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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 2121–2140 of 4,510, best-graded first.

B

79/100

Morada Temple

Temple, TX · Bell County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.77 /day
Staff turnover
56%
Serious cites
0

Morada Temple runs on thin margins where it counts. The 4.77 nurse hours per resident day beats the national average by roughly a quarter, which sounds good until you notice weekends drop about 12% below the home's own weekday staffing and annual turnover sits at 55.6% against a national 45.8%, that much churn means unfamiliar faces at the bedside. Its inspection record is the real concern: 22 deficiencies, four serious enough to involve harm or jeopardy, one tied to abuse, and a $14,722 fine. The last inspection was September 2025. For-profit, limited liability ownership, 60 beds. The staffing numbers are better than many homes; the oversight record is not.

B

78.5/100

Convalescent Nursing And Rehab Center

Vernon, AL · Lamar County

CMS 2/5 158 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
—
Serious cites
0

Southern Health And Rehab Of Vernon runs 158 beds under corporate ownership, and its nurse staffing sits at 3.83 hours per resident day, just under the national average, with weekends running about 13% thinner than weekdays. That dip matters, because care doesn't pause on Saturdays. The inspection record shows seven deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its last full inspection was April 2022, so that picture is getting stale. CMS gives the home middling marks on health inspections and quality measures, with staffing scoring slightly better. Nothing here screams danger, but the thin weekend coverage and that harm-level finding are the two things I'd ask about directly.

B

78.5/100

The Reutlinger Community

Danville, CA · Contra Costa County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
55%
Serious cites
0

The Reutlinger Community runs high on direct care: 4.83 nurse hours per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But the weekend dips about 16% below its own weekday staffing, and turnover sits at 55.4%, nearly ten points above the national figure, so consistency is the weak spot. Inspections from November 2024 produced 19 deficiencies, none at the harm or jeopardy level, though one was abuse-related. For a 60-bed nonprofit in Contra Costa County, that reads as a well-staffed home on weekdays with a thinner weekend crew and steady churn to watch.

B

78.5/100

Shasta Healthcare

Weed, CA · Siskiyou County

CMS 1/5 59 beds For-profit Medicaid
Nurse hours
4.71 /day
Staff turnover
32%
Serious cites
0

The staffing numbers here look strong on paper, 4.71 nurse hours per resident day, well above the national average, and turnover at 31.9% beats the typical 45.8%. That's a real edge in a rural county where hiring is hard. But the inspection side tells a different story: 31 deficiencies on the current record, three serious enough to involve harm or jeopardy, and four tied to abuse. Medicare has fined this for-profit corporation $84,526 across two penalties. The most recent inspection was April 24, 2026. Good staffing can coexist with poor oversight, the hours tell you who's present, not whether care is actually safe.

B

78.5/100

Mesa Verde Post Acute Care Center

Costa Mesa, CA · Orange County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
—
Serious cites
0

Mesa Verde Post Acute Care Center runs 80 certified beds in Costa Mesa under for-profit LLC ownership. Its overall nurse staffing of 4.23 hours per resident day sits roughly 10% above the national average, but weekends drop about 11% below its own weekday level, and CMS rates staffing at just 2 out of 5 stars. That tension between respectable average hours and a thin weekend floor is worth asking about directly. The inspection record shows 68 deficiencies, none at harm or jeopardy level, though two are abuse-related. One fine totaling $4,558 has been levied, and the last inspection was recent, September 2025, so this reflects current conditions. Quality measures score 5 out of 5, a genuine strength. Ask how the abuse-related findings were resolved.

B

78.5/100

Iroquois Resident Home, The

Watseka, IL · Iroquois County

CMS 4/5 35 beds Non-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
—
Serious cites
0

The Iroquois Resident Home runs a nonprofit operation with 35 certified beds in Watseka, and its health inspection record is the strongest part of the picture, a recent June 2024 survey and 26 deficiencies with none rising to harm or jeopardy level, though three are abuse-related and worth asking about directly. Staffing is where the story splits: total nurse hours come in at 4.03 per resident day, slightly above the national average, but weekends run about 11% leaner than weekdays, and the federal staffing rating sits at just 2 out of 5 stars. For a small home, that weekend dip is the number I'd press on, ask who's actually on the floor on a Sunday.

B

78.5/100

North Crest Living Center

Council Bluffs, IA · Pottawattamie County

CMS 1/5 62 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
55%
Serious cites
0

North Crest Living Center runs 62 beds in Council Bluffs under for-profit LLC ownership, and its staffing sits just barely above the national average, 3.91 nurse hours per resident day against 3.86 nationally. That thin margin narrows further on weekends, when coverage drops roughly 18% below its own weekday levels, and annual turnover of 54.5% runs well above the 45.8% national figure, meaning the people providing that care keep changing. The bigger concern is inspections: a 1-out-of-5 health inspection rating, 34 deficiencies on the current record including one abuse-related citation, and a most recent inspection in July 2025. Quality measures rate better, and no deficiency reached actual harm, but the inspection record is what family members should weigh hardest.

