennsylvania
Good Shepherd Home Raker Center runs on a church-affiliated nonprofit model with 99 certified beds, and its nurse staffing sits at 4.79 hours per resident day, roughly 24% above the national average of 3.86. That cushion matters, though weekends dip about 9% below the home's own weekday levels, so coverage isn't perfectly even across the week. Staff turnover is 32.1%, noticeably lower than the 45.8% national figure, which suggests a steadier workforce than many places manage. The inspection record shows 11 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Inspectors were last on site in September 2025, so the picture is recent. Federal ratings land at 4 out of 5 across health inspections, quality measures, and staffing, consistent, if not flawless.
Vincentian Home runs on a solid staffing base: 4.27 nurse hours per resident day, roughly 11% above the national average, with a 4-out-of-5 CMS staffing rating to match. Weekend coverage dips about 5% below its own weekday levels, and turnover sits at 40.2%, better than average, but still a lot of caregivers cycling through. The bigger issue is the record itself: 33 deficiencies, including 6 tied to abuse, with a 2-out-of-5 health inspection rating. None were flagged at harm or jeopardy level, and the most recent inspection was in May 2025, so the findings are current. Nonprofit ownership and steady nurse hours help; the inspection history is what pulls this one down.
Pennypack Rehab and Care Center is a 54-bed for-profit home in Philadelphia, and its inspection record is genuinely good, a 4/5 health inspection rating, last surveyed in May 2026, with 27 deficiencies on file but none at the harm or jeopardy level. The staffing picture is where it gets thin. At 3.15 nurse hours per resident day, it runs about 18% below the national average, and weekends drop roughly 7% below its own weekday level. Staff turnover sits at 68.4%, well above the 45.8% national figure, which is a lot of churn for a building this size. Three abuse-related deficiencies also appear on the current record.
St. John Specialty Care Center in Mars runs high on nurse staffing, 3.96 hours per resident day, a bit above the national average, and that earned it a four-star staffing rating. But the inspection record tells a different story: 54 deficiencies on file, including 12 tied to abuse and two at the harm or jeopardy level, with the most recent inspection in October 2024. Staff turnover sits at 52.3%, well above the national 45.8%, and weekend coverage drops about 8% below weekday levels. A nonprofit corporation operates its 150 beds. Strong numbers on paper and repeated problems on inspection rarely point the same direction; here, the inspection history is what a family should weigh.
Yorkview runs 270 beds under limited-liability for-profit ownership, and the staffing numbers are where I'd start. At 2.90 nurse hours per resident day, it sits about a quarter below the national average of 3.86, and weekends drop roughly 13% below its own weekday level, so the thinnest coverage lands exactly when families tend to visit. Turnover is 48.3%, a few points above the national 45.8%. The inspection record is heavy: 65 deficiencies, two tied to abuse, though none reached harm or jeopardy level. Its last inspection was May 2025. Quality measures score well, but staffing and inspections don't, and that gap is worth asking about directly.
Hamilton Arms Center runs 94 certified beds in Lancaster under for-profit LLC ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86. Weekends dip about 8 percent below its own weekday coverage, so if you're visiting or calling on a Saturday, expect a thinner floor than midweek. Turnover is the brighter spot: 33.7 percent against a national 45.8 percent, meaning fewer caregivers cycling out than at the typical home.
The inspection record is where I'd slow down. Twenty-two deficiencies are logged, including one at the harm level and two tied to abuse, with three fines totaling $9,009. The last inspection was September 26, 2025, so that picture is current, not stale.
Silver Stream runs on 3.36 nurse hours per resident per day, about 13% under the national figure, and weekend coverage drops roughly 7% below what the home staffs on weekdays. Turnover sits at 58% against a national 45.8%, so the faces change often, and 50 deficiencies sit on the current record, three tied to abuse, though none cited at the harm or jeopardy level. The last inspection came January 23, 2026. With a limited liability company operating the 120 beds for profit, the staffing and inspection scores both land at 2 out of 5. Worth asking how they hold weekend coverage and what those abuse-related citations actually involved.
Ellen Memorial runs about 3.57 nursing hours per resident day, roughly 8% under the national average, and weekends drop another 9% below its own weekday staffing. That thinner weekend coverage matters because 55.4% of staff turned over in a year, against a 45.8% national rate, so the aides and nurses on Saturday are more likely to be new. The inspection record shows 31 deficiencies, including one at the harm or jeopardy level and five tied to abuse, and CMS rated health inspections 2 out of 5 stars. Quality measures scored 4 out of 5, but the staffing and inspection scores are where families should focus.
Luther Acres Manor runs 106 certified beds in Lititz under corporate for-profit ownership, and its staffing sits at 3.94 nurse hours per resident day, slightly above the national average of 3.86, though weekends dip about 6% below its own weekday level. The bigger concern is turnover: 53.8% of staff leave annually, well above the 45.8% national figure, which matters because consistent caregivers know residents' routines and changes. Inspections in November 2024 turned up 9 deficiencies, none at harm or jeopardy level, but 3 were abuse-related, and the quality measure rating sits at 1 out of 5 stars. Families should ask how the home addresses weekend coverage and what those abuse citations involved.
Northern Dauphin runs 194 certified beds under corporate ownership, and its nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average of 3.86. Weekends dip about 12% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 50.6%, above the 45.8% national figure, which means a good share of caregivers are still learning the building. The inspection record shows 41 deficiencies, including two at harm or jeopardy level and one tied to abuse, with a $11,921 fine. Last survey was June 12, 2025. Quality measures score well, but that's the piece families should weigh against the staffing and inspection numbers.
