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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 2101–2120 of 4,510, best-graded first.

B

79/100

Sevierville Health And Rehabilitation Center

Sevierville, TN · Sevier County

CMS 4/5 98 beds Non-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
42%
Serious cites
0

Sevierville Health and Rehabilitation Center runs 98 certified beds as a nonprofit corporation, and its staffing sits a bit under the national average, 3.71 nurse hours per resident day against 3.86 nationally, with weekends dipping roughly 11% below its own weekday coverage. That staffing pattern earned a middle-tier CMS staffing score, though turnover at 42.4% is actually better than the 45.8% national figure. The record shows 11 deficiencies, none involving harm or jeopardy and none tied to abuse, with a recent inspection in March 2026. Strong inspection and quality scores balance out the leaner direct-care hours, which is what keeps this one in solid rather than top territory.

B

79/100

San Juan Nursing Home, Inc.

San Juan, TX · Hidalgo County

CMS 4/5 114 beds Non-profit Medicaid
Nurse hours
4.35 /day
Staff turnover
45%
Serious cites
0

San Juan Nursing Home runs on more direct nursing time than most places, 4.35 hours per resident day against a national average of 3.86, roughly 13% higher. That staffing edge thins out on weekends, which run about 13% below the home's own weekday level, and turnover sits at 45.1%, essentially right on the national figure. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the last survey was recent, from December 2025. The nonprofit corporate owner holds a four-star health inspection rating and a four-star quality measure rating, with staffing at three stars.

B

79/100

Highland Nursing Center

San Antonio, TX · Bexar County

CMS 1/5 53 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
42%
Serious cites
0

Highland Nursing Center is a 53-bed for-profit in San Antonio where the clinical quality scores look better than the inspection history. The staffing picture is mixed: 3.81 nurse hours per resident day sits just under the national average, and weekends run about 7% thinner than weekdays, but turnover at 42.4% is actually a bit better than the national 45.8%. What pulls the record down is the deficiency list, 39 total, including one at the harm or jeopardy level and six tied to abuse. The last inspection was in late March 2026, so the findings are recent enough to matter. If you're considering this home, ask directly how those abuse-related deficiencies were resolved.

B

79/100

Our Lady Of The Valley

Roanoke, VA · Roanoke City County

CMS 5/5 70 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
45%
Serious cites
0

Our Lady of the Valley runs about 3.84 nurse hours per resident day, a hair under the national average of 3.86, and weekends dip roughly 6% below its own weekday coverage. Turnover sits at 45.3%, essentially matching the national rate. The record shows 14 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in August 2023. Inspection and quality measures both rate 4 out of 5, staffing 3 out of 5. As a church-affiliated nonprofit with 70 beds, it's a smaller operation where staffing is adequate rather than generous, worth asking how weekend coverage holds up on the shift you'd actually visit.

B

79/100

The Chesapeake

Newport News, VA · Newport News City County

CMS 3/5 52 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
48%
Serious cites
0

The Chesapeake runs on 4.94 nurse hours per resident day, roughly 28% above the national average of 3.86, which is the main reason it holds a 5/5 staffing rating. That said, weekends dip about 18% below its own weekday coverage, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. Its inspection record shows 28 deficiencies, one tied to abuse, though none reached harm or jeopardy level, and the last survey was in December 2025. Quality measures come in at 5/5. As a nonprofit with 52 beds, the numbers point to strong day-to-day care with some staff-retention and weekend-coverage softness worth asking about directly.

B

79/100

Cheney Care Center

Cheney, WA · Spokane County

CMS 3/5 54 beds Non-profit Medicaid
Nurse hours
4.93 /day
Staff turnover
39%
Serious cites
0

Cheney Care Center runs on a nonprofit model with 54 beds, and its staffing is the standout: 4.93 nurse hours per resident day, roughly 28% above the national average. That helps explain the four-star staffing rating, and turnover at 38.8% sits below the national 45.8%. Weekend hours dip about 10% from weekday levels, which is common but worth knowing if you're visiting Saturdays. The caution is in the record: 50 deficiencies, including one at the harm level and two tied to abuse, with the most recent inspection in August 2025. A three-star inspection and three-star quality rating land in the middle. Strong hands-on care, but the compliance history is the thing to ask about directly.

B

79/100

Bethany At Pacific

Everett, WA · Snohomish County

CMS 4/5 80 beds Non-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
37%
Serious cites
0

Bethany At Pacific sits in Everett with 80 certified beds and a church-affiliated nonprofit owner. Nurse staffing runs 4.80 hours per resident day, roughly a quarter above the national average, though weekends dip about 14% below its own weekday levels. Staff turnover is 36.6%, better than the 45.8% national figure. The record is more mixed than the staffing suggests. There are 48 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $42,477 fine. The most recent inspection was April 2025, so the picture is current. CMS rates quality measures at 5 stars and staffing at 4, but health inspections come in at 3.

