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
Cedar Haven is a 324-bed for-profit partnership in Lebanon, and the numbers that matter most here are the staffing and inspection records. Nurses provide about 3.05 hours of care per resident per day against a national average of 3.86, roughly a fifth less, and the home runs even leaner on weekends than it does during the week. That staffing level earns one star from CMS and sits alongside a one-star health inspection rating, with 24 deficiencies on the current record, including two involving harm or jeopardy and two tied to abuse. Fines total $65,692 across two penalties, and the most recent inspection was in November 2024. Turnover, at 40.1%, is actually a bit below the national rate, that's the one figure working in its favor.
Wayne Woodlands Manor runs 117 beds as a nonprofit, and its nurse staffing lands at 3.87 hours per resident day, essentially dead even with the national average, not above it in any meaningful way. Weekends dip about 9% below its own weekday coverage, and turnover sits at 59.5% against a national 45.8%, so nearly six in ten staff left over the year. The inspection record shows 34 deficiencies, three serious enough to reach harm or jeopardy and ten tied to abuse; one fine of $57,330 is on file, with the most recent inspection dated May 2026. Quality measures score 1 out of 5, the weakest area here.
Letort Spring runs about 13 percent below the national average on nurse staffing, and weekends dip roughly another 10 percent below its own weekday level, so the hours a resident gets vary by the day. The inspection record is the bigger problem: 59 deficiencies, five of them serious enough to put residents in harm's way, two tied to abuse, and $63,892 in fines across three actions. A recent inspection date doesn't erase that backlog. For-profit LLC ownership, a one-star health inspection rating, and thin weekend coverage together mean you'd want to visit unannounced, on a weekend, and ask directly who's on the floor.
Amoroso Healthcare And Rehabilitation Woodridge is a 95-bed for-profit home in Harrisburg, and the numbers behind its record are worth a close look. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 8% thinner than weekdays. The inspection history is the bigger concern: 30 deficiencies on the current record, including one at the harm or jeopardy level and two tied to abuse, plus a $42,016 fine. Staff turnover (46.3%) is basically at the national rate, so that's not the issue here, and CMS gave it one star for health inspections with a November 2025 inspection date. Ask about the abuse-related findings directly before you visit.
Edenbrook South runs 116 certified beds in Williamsport under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover tells a similar story: 61.2% of staff leave each year, against a national rate of 45.8%. Then there's the record itself. Sixty-eight deficiencies, including four tied to abuse and one at the harm or jeopardy level, with a single fine of $10,824. The most recent inspection was February 11, 2026.
Fairview Rehab and Care Center is a 176-bed for-profit home in Philadelphia, and the staffing numbers are the first thing you'd notice. At 2.86 nurse hours per resident day, it runs about 26% below the national average of 3.86, and weekends dip roughly 8% below its own weekday level. Turnover sits at 55.7% against a national figure of 45.8%, which means the people caring for residents are often new.
The inspection record backs that up: a 1-out-of-5 health inspection rating, 84 deficiencies on file, including five tied to abuse and one at the harm level. A single fine of $37,431 is on record, and the most recent inspection was January 9, 2026. Its quality measure score is strong, but that measures resident outcomes on paper, not the hands available to deliver care.
Elan Skilled Nursing and Rehab runs 145 certified beds in Scranton under nonprofit ownership, and its staffing is genuinely a strength, 4.47 nurse hours per resident day, about 16% above the national average. The catch is that weekends run roughly 11% thinner than weekdays, so coverage isn't evenly spread across the week. Turnover sits at 46.8%, essentially the national rate. The bigger concern is the inspection record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a $19,105 fine. That's a lot of findings against a 2-out-of-5 health inspection rating, even with a recent November 2025 inspection. Ask about weekend staffing and how the abuse-related citations were resolved.
Independence Rehab and Nursing is a 255-bed nonprofit home in Philadelphia, and the numbers on its record are hard to get past. State inspectors cited 61 deficiencies, seven of them serious enough to involve harm or jeopardy, and six tied to abuse, with five fines totaling $353,465. Staffing sits around 3.35 nurse hours per resident per day, roughly 13% under the national average, and weekends run even leaner than weekdays. Annual turnover is 54.3%, meaning more than half the nursing staff leaves each year, well above the 45.8% national figure. The most recent inspection was in December 2025. If you're considering this home, ask directly how they plan to fix the abuse-related findings and what keeps staff from walking out the door.
Emerald Nursing and Rehabilitation runs 73 beds in Elizabethtown under for-profit LLC ownership, and the numbers show a building under real strain. Nurse staffing sits at 3.70 hours per resident day, under the national average, and weekends drop roughly 14 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 69.7 percent against a 45.8 percent national rate, which means caregivers are cycling out faster than most homes can replace them. Forty deficiencies sit on the current record, including four at harm or jeopardy level and two tied to abuse, with $35,265 in fines across three penalties. The last inspection was May 2026.