The Reformed Presbyterian Home runs on about 3.97 nurse hours per resident per day, a bit above the national average, and its staff turnover of 36.7% is noticeably better than the 45.8% typical elsewhere. Those are real strengths, and they're why staffing earns top marks. The trouble sits on the other side of the ledger: 40 deficiencies on the current record, including two at the harm level and four tied to abuse, with the most recent inspection in June 2025. Weekend coverage also dips about 8% below its own weekday staffing. This is a nonprofit home where the care hours and retention look solid, but the inspection history is heavy enough that you'd want to read the actual reports and ask questions before deciding.
Meadows Nursing and Rehabilitation Center runs 130 certified beds in Luzerne County under nonprofit ownership, and its staffing numbers tell a mixed story. At 3.80 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip roughly 12% below its own weekday coverage. Where it stands out is retention: 30.2% turnover beats the 45.8% national figure by a wide margin, which matters for continuity of care. The inspection record is the harder part to swallow, 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $52,135 fine, with the most recent inspection in July 2025.
John J. Kane Regional Center-Ro runs 240 beds under Allegheny County's ownership, and its inspection record is the hardest thing to get past: 66 deficiencies on file, including four at the harm or jeopardy level and ten tied to abuse. Two fines totaling $90,344 sit alongside that history. Staffing hours come in around 3.59 per resident day, roughly 7% under the national average, and turnover runs at 61.9% against a national 45.8%, meaning well over half the nursing staff leaves each year. Weekend coverage actually runs slightly above its own weekday level, which is unusual. The county's most recent inspection closed in April 2025.
Rouse Warren County Home sits in Youngsville, and it's owned by the county, which tends to mean slower change and steadier budgets than a for-profit chain. The staffing numbers are genuinely good, 4.18 nurse hours per resident day, about 8% above the national average, but weekends run roughly 9% thinner than weekdays, so the coverage your relative gets on a Saturday may not match what they get on a Tuesday. Turnover of 48.4% is slightly worse than the national average, meaning familiar faces cycle out faster than you'd hope. The current inspection record shows 19 deficiencies, including two at harm level and one abuse-related, with a $22,967 fine.
John J. Kane Regional Center-Sc runs 311 certified beds as a county-owned home in Pittsburgh, and the staffing numbers sit roughly 9% under the national average at 3.52 nurse hours per resident day. Weekends dip about 5% below its own weekday coverage, while turnover at 44.3% actually edges slightly under the national rate. What stands out is the inspection record: 12 deficiencies, including two at harm or jeopardy level and five tied to abuse, with the most recent inspection in September 2024. The quality measure stars look strong, but that inspection history is the piece worth asking about directly.
Marywood Heights sits in Scranton with 72 certified beds, run by a for-profit limited liability company. The staffing numbers are the strongest part of the picture: 4.03 nurse hours per resident day, roughly 4% above the national average, though weekends run about 6% thinner than weekdays. Turnover lands at 45.7%, essentially identical to the national rate. Where it slips is inspections, a 2-out-of-5 health inspection rating, 33 deficiencies on record including 3 at the harm or jeopardy level and 4 tied to abuse, plus one fine of $32,646. The most recent inspection was March 2026. Quality measures rate 3 out of 5. Decent hands on deck, but a troubling inspection history.
Penn Highlands Jefferson Manor runs 160 beds as a nonprofit corporation, and its staffing picture is genuinely solid on paper, 3.88 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating and turnover at 39.4% versus 45.8% nationally. But weekends run about 7% leaner than weekdays, and the inspection record is where things get harder to explain: 23 deficiencies, three of them at harm or jeopardy level and one abuse-related, across two fines totaling $15,160. That combination, good staffing numbers sitting alongside serious inspection findings, is why the health inspection rating lands at 2 out of 5. The most recent survey was December 2025, so the picture is current.
The Kane Regional Center's Glen Hazel campus runs on thin nurse coverage: 2.82 hours per resident day against a national average of 3.86, and weekends dip about 12% below its own weekday level. That gap shows up in the staffing rating, which sits down with the inspection and quality ratings. Inspectors cited 18 deficiencies on the current record, including two at the harm or jeopardy level and three tied to abuse. Staff turnover of 56.3% runs well above the 45.8% national figure, so residents see a lot of new faces. Allegheny County owns and operates it, and the last state survey was in June 2025.
Riverstreet Manor runs on thin staffing. At 3.16 nurse hours per resident day, it sits about 18 percent under the national average, and weekends drop roughly another 9 percent below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 43.8 percent is nearly a point better than the national figure, which matters less than it sounds given how many aides still cycle through each year. The inspection record is the bigger concern: 49 deficiencies, including one at the harm level and three tied to abuse, with the most recent survey dated April 2026. For-profit corporate ownership, a $8,278 fine on file, and a two-star health inspection rating round out a picture worth weighing carefully.
Fair Acres is one of the largest county-run homes in Pennsylvania, with 778 beds, and its staff retention is genuinely unusual: turnover of 21.5% sits far below the national rate of 45.8%, meaning the people who work here tend to stay. The problem is how few of them there are per resident, 2.79 nursing hours per resident day against a national average of 3.86, and weekend coverage drops roughly 7% below its own weekday level. Inspectors cited eight deficiencies on the current record, including one at the harm level and one abuse-related, with the most recent inspection dated February 2026. Low turnover helps, but it doesn't stretch thin staffing.
Frequently asked questions
How many independently owned nursing homes are there in Pennsylvania?
There are 257 independently owned Medicare-certified nursing homes in Pennsylvania, 39% of the 656 nursing homes there.
Are independently owned nursing homes better staffed?
In Pennsylvania they average 4.24 total nursing hours per resident per day, against 3.89 for all nursing homes in Pennsylvania, a difference of +0.35 hours. Staff turnover averages 41% against 44.5%.
Which independently owned nursing home grades best in Pennsylvania?