B

78.5/100

Hillcrest Home

Sumner, IA · Bremer County

CMS 3/5 61 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
29%
Serious cites
0

Hillcrest Home runs on strong staffing, 4.43 nurse hours per resident day, about 15% above the national average, and a 5/5 staffing star. Turnover sits at 28.6%, well under the 45.8% national figure, which suggests people stay. The care side is thinner: a 2/5 quality measure star, 13 deficiencies on record including two at harm or jeopardy level and one tied to abuse. Weekend staffing drops roughly 17% below its own weekday level, so coverage thins when families often visit. The last inspection was May 2025, so the record is recent. Nonprofit ownership, steady staff, mediocre quality marks, and some serious past findings, a mixed picture worth asking about directly.

B

78.5/100

Prairie Mission Retirement Village

Saint Paul, KS · Neosho County

CMS 4/5 61 beds Non-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
—
Serious cites
0

Prairie Mission Retirement Village runs on 4.04 nurse hours per resident day, roughly 5% above the national average, and weekends dip about 12% below its own weekday staffing. That pattern matters because weekday ratios can look strong while Saturday and Sunday coverage thins out. The 16 deficiencies on record are worth noting, but none reached harm or jeopardy level and none were abuse-related, which separates this from homes with real safety problems. Its last inspection was in March 2025, so the record is recent. Quality measures score lower than staffing does. For a 61-bed nonprofit in Neosho County, the picture is steady, adequately staffed, and not without paperwork problems.

B

78.5/100

Sheridan County Hospital Ltcu

Hoxie, KS · Sheridan County

CMS 4/5 32 beds Non-profit Medicaid
Nurse hours
5.55 /day
Staff turnover
50%
Serious cites
0

Sheridan County Hospital Ltcu runs on unusually heavy staffing, 5.55 nurse hours per resident day against a national average of 3.86. That's the strongest thing it has going. Weekends drop about 21% below its own weekday coverage, and half the staff turns over each year, slightly worse than the 45.8% national figure. The inspection record is mixed: a recent October 2025 survey, a 4/5 health inspection star, but 20 deficiencies on file, three at harm or jeopardy level and one abuse-related. Quality measure scoring sits at 1/5, which pulls against the staffing strength. For a 32-bed nonprofit hospital-based unit in rural Kansas, the pattern is high hands-on care with real compliance problems attached.

B

78.5/100

Progressive Care Center

Shreveport, LA · Caddo County

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

Progressive Care Center runs 8.54 nurse hours per resident day, more than double the national average of 3.86, and weekend staffing dips only about 13% below its own weekday level, modest compared to many homes. The tradeoff sits in the quality measures, which score 1 out of 5 despite the strong staffing and a 4 out of 5 inspection rating. Its 12 deficiencies include one abuse-related citation, though none rose to harm or jeopardy level, and the most recent inspection was in April 2026. Nonprofit corporate ownership is worth noting as you weigh the numbers.

B

78.5/100

John A. Stassi Ii Community Care Center

Metairie, LA · Jefferson County

CMS 5/5 124 beds Non-profit Medicaid
Nurse hours
3.43 /day
Staff turnover
42%
Serious cites
0

St Anthony Community Care Center runs on thinner staffing than most homes its size, 3.43 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 19% below its own weekday levels. That gap is what pulls its staffing rating down to 2 out of 5, even though its quality measures score a perfect 5 and inspections come in at 4. Turnover sits at 42%, slightly better than the 45.8% national figure, and the home carries 21 deficiencies with none at the harm level, though one is abuse-related. It's a nonprofit with 124 beds and a recent December 2025 inspection. Solid care indicators, but the day-to-day coverage is the thing to ask about directly.

B

78.5/100

Montello Manor

Lewiston, ME · Androscoggin County

CMS 1/5 37 beds For-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
52%
Serious cites
0

Montello Manor is a 37-bed for-profit home in Lewiston, and the numbers point in two directions at once. Nurse staffing runs 4.18 hours per resident day, about 8% above the national average, but weekends drop roughly 15% below the home's own weekday level, so coverage depends on when you visit. The bigger concern is the inspection record: a 1-out-of-5 health inspection rating, 39 deficiencies on file including one at the harm or jeopardy level and one tied to abuse, plus a $14,518 fine. Staff turnover of 51.9% tops the national 45.8% average, meaning caregivers cycle through steadily. That combination is what keeps the overall grade at a C despite solid staffing numbers.