B

79/100

Washington Veteran Home-Retsil

Pt Orchard, WA · Kitsap County

CMS 3/5 240 beds Government Medicaid
Nurse hours
3.88 /day
Staff turnover
45%
Serious cites
0

Washington Veteran Home-Retsil runs 240 certified beds as a state-run home, and its staffing sits just barely above the national average, about 1% higher per resident day, with weekends running roughly 9% thinner than weekdays. Turnover lands at 45.1%, nearly matching the 45.8% national figure, so retention isn't the standout problem here. The inspection record is: 59 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus a $23,920 fine, and the most recent health inspection dates to May 2026. CMS gives it two stars for health inspections but five for staffing and four for quality measures, which is the tension worth sitting with.

B

79/100

Montgomery General Elderly Care

Montgomery, WV · Fayette County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
40%
Serious cites
0

Montgomery General Elderly Care runs 3.99 nurse hours per resident day, a bit above the national average of 3.86, and its staff turnover of 40.3% is better than the typical 45.8%. Those are real strengths. But the inspection record is where things get harder: 28 deficiencies on file, including one at the level of actual harm or jeopardy and six tied to abuse. Quality measure scores sit at 2 out of 5, suggesting residents' clinical outcomes lag even where staffing looks adequate. Weekend coverage drops roughly 14% below weekday levels, which is when problems often surface. Ownership is for-profit corporate. The most recent inspection was November 2025, so the picture is current.

B

79/100

Pine Valley Community Village

Richland Center, WI · Richland County

CMS 3/5 80 beds Government Medicaid
Nurse hours
4.60 /day
Staff turnover
45%
Serious cites
0

Pine Valley Community Village runs a for-profit corporation home with 80 certified beds in Richland Center, and its staffing numbers look strong on paper: 4.60 nurse hours per resident day, roughly 19% above the national average, with a 5/5 staffing star and turnover at 45%, basically in line with the national 45.8%. That's the good news. The inspection record is where it falls apart, a 1/5 health inspection rating, 21 deficiencies on the current record, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $97,311. Weekend staffing also dips about 14% below its own weekday level. The last inspection was May 22, 2025, so this is a current picture, not an old one.

B

79/100

Onalaska Care Center

Onalaska, WI · La Crosse County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
43%
Serious cites
0

Onalaska Care Center runs a nonprofit home of 80 beds, and its strongest asset is people. Nurse staffing sits at 4.41 hours per resident day, about 14% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm, meaning the aides and nurses you'd see most days tend to stick around. Weekend coverage dips roughly 10% below weekday levels, which is common but worth asking about if your family visits Saturdays. The inspection record is clean where it matters: eight deficiencies total, none causing harm, none related to abuse. Where it slips is clinical quality measures, which land below average even as staffing and inspections score well.

B

79/100

Augusta Health And Rehabilitation

Augusta, WI · Eau Claire County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
35%
Serious cites
0

Augusta Health and Rehabilitation runs a lean, well-staffed operation: 4.47 nurse hours per resident day, about 16% above the national average, with turnover at 34.8% compared to 45.8% nationally. That staffing and retention combination is why it holds a 5/5 staffing star, and it's the strongest thing in its record. The tradeoff shows up in inspections, where it earns 2/5 stars and carries 24 deficiencies, including one at the harm level and two tied to abuse. Weekend coverage also runs about 18% lighter than weekdays. If you're weighing this one, ask about those abuse deficiencies and what changed after the February 2025 inspection.

B

79/100

Bethel Home

Oshkosh, WI · Winnebago County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
44%
Serious cites
0

Bethel Home runs a nonprofit shop in Oshkosh with 100 certified beds, and the staffing is the strongest card in its hand, 4.12 nurse hours per resident day, roughly 7% above the national average, though weekends dip about 10% below its own weekday coverage. Turnover sits at 43.6%, a touch better than the 45.8% national figure, and its last inspection was August 2024. The tradeoff shows up elsewhere: 14 deficiencies on record, including one at the harm level and one tied to abuse, and the federal quality measures land at 2 out of 5 stars even as inspections hit 4 and staffing hits 5.

B

79/100

Heritage Home

Pinedale, WY · Sublette County

CMS 5/5 50 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
100%
Serious cites
0

Heritage Home sits in Pinedale as a hospital-district operation with 50 certified beds, and the staffing numbers look solid on paper: 4.25 nurse hours per resident day, roughly 10% above the national average. The catch is that weekends run about 15% lighter than weekdays, and the entire nursing staff turns over every year, 100%, against a national average near 46%. That churn matters because 11 deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a single fine of $9,718. Quality measures score well and the last inspection was recent, in June 2025, but steady staffing is what actually holds a building together.

