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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 1981–2000 of 4,510, best-graded first.

B

79.5/100

Wisner Care Center

Wisner, NE · Cuming County

CMS 3/5 38 beds Government Medicaid
Nurse hours
3.83 /day
Staff turnover
51%
Serious cites
0

Wisner Care Center runs on city government ownership, which is uncommon and tends to mean stable local ties rather than corporate pressure. The numbers are solid but not spotless: 14 deficiencies on record, none at the harm level, though one is abuse-related, worth asking about directly. Nurse staffing sits at 3.83 hours per resident day, a hair under the national average, and weekend coverage drops roughly 21% below weekdays, which is the kind of gap families notice on Saturdays. Staff turnover at 51.2% runs above the national 45.8%. A March 2025 inspection means the record is current, and the four-star marks across health, quality, and staffing hold up.

B

79.5/100

Coos County Nursing Hospital

West Stewartstown, NH · Coos County

CMS 5/5 97 beds Government Medicaid
Nurse hours
4.74 /day
Staff turnover
45%
Serious cites
0

Coos County Nursing Hospital in West Stewartstown is county-owned and runs on 4.74 nurse hours per resident day, roughly a quarter more staffing than the national average. That shows up in its staffing star rating, though weekends dip about 15% below weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 45.3%, essentially matching the national rate, so this isn't a home bleeding staff. What stands out is the inspection record: three deficiencies, none at the harm level, none abuse-related, and a survey as recent as October 2025. State inspectors clearly found little to flag. The weaker spot is the quality measure rating, which suggests outcomes like falls or antipsychotic use aren't tracking as well as the staffing and inspection picture would imply.

B

79.5/100

Good Shepherd Village At Endwell

Endwell, NY · Broome County

CMS 5/5 32 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
—
Serious cites
0

Good Shepherd Village runs a tight ship on the numbers that matter most for day-to-day care: nurse staffing at 4.73 hours per resident day, well above the national average, with weekend coverage barely dipping below weekday levels. Inspectors have cited 13 deficiencies on the current record, but none rose to harm or jeopardy, and none involved abuse, a meaningful distinction when you're comparing homes. The trade-off shows up in the quality measure score, which sits low despite the strong inspection and staffing marks. That split usually means the home does well on process and oversight but has room to improve on resident outcomes. Worth asking the administrator which measures are dragging.

B

79.5/100

Ruth Wilson Hurley Manor

Coalgate, OK · Coal County

CMS 4/5 75 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
39%
Serious cites
0

Ruth Wilson Hurley Manor runs on a lot of nursing hours for a 75-bed home, 4.61 per resident day, comfortably above the national average, and that shows up in its staffing rating and its low turnover, 39% against a national 45.8%. Weekend coverage does dip roughly 15% below its own weekday levels, worth asking about if your family visits Saturdays or Sundays. The 14 deficiencies on record carry no harm or abuse findings, and the most recent inspection was December 2024. Where the numbers split is quality measures, which sit at the bottom of the federal scale even as inspections and staffing sit near the top.

B

79.5/100

Woonsocket Health Center

Woonsocket, RI · Providence County

CMS 4/5 150 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
—
Serious cites
0

Woonsocket Health Center gets decent marks on its last two inspections, which is why its inspection and quality scores sit at four out of five stars. The trouble is underneath: 21 deficiencies on the current record, including two at the harm or jeopardy level and one tied to abuse, is more than you'd want to see at a home with recent survey activity. Nurse staffing runs 3.52 hours per resident day against a national average of 3.86, and weekends drop about 7% below the home's own weekday staffing. For a 150-bed for-profit run by a corporation, that pattern matters, fewer hands on evenings and weekends is when problems tend to surface.

B

79.5/100

Platte Care Center

Platte, SD · Charles Mix County

CMS 5/5 48 beds Non-profit Medicaid
Nurse hours
4.17 /day
Staff turnover
42%
Serious cites
0

Platte Care Center runs a non-profit shop with 48 beds, and its nurse staffing sits at 4.17 hours per resident day, roughly 8% above the national average, which is why CMS hands it five stars on staffing. But look closer: weekends run about 17% leaner than weekdays, and turnover is 41.9%, a bit better than the 45.8% national figure but still meaning nearly half the staff cycling through in a year. The inspection record shows 8 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with $20,183 in fines across two events. The most recent inspection was November 2025. Quality measures score just 2 of 5.

