4,510 Independent Nursing Homes in the United States

Nurse hours

4.57 /day

Staff turnover

64%

Serious cites

0

Maple Lawn Senior Care runs on 4.57 nurse hours per resident day, roughly 18% above the national average, and that staffing shows up in a 4-out-of-5 staffing rating. The catch is consistency: weekends drop about 14% below the home's own weekday coverage. Inspections landed at 3 out of 5, with 17 deficiencies on record, none at the harm or jeopardy level, but one tied to abuse, which families should ask about directly. Quality measures came in at 2 out of 5, the weakest number here, and staff turnover sits at 64.2% against a national 45.8%, meaning nearly two-thirds of the workforce left within a year. The last inspection was February 2026, so the record is current.

Nurse hours

3.98 /day

Staff turnover

41%

Serious cites

0

Lexington Manor runs on more nurse hours than the typical U.S. home, about 3.98 per resident day against a national average near 3.86, and the inspection record backs that up, with 11 deficiencies and none involving harm, jeopardy, or abuse. The last state visit was in October 2024, so the picture is recent. Staff turnover sits at 41.1%, better than the 45.8% national figure, though weekends run roughly 14% leaner than weekdays, which is worth asking about if your family visits then. Corporate for-profit ownership, 60 beds, and a four-star inspection rating round it out. Solid, not spotless.

Nurse hours

3.96 /day

Staff turnover

43%

Serious cites

0

Care Center Of Aberdeen runs about 105 beds under for-profit LLC ownership, and its staffing sits slightly above the national average, roughly 3.96 nurse hours per resident day, with a 4-out-of-5 CMS staffing rating and turnover a bit better than the norm at 43.3%. The catch is weekends, when coverage drops about 14% below its own weekday level. The inspection record is the weaker side: a 2-out-of-5 health inspection rating, 20 deficiencies currently on file, including one tied to abuse and one at the harm or jeopardy level, plus a single fine of $10,358. Its last inspection was May 2026.

Nurse hours

3.71 /day

Staff turnover

41%

Serious cites

0

Lewis County Nursing Home District runs on county money, and its staffing numbers are close to average but not quite there: 3.71 nurse hours per resident day against a national 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 40.9%, better than the 45.8% national figure, so people tend to stay. The trouble is inspections. A 1-out-of-5 health inspection rating and 42 deficiencies on record, including three tied to abuse, though none rose to actual harm or jeopardy, point to paperwork and process problems rather than resident injuries. One fine of $7,342. The last inspection was November 2025, so the record is current.

Nurse hours

3.71 /day

Staff turnover

55%

Serious cites

0

Mountain View Healthcare runs on leaner nurse staffing than the national average, 3.71 hours per resident day against 3.86, and weekends dip about 14% below its own weekday levels, which is when families tend to visit and notice. Staff turnover sits at 54.9%, well above the 45.8% national figure, so continuity of caregivers is a real question. The tradeoff: a five-star health inspection record with no deficiencies at the harm level, though one abuse-related citation appears among the 14 total, and the last full inspection was in April 2025. As a nonprofit, it isn't answering to shareholders, but that doesn't automatically mean more hands on deck.

Nurse hours

3.87 /day

Staff turnover

36%

Serious cites

0

Living Center in Marshall runs a nonprofit home of just under 100 beds, and its nurse staffing sits right at the national average, technically a hair above, though the difference is negligible. What stands out more is that weekends run noticeably thinner than weekdays, and turnover of 35.8% is better than the 45.8% national figure but still means roughly a third of the staff leaves each year. The inspection record is where families should focus. Twenty-nine deficiencies, including two at the harm level and four tied to abuse, with the last inspection in July 2024. Quality measures score 2 out of 5. Staffing is the strongest piece of the picture; the rest is average to below.

Nurse hours

5.22 /day

Staff turnover

57%

Serious cites

0

Mcknight Place Extended Care sits in Saint Louis with 70 certified beds and a corporate for-profit owner. The staffing numbers are the real story here: 5.22 nurse hours per resident day, roughly a third more than the national average of 3.86, and weekend coverage holds fairly steady, only about 6% below weekdays. Turnover is the weak spot, 56.9% of staff leave annually against a national 45.8%, which means new faces are constantly rotating through. The inspection record is current, dated April 2025, and shows 25 deficiencies with none at harm or jeopardy level and nothing abuse-related, which points to documentation and process issues rather than resident safety failures.