B

78.5/100

Aroostook Health Center

Mars Hill, ME · Aroostook County

CMS 1/5 66 beds For-profit Medicaid
Nurse hours
4.95 /day
Staff turnover
—
Serious cites
0

Aroostook Health Center in Mars Hill runs on unusually heavy nurse staffing, 4.95 hours per resident per day, roughly 28% above the national average, which is the main reason it lands where it does. Weekends dip about 11% below its own weekday levels, so coverage thins out some when you visit on a Saturday, but the baseline is strong, and there are no abuse-related or harm-level deficiencies on record. What keeps it from scoring higher is the other side of the ledger: a 1/5 inspection rating and a 1/5 quality measure rating, with 31 deficiencies total. The most recent inspection was in December 2025, and the for-profit LLC ownership structure is worth asking about directly.

B

78.5/100

Cove's Edge Inc

Damariscotta, ME · Lincoln County

CMS 4/5 76 beds Non-profit Medicaid
Nurse hours
4.29 /day
Staff turnover
—
Serious cites
0

Cove's Edge is a 76-bed nonprofit home in Damariscotta, and its inspection record is genuinely clean, 14 deficiencies on the current record, none at the harm or jeopardy level, no abuse citations, and a survey completed in January 2026. The problem sits elsewhere in the numbers. Staffing carries the lowest possible federal rating, which is the single biggest day-to-day factor for a resident, and the quality measure score is below average too. So you have a home that passes its inspections without serious findings but runs lean on the floor and posts middling clinical outcomes. If you're considering it, the honest question to ask isn't about its last survey, it's about how many aides are actually working on evenings and weekends.

B

78.5/100

Lakewood A Continuing Care Center

Waterville, ME · Kennebec County

CMS 2/5 105 beds For-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
—
Serious cites
0

Lakewood runs a for-profit operation with 105 certified beds, and its nurse staffing sits at 3.93 hours per resident day, just a hair above the national figure of 3.86. That thin margin matters less when you see weekends run about 9% leaner than weekdays, so coverage isn't steady across the week. The inspection record is the bigger concern: 51 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on December 11, 2025, and the health inspection and quality measure ratings both land at 2 out of 5 stars. If you're weighing this one, ask specifically how weekend coverage and the abuse-related findings have been addressed since that visit.

B

78.5/100

The Rivers Health & Rehabilitation Center Of Gross

Grosse Pointe Woods, MI · Wayne County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
54%
Serious cites
0

The Rivers Health & Rehabilitation Center of Gross sits in Grosse Pointe Woods with 86 certified beds under for-profit LLC ownership. Nurse staffing runs 4.08 hours per resident day, about 6% above the national average, but weekends drop roughly 16% below the home's own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 53.8%, noticeably higher than the 45.8% national figure, which means you'll likely see unfamiliar faces across a given year. Inspections are recent (August 2025) and the health inspection rating is 4 out of 5, with 20 deficiencies on record and none at the harm or jeopardy level, no abuse citations.

B

78.5/100

Johnson Memorial Hospital & Home

Dawson, MN · Lac Qui Parle County

CMS 3/5 56 beds Government Medicaid
Nurse hours
4.42 /day
Staff turnover
46%
Serious cites
0

Johnson Memorial Hospital & Home runs on a hospital district's budget in a county of about 1,400 people, and it shows in the staffing numbers, 4.42 nurse hours per resident per day, roughly 14% above the national average. Inspectors have been in recently and left 11 deficiencies, one of them serious enough to reach harm or jeopardy, with nothing tied to abuse. The gap worth noticing is between the staffing score and the quality measure score: nurses are present, but the outcomes CMS tracks don't reflect it, and weekend coverage drops about 17% below the home's own weekday level. Turnover sits at 45.8%, dead even with the national figure.

B

78.5/100

North Star Manor

Warren, MN · Marshall County

CMS 4/5 45 beds Government Medicaid
Nurse hours
5.04 /day
Staff turnover
55%
Serious cites
0

North Star Manor runs on strong nurse staffing: 5.04 hours per resident day, roughly a third more than the national average, and its most recent inspection in August 2025 turned up five deficiencies, none causing harm or tied to abuse. That combination is why inspectors gave it top marks. Two things pull in the other direction. Weekend staffing drops about 18% below its own weekday level, so coverage thins exactly when families tend to visit. And turnover sits at 54.5%, well above the 45.8% national figure, meaning many of the people providing that generous staffing are still learning the building. The city owns it, which may explain the stable funding behind the hours.

B

78.5/100

Landmark Nursing And Rehab Center

Booneville, MS · Prentiss County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
52%
Serious cites
0

Landmark Nursing and Rehab Center runs 4.97 total nurse hours per resident day, roughly 29% above the national average, and that staffing depth shows in a 4-out-of-5 staffing star rating. The catch is consistency: weekend coverage drops about 17% below the home's own weekday level, and staff turnover sits at 51.8% against a national 45.8%, so the people providing that care change often. The current inspection record carries seven deficiencies, including one at the harm or jeopardy level and two tied to abuse, along with a $29,900 fine. A September 2025 inspection and a 4-out-of-5 health inspection rating suggest the home is being watched closely and correcting course.

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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