B

79.5/100

Center On Aging And Health

Erwin, TN · Unicoi County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
43%
Serious cites
0

Nurse staffing here runs about 4.29 hours per resident per day, roughly 11% above the national average, though weekends drop about 16% below the home's own weekday levels. Turnover sits at 43.1%, slightly better than the 45.8% national figure. The inspection record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. This is a limited liability company operating 120 certified beds for profit, and the staffing and inspection numbers land in middle territory rather than at either extreme.

B

79.5/100

Friendship Health And Rehab Center - South

Roanoke, VA · Roanoke County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
48%
Serious cites
0

Friendship Health And Rehab Center - South runs a nonprofit home of 120 beds in Roanoke, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average. That's a real cushion, though weekends dip about 16% below the home's own weekday level, so coverage isn't evenly spread across the week. Staff turnover lands at 48.4%, a bit above the national 45.8%. The current record shows 19 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $8,281; the last inspection was April 2024. Quality measures rate well, but that inspection history and turnover are what pull the overall picture down.

B

79.5/100

Madison Park Healthcare

Huntington, WV · Cabell County

CMS 5/5 41 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
37%
Serious cites
0

Madison Park Healthcare runs 41 certified beds in Huntington under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.84 hours per resident day, essentially matching the national average of 3.86, though weekends drop about 15% below the home's own weekday coverage, worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover of 37.2% beats the 45.8% national figure, which matters for whether your parent sees the same faces month to month. The current record shows 21 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in January 2026.

B

79/100

Attalla Rehabilitation And Nursing Center

Attalla, AL · Etowah County

CMS 2/5 182 beds For-profit Medicaid
Nurse hours
3.21 /day
Staff turnover
—
Serious cites
0

Attalla Rehabilitation and Nursing Center runs 182 certified beds under corporate ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekends drop about 22% below the home's own weekday staffing, so coverage thins out exactly when families tend to visit. The inspection record is the harder read: 26 deficiencies on file, six of them at harm or jeopardy level and two tied to abuse, with the last health inspection dated March 1, 2022. CMS rates the inspection side 1 out of 5 stars, staffing 2 out of 5, while quality measures score 5 out of 5. Those quality numbers come from resident assessments the home reports, not from an inspector walking the halls.

B

79/100

The Legacy Rehab & Care Center

Bullhead City, AZ · Mohave County

CMS 5/5 120 beds For-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
42%
Serious cites
0

The Legacy Rehab & Care Center runs 3.53 nurse staffing hours per resident day, roughly 8 percent under the national average of 3.86, and weekends dip about 10 percent below its own weekday levels. Turnover sits at 41.7 percent, a bit better than the 45.8 percent national figure. What stands out is the inspection record: a 5/5 health inspection rating, four total deficiencies with none at harm or jeopardy level and none abuse-related, and a current inspection dated May 2026. Staffing and quality measures both land at 3/5. In short, the care environment has been clean on paper, but the daily coverage is thinner than average, especially on weekends.

B

79/100

Fianna Hills Nursing And Rehabilitation Center

Fort Smith, AR · Sebastian County

CMS 3/5 102 beds For-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
59%
Serious cites
0

Fianna Hills runs 102 certified beds as a for-profit LLC, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average. That's a real strength, with one catch: weekends run about 13% leaner than weekdays, so coverage isn't as steady as the headline number suggests. Turnover is the bigger concern at 59.3% against a national average of 45.8%, meaning more than half the nursing staff leaves each year, which makes consistent care harder to sustain. The current record shows 19 deficiencies, none at the harm level and none abuse-related, with the last inspection in June 2025.

B

79/100

St. John Of God Retirement

Los Angeles, CA · Los Angeles County

CMS 1/5 156 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
31%
Serious cites
0

St. John Of God Retirement sits in Los Angeles with 156 certified beds and a nonprofit owner. Nurse staffing runs 4.90 hours per resident day, about 27% above the national average, and weekend coverage dips only modestly below weekdays. Turnover is 31.3%, well under the national 45.8%. So the day-to-day caregiving picture is strong. The problem is the inspection record: 77 deficiencies, four at harm or jeopardy level, five abuse-related, and $124,440 in fines across three penalties. That's a lot of citations for a single home. A December 2025 inspection is recent, and the two-star health inspection rating reflects what surveyors found. Good staffing can't offset 77 deficiencies.

B

79/100

Corona Health Care Center

Corona, CA · Riverside County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
39%
Serious cites
0

Corona Health Care Center runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.25 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, so care is thinner on Saturdays and Sundays. Staff turnover is 39.1%, better than the 45.8% national figure, which suggests some stability in the workforce. The inspection record is the weaker part. CMS gives it 2 of 5 stars for health inspections, with 37 deficiencies on file, one at the harm or jeopardy level and one abuse-related. The most recent inspection was July 2025. Quality measures and staffing each earn 3 of 5 stars.