Twin Lakes Rehabilitation and Healthcare Center is a for-profit, 137-bed home in Greensburg that Medicare has flagged for its Special Focus Facility program, the designation CMS reserves for the homes with the most persistent quality problems. The inspection record backs that up: 83 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with a single fine of $29,035. Staffing sits at 3.15 nurse hours per resident day, roughly 18% under the national average, and weekends run about 6% thinner than weekdays. Annual turnover is 47.3%, a bit above the national figure. The quality measure stars look good, but they're self-reported data, the inspection and staffing numbers tell the more reliable story.
Kadima Rehabilitation & Nursing At Cheswick carries a CMS health inspection rating of 1 out of 5 and currently sits in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. The record backs that up: 77 deficiencies, including six tied to abuse and two at the level where residents were harmed or put in immediate jeopardy, plus a $72,725 fine. Staffing tells its own story, 3.32 nurse hours per resident day, roughly 14% under the national average, with weekends about 11% thinner than weekdays, and 52% annual turnover against a 45.8% national figure. Its quality measure score of 4 out of 5 stands out against everything else, but quality measures come from resident assessments, not from how well a building is run day to day.
Greenery Center For Rehab And Nursing is a 140-bed for-profit home in Canonsburg, and the numbers behind its record are worth knowing before you visit. Nurse staffing sits at 3.01 hours per resident day, roughly 22% under the national average, and weekends run about 8% thinner than weekdays, so coverage is stretched even at its best. Staff turnover is 71.4% a year against a national rate near 46%, which means the people caring for residents are, more often than not, new. CMS has placed it in the Special Focus Facility program, its last inspection was April 2026, and its record shows 65 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $35,133 in fines.
Care Pavilion is a 396-bed for-profit home in Philadelphia, and the numbers that stand out most aren't about its size. State inspectors have cited 96 deficiencies on the current record, including five at the harm or jeopardy level and nine tied to abuse, a volume that suggests problems aren't isolated incidents. Federal fines total $185,704 across three actions. Nurse staffing sits at 3.20 hours per resident day, roughly 17% under the national average, and weekends run about 11% thinner than weekdays. One relative bright spot: staff turnover is 32.4%, better than the 45.8% national figure. The last inspection was December 22, 2025, so that record is recent.
Forest Park runs on 3.30 nurse hours per resident day, roughly 15 percent under the national average, and weekend coverage drops further below its own weekday level. Annual turnover sits at 71.9 percent against a national figure near 46, which means the people caring for residents are, more often than not, new to the building. The inspection record backs that up: 109 deficiencies, five of them at the harm or jeopardy level and four tied to abuse, with five fines totaling $161,919. Ownership is a for-profit limited liability company. The most recent inspection was March 2025. If you're weighing this one, ask about weekend staffing and how they keep experienced aides.
Champion City is a 187-bed for-profit home in Pittsburgh, and the federal numbers paint a rough picture from every angle. Staff turnover runs at 60.7 percent a year, well above the national average of 45.8, and its staffing, quality, and health inspection ratings each sit at the lowest mark CMS gives. The current record carries 90 deficiencies, including 2 at the harm or jeopardy level and 11 tied to abuse. CMS has placed it in the Special Focus Facility program, which the agency reserves for the homes with the most persistent problems. Its last inspection was March 27, 2026, and there's one fine on record, totaling $7,656.
Ridgeview runs a 111-bed for-profit home in Shenandoah, and the numbers there deserve a hard look before you tour. Nurse staffing sits at 3.51 hours per resident day, roughly 9% under the national average, and weekends run about 5% thinner than weekdays, so coverage is already stretched and gets thinner when it matters. The bigger red flag is turnover: 84.9% annually against a national average of 45.8%, meaning the aides and nurses caring for your relative are, statistically, unlikely to still be there in a year. The inspection record shows 73 deficiencies, including 4 tied to abuse and 2 serious enough to put residents in harm's way, with $333,638 in fines.
Friendship Rehab and Health is one of the largest nursing homes in Pennsylvania, with 589 certified beds, and it's owned by a for-profit limited liability company. The staffing numbers are the first thing you'd notice: 2.40 nurse hours per resident per day, roughly 38% under the national average, with weekends running about 18% below its own weekday levels. Staff turnover sits at 66.2% a year against a national average of 45.8%. The inspection record is heavy, 173 deficiencies, 10 of them at harm or jeopardy level, 13 abuse-related, and five fines totaling $234,389. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a persistent record of serious problems.
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?