Nurse hours

3.17 /day

Staff turnover

49%

Serious cites

0

Delta South runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends drop roughly another 10% below what the home staffs on weekdays. Turnover sits at 49%, a few points above the national figure, so the faces around a resident's bed change fairly often. What keeps this home from looking worse on paper is its inspection record: 24 deficiencies on the current books, none tied to harm, jeopardy, or abuse, and a survey as recent as January 2026. The health and quality ratings reflect that cleanliness of record. The staffing side is the weak spot, and that's where a family's daily experience usually lives.

Nurse hours

3.82 /day

Staff turnover

44%

Serious cites

0

McClay Senior Care runs 60 certified beds in Saint Peters under individual for-profit ownership. Its 3.82 nurse staffing hours per resident day sit just under the national average of 3.86, and weekends run about 9% leaner than weekdays there. Staff turnover is 43.5%, slightly better than the national 45.8%. The inspection record is where it gets heavier: 42 deficiencies, including 2 at harm or jeopardy level and 3 tied to abuse, with the most recent inspection in April 2024. Quality measure scores land at 2 out of 5 stars, inspection and staffing at 3 each. What that combination suggests is a home with adequate coverage on paper but a documented history worth asking about directly, particularly those harm-level and abuse-related findings.

Nurse hours

3.81 /day

Staff turnover

48%

Serious cites

0

Clark Fork Valley Nursing Home runs 28 beds in Plains under nonprofit ownership, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86. Weekends are the bigger concern, staffing drops about 15% below the home's own weekday levels, and annual turnover of 48.3% runs above the national 45.8%. Inspections look decent on the surface: a 4/5 health inspection star rating and a recent survey dated April 2026. But the current record carries 19 deficiencies, including one at the harm or jeopardy level and four tied to abuse. One fine totaling $62,871 is on file.

Nurse hours

3.90 /day

Staff turnover

44%

Serious cites

0

York General Hearthstone runs 3.90 nurse hours per resident day, just above the national average, and 43.8% of its staff left last year, a bit better than the typical 45.8%. Weekend coverage dips roughly 11% below weekday levels, which is common but worth asking about if your family visits on Saturdays. The three deficiencies on record include nothing at the harm level and nothing abuse-related, and its last inspection was in March 2026. Ownership is nonprofit. Quality measures scored 3 out of 5, so clinical outcomes are middle of the road even though staffing and inspections look stronger.

Nurse hours

3.34 /day

Staff turnover

—

Serious cites

0

Milford Meadows runs 3.34 nurse hours per resident day, about 14 percent under the national average, and weekends drop roughly 17 percent below its own weekday staffing. That thin coverage shows up in the federal staffing star, which sits at the bottom of the scale, while the quality measure star sits at the top, a split worth noticing, since good clinical numbers can coexist with too few hands on a Saturday. Inspectors logged 18 deficiencies on the current record, none at harm or jeopardy level but one tied to abuse, and the last full inspection was February 2025. The corporate for-profit owner holds a two-star inspection record, so read the quality score alongside the staffing, not instead of it.

Nurse hours

4.02 /day

Staff turnover

55%

Serious cites

0

Hemingford Care Center has 39 certified beds and enough nursing hours per resident, 4.02, to sit slightly above the national average. The catch is who's there on weekends, when staffing drops about 12% below its own weekday level, and how long anyone stays: turnover runs 55.3% against a national 45.8%, so the hands at the bedside keep changing. Its record carries 50 deficiencies, 8 of them abuse-related, and CMS has placed it in the Special Focus Facility program. Inspectors were last out on February 2, 2026. Quality and staffing measures both score 4 out of 5, but the health inspection side tells a harder story.