B

79/100

Artesia Christian Home Inc.

Artesia, CA · Los Angeles County

CMS 1/5 66 beds Non-profit Medicaid
Nurse hours
5.37 /day
Staff turnover
36%
Serious cites
0

Artesia Christian Home runs a genuinely strong staffing operation for a 66-bed nonprofit, 5.37 nurse hours per resident day, roughly 39% above the national average, with turnover at 35.6% versus 45.8% nationally. Weekend coverage dips about 14% below its own weekday level, so the care you'd see on a Saturday isn't quite what you'd see midweek. The problem sits on the inspection side. The current record carries 47 deficiencies, including 5 at the harm or jeopardy level and 3 tied to abuse, plus a $98,079 fine, and the most recent inspection was January 2026. Good staffing numbers can't offset that kind of regulatory history, ask pointed questions about those abuse citations before considering this one.

B

79/100

The Grove Post-Acute Care Center

Sylmar, CA · Los Angeles County

CMS 2/5 75 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
23%
Serious cites
0

The Grove runs lean on nurse staffing, 3.52 hours per resident day, roughly 9% under the national average, with weekends about 10% thinner than weekdays. What stands out is 92 deficiencies on the current record, including one causing harm or jeopardy and six tied to abuse, against just $17,345 in fines. Staff turnover of 23.1% is actually well below the national 45.8%, so the same caregivers tend to stay; the problem isn't retention, it's how many of them there are. The five-star quality measure score reflects reported clinical outcomes, but it sits alongside a one-star inspection rating, and the most recent survey closed in December 2025. If you're considering this Sylmar home, ask specifically about weekend coverage and how that abuse history was resolved.

B

79/100

Center At Park West Llc, The

Pueblo, CO · Pueblo County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
61%
Serious cites
0

The Center At Park West in Pueblo runs a for-profit operation under an LLC with 80 certified beds, and its nurse staffing sits at 4.31 hours per resident day, roughly 12% above the national average of 3.86. That's a real cushion, though weekend coverage drops about 9% below its own weekday level, so the weekday-to-weekend gap is worth asking about directly. The bigger number to weigh is turnover: 60.6% annually against a national average of 45.8%, meaning nearly two-thirds of the nursing staff turns over each year. Inspections in August 2024 turned up 20 deficiencies, two of them at the harm or jeopardy level, with none abuse-related. Quality measures score well; staffing and inspection results are more middling.

B

79/100

Carolton Chronic & Convalescent Hospital Inc

Fairfield, CT · Greater Bridgeport County

CMS 1/5 170 beds For-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
41%
Serious cites
0

Carolton runs 170 certified beds as a for-profit corporation, and its staff turnover sits at 41.2%, a bit better than the 45.8% national average. That's a real point in its favor, since consistent caregivers matter for daily care. The inspection record tells a more complicated story: 44 deficiencies on the current record, including six tied to abuse, though none rose to the harm or jeopardy level. The health inspection rating of 1 out of 5 is low, balanced against a 3 out of 5 on quality measures. The last inspection was April 2025, so the picture is fairly current. Ask specifically about those abuse-related citations and what changed since.

B

79/100

Geer Nursing And Rehabilitation

Canaan, CT · Nw Hills County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
29%
Serious cites
0

Geer Nursing And Rehabilitation runs a 120-bed nonprofit home in Canaan where the nursing hours come in at 4.18 per resident day, roughly 8% above the national average, and staff turnover sits at 28.9% against a national figure near 46%, that retention matters more than most families realize. Weekend coverage dips about 8% below weekday levels, and the quality measure score is low, so the clinical picture and the staffing picture don't tell the same story. Eighteen deficiencies appear on the current record, two tied to abuse, none rising to harm or jeopardy, with $24,690 in fines across three penalties and an inspection from August 2024.

B

79/100

Gladeview Health Care Center

Old Saybrook, CT · Lower Ct River Vly County

CMS 3/5 132 beds For-profit Medicaid
Nurse hours
3.75 /day
Staff turnover
43%
Serious cites
0

Gladeview Health Care Center runs 132 certified beds in Old Saybrook under individual for-profit ownership, and its staffing sits at 3.75 nurse hours per resident day, a bit under the national average of 3.86. Weekends drop about 11% below its own weekday coverage, which matters if your family visits or calls on a Saturday. Turnover lands at 43.4%, slightly better than the 45.8% national figure. The inspection record is the harder part: 40 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in November 2024. CMS gives it 3 stars for health inspections and quality measures, 4 for staffing.

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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