B

79/100

Granada Post Acute

Lynwood, CA · Los Angeles County

CMS 3/5 98 beds For-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
45%
Serious cites
0

Granada Post Acute runs on 4.25 nurse hours per resident day, roughly a tenth more than the national average, which matters most on weekends, staffing there dips about 8% below its own weekday level, so coverage tightens when families tend to visit. Staff turnover sits at 44.8%, essentially the national rate, so this isn't a home bleeding caregivers faster than everyone else. The current record shows 41 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in March 2025. For a 98-bed for-profit partnership in Lynwood, the picture is a home that's adequately staffed and inspected recently, carrying a long but not dangerous paper trail.

B

79/100

Hemet Valley Healthcare Center

Hemet, CA · Riverside County

CMS 4/5 113 beds For-profit Medicaid
Nurse hours
10.96 /day
Staff turnover
51%
Serious cites
0

Hemet Valley Healthcare Center sits in Riverside County with 113 certified beds and corporate for-profit ownership. The nurse staffing number is genuinely unusual, 10.96 hours per resident day, roughly triple the national average of 3.86, though weekend coverage drops about 13% below the home's own weekday level, so the generous figure isn't evenly spread. Turnover runs 51.2% against a national 45.8%, meaning the people delivering that care keep changing. Inspections in November 2025 produced a 4-out-of-5 star rating and a recent inspection date, but the current record carries 23 deficiencies, including two at harm or jeopardy level and one tied to abuse, plus a $51,489 fine. Strong staffing and a clean inspection cycle don't erase what's documented.

B

79/100

Dreier's Nursing Care Center

Glendale, CA · Los Angeles County

CMS 2/5 53 beds For-profit Medicaid
Nurse hours
4.45 /day
Staff turnover
35%
Serious cites
0

Dreier's Nursing Care Center runs on a 52-bed for-profit operation in Glendale, and the staffing numbers are the strongest thing it has going: 4.45 nurse hours per resident day, about 15% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Turnover sits at 34.5%, better than the 45.8% national figure. The inspection record is where it gets harder to defend, 63 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, plus two fines totaling $48,700 and a two-star health inspection rating. The last survey was June 18, 2025, so that record is recent. Good staffing, but a lot of documented problems to weigh against it.

B

79/100

South Pasadena Care Center

South Pasadena, CA · Los Angeles County

CMS 1/5 156 beds For-profit Medicaid
Nurse hours
4.28 /day
Staff turnover
38%
Serious cites
0

South Pasadena Care Center runs 156 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That's a real margin, though weekend coverage drops about 9% below the home's own weekday level, so the weekday numbers flatter the picture. Turnover lands at 38.4%, better than the 45.8% national figure, which matters for continuity of care. Where the home gives ground is inspections: 72 deficiencies on the current record, three tied to abuse, none at harm or jeopardy level, with the most recent visit in July 2025 and a 2/5 inspection star. Adequate hands, thin regulatory record.

B

79/100

Remington Transitional Care Of Richardson

Richardson, TX · Dallas County

CMS 4/5 90 beds Non-profit Medicaid
Nurse hours
3.53 /day
Staff turnover
42%
Serious cites
0

Remington Transitional Care of Richardson runs about 3.53 nurse hours per resident per day, roughly 9% under the national average of 3.86, and weekends drop another 7% below its own weekday numbers, so if you're touring, ask how weekend coverage actually looks on the floor. Turnover sits at 42%, slightly better than the 45.8% national figure, which matters because fewer familiar faces usually means more consistent care. The inspection record is clean where it counts: 11 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in June 2025. As a nonprofit, it has no shareholder pressure driving margins.

B

79/100

Holly Hall

Houston, TX · Harris County

CMS 3/5 62 beds For-profit Medicaid
Nurse hours
4.74 /day
Staff turnover
59%
Serious cites
0

Holly Hall runs a for-profit operation under a limited liability company with 62 certified beds in Houston. The staffing numbers look solid on paper, 4.74 nurse hours per resident day, well above the national average, but that average hides a drop on weekends, and nearly three in five employees left over the past year, which is higher than the typical nursing home. State inspectors visited in October 2025 and logged 24 deficiencies, though none involved actual harm or abuse, so the problems are mostly procedural rather than dangerous. The quality and staffing ratings both land at 4 out of 5, while inspections sit at 3, which is roughly what a B grade reflects here.

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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