Nurse hours

3.36 /day

Staff turnover

50%

Serious cites

0

Hanover Terrace is a 100-bed for-profit home in Grafton County, and the inspection record is fairly clean: three deficiencies on file, none of them causing harm or jeopardy, none tied to abuse. Staff turnover sits at 50%, a few points above the 45.8% national average, worth asking about, since consistent caregivers matter, though that gap isn't dramatic. The five-star quality measure rating suggests residents' clinical outcomes look good on paper. The most recent inspection was in December 2025, so the information is current. For a family weighing this home, the picture is a decent one: no serious safety findings, strong quality metrics, and turnover that's elevated but not alarming.

Nurse hours

4.84 /day

Staff turnover

56%

Serious cites

0

Rockingham County Nursing Home runs on county government money, and the staffing numbers show it: 4.84 nurse hours per resident day, roughly a quarter more than the national average. That's the kind of margin that matters on a Tuesday afternoon when someone needs help getting to the bathroom. The tradeoffs are real, though. Weekend coverage drops about 11% from weekday levels, and 56.3% annual turnover means a good share of the people providing that care are still learning the building. Four deficiencies on the current record, none involving harm or abuse, with an inspection as recent as August 2025. The quality measure score sits at 2 out of 5, so clinical outcomes don't track as well as the raw staffing strength suggests.

Nurse hours

3.59 /day

Staff turnover

48%

Serious cites

0

The numbers here are mostly solid but not spotless. Nine deficiencies on the current record, none at harm or jeopardy level, though one is abuse-related, and the last inspection was in September 2024, so the picture is reasonably current. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends run roughly 7% lighter than weekdays. Annual turnover is 47.8%, slightly above the national 45.8%. The 102-bed for-profit home earns 4 out of 5 stars on both health inspections and quality measures, with 3 on staffing. Nothing alarming, nothing exceptional, a home that inspects well but runs a little thin on direct care hours.

Nurse hours

3.83 /day

Staff turnover

39%

Serious cites

0

Hartwyck At Oak Tree runs 120 certified beds as a nonprofit corporation, and its inspection record is genuinely solid, 9 deficiencies on the current record, none at the harm level and none abuse-related, with the most recent state visit in December 2024. The problem sits in the staffing numbers: 3.83 nurse hours per resident day is just under the national average, and weekends run about 11% thinner than weekdays. That thin weekend coverage matters more than the headline figure suggests. Turnover at 38.9% is better than the 45.8% national rate, so this isn't a home bleeding staff. It's a home where the people who show up are stretched, particularly on Saturdays and Sundays.

Nurse hours

3.49 /day

Staff turnover

39%

Serious cites

0

Venetian Care runs 180 beds in South Amboy under corporate ownership, and its staffing sits about 10% under the national average, with weekends roughly 11% thinner than its own weekdays. Turnover is actually better than typical at 38.7%. The split in its record is what matters: strong quality measure scores alongside a one-star health inspection, 44 deficiencies, four tied to abuse and one serious enough to risk harm, plus a $56,441 fine. That inspection was recent, September 2025, so the problems aren't old news. Good numbers on paper don't cancel out thin weekend coverage and a citation history like that.

Nurse hours

3.72 /day

Staff turnover

53%

Serious cites

0

Calibre Post Acute runs 120 certified beds in Las Cruces, and the staffing numbers tell a big part of the story: 3.72 nurse hours per resident day, about 4% under the national average, with weekends roughly 13% thinner than weekdays. Annual turnover sits at 52.7% against a 45.8% national figure, more than half the nursing staff leaving each year. The inspection record is where things get serious. There are 91 deficiencies, two of them at harm or jeopardy level, and eight tied to abuse. CMS has placed this home in its Special Focus Facility program, which is reserved for the poorest performers. A 2024-11-06 inspection is recent, and the last inspection date is recent.

Nurse hours

3.83 /day

Staff turnover

28%

Serious cites

0

St. Joseph's in Elmira runs a tight ship on retention, 27.8% turnover is well under the national average, which matters because consistent caregivers know their residents. Staffing sits at 3.83 hours per resident day, just shy of the national figure, though weekends thin out about 9% below weekday levels. What pulls the record down is everything else: 14 deficiencies on the current books, including one at the harm level and two tied to abuse, plus a 1-out-of-5 quality measure rating that suggests clinical outcomes aren't keeping pace with the staffing picture. Inspectors were last in July 2024. The people side looks solid; the compliance side is where a family should ask questions.