4,510 Independent Nursing Homes in the United States

Nurse hours

3.77 /day

Staff turnover

—

Serious cites

0

Good Shepherd Care Center is county-owned, which matters less than what the numbers show. Inspectors gave it a top health inspection rating and found ten deficiencies on the current record, none causing harm or jeopardy and none tied to abuse, a clean pattern for a 117-bed home. Staffing is where it slips: 3.77 nurse hours per resident day, a bit under the national average, and weekends run about 14 percent thinner than weekdays. If your family member needs consistent weekday therapy or monitoring, the inspection record is reassuring; if you're worried about Saturday and Sunday coverage, ask the administrator directly how they staff those shifts.

Nurse hours

4.30 /day

Staff turnover

—

Serious cites

0

Benefis Senior Services - Grandview runs 4.30 nurse hours per resident day, about 11% above the national average, and weekends dip only slightly below its weekday numbers, that consistency matters more than the headline figure. The health inspection side is solid at 4 of 5 stars with a recent May 2025 survey, and none of the 21 deficiencies on record rose to harm or jeopardy. One abuse-related citation is worth asking about directly. Quality measures sit at 3 of 5, the weakest of the three federal ratings, so readmission or antipsychotic figures may be where this home gives ground. As a nonprofit with 48 beds, it's small enough that staffing shifts show up fast.

Nurse hours

4.22 /day

Staff turnover

62%

Serious cites

0

South Lyon Medical Center runs a nonprofit home in Yerington with 49 certified beds, and the staffing numbers are genuinely stronger than most: 4.22 nurse hours per resident day, roughly 9% above the national average. That's real coverage on paper. Two things complicate it. Weekend staffing drops about 18% below its own weekday level, so the coverage families actually see on Saturdays and Sundays is thinner than the average suggests. And turnover sits at 61.8%, well above the 45.8% national rate, meaning the people delivering that care keep changing. The current record shows 52 deficiencies, none at harm or jeopardy level but four tied to abuse. A July 2025 inspection is recent, so the picture is current rather than stale.

Nurse hours

4.09 /day

Staff turnover

—

Serious cites

0

Glendale Home in Scotia is county-run, and that shows in the staffing numbers. At 4.09 nurse hours per resident day, it sits about 6% above the national average, which is genuinely better than most homes manage. The catch is weekends, when coverage drops roughly 14% below its own weekday level. On inspections, the record is mixed: twenty deficiencies, including one at the harm level and one abuse-related, with the most recent visit back in August 2023, so the picture is two years old. Resident care measures land mid-range. The extra weekday nursing hours are real; so are the gaps.

Nurse hours

4.67 /day

Staff turnover

48%

Serious cites

0

Mountrail Bethel Home runs on a church-affiliated nonprofit model with 36 beds in Stanley, and its nurse staffing sits at 4.67 hours per resident day, roughly 21% above the national average. That's the strongest part of the picture. Weekends dip about 17% below the home's own weekday coverage, though, and turnover lands at 48.3%, a bit above the national 45.8%. The inspection record shows 26 deficiencies, none at harm or jeopardy level, but two tied to abuse. Federal quality measures score 1 out of 5, while staffing earns 5 out of 5, a split worth asking about directly, since the two don't usually diverge this sharply.

Nurse hours

4.53 /day

Staff turnover

55%

Serious cites

0

Berkeley Square runs on more nursing hours than most homes, 4.53 per resident day against a national average of 3.86, and that shows up in its staffing rating. The catch is consistency: weekends drop roughly 19% below weekday coverage, so the care your family member gets on a Tuesday may not match a Sunday. Staff turnover sits at 55.1%, well above the 45.8% national figure, which means new faces are common even with strong overall hours. Eight deficiencies on record, none involving harm or abuse, and a recent April 2026 inspection support a decent inspection rating for this 33-bed nonprofit.

Nurse hours

3.54 /day

Staff turnover

27%

Serious cites

0

Wyandot County Skilled Nursing runs on county government ownership, and its inspection record is genuinely solid, a four-star health inspection rating with 16 deficiencies on file, only one of them serious enough to reach harm or jeopardy level, and none tied to abuse. The staffing picture is more mixed: 3.54 nurse hours per resident day sits about 8% under the national average, weekends drop roughly 21% below the home's own weekday coverage, yet annual turnover of 27.1% is well below the 45.8% national figure, meaning the staff who are there tend to stay. That combination, stable caregivers but thinner weekend coverage, is what keeps this home in solidly good, not exceptional, territory.

Nurse hours

3.75 /day

Staff turnover

43%

Serious cites

0

Seven Acres runs 58 beds in Clifton under for-profit LLC ownership, and its staffing sits at 3.75 nurse hours per resident day, just under the national average, with weekends running roughly 17% thinner than weekdays. Turnover lands at 42.6%, a bit better than the 45.8% national figure, so the same faces are more likely to stick around. The bigger issue is the inspection record: 26 deficiencies, including one at the harm or jeopardy level and five tied to abuse. That's a lot for a home this size, and it's the main thing pulling the grade down despite strong quality measure scores and a June 2024 inspection that's still fairly recent.

Nurse hours

3.93 /day

Staff turnover

58%

Serious cites

0

Wayne County Care Center runs on county taxpayer money, and the staffing numbers mostly hold up, 3.93 nurse hours per resident day, a bit above the national average. But that average hides a weekend problem: coverage drops roughly 17% below its own weekday level, which is when falls and infections tend to happen. The bigger concern is a 58% annual turnover rate, well above the 45.8% national figure, and 12 deficiencies on the current record including one at the harm level and three tied to abuse. Inspectors were last out in November 2024 and rated health inspections 4 out of 5.

Nurse hours

4.04 /day

Staff turnover

—

Serious cites

0

Rose Linn Care Center in West Linn runs 71 certified beds under for-profit limited liability ownership, and its inspection record is the strong point: a 4-star health inspection rating with 14 total deficiencies on file, none of them at the harm or jeopardy level and none abuse-related. Staffing is where the picture changes, a 1-star rating there, meaning nurse and aide hours sit well below what CMS expects. Quality measures land at 3 stars, and the most recent inspection was April 2026. If you're weighing this one, the question isn't whether the place gets caught doing wrong; it's whether there are enough hands on shift day to day.

Nurse hours

4.64 /day

Staff turnover

26%

Serious cites

0

Christ the King Manor runs on a church-affiliated nonprofit model in Dubois, and the staffing numbers back up the care side: 4.64 nurse hours per resident day, roughly a fifth more than the national average, with turnover at 25.8% against a national 45.8%. That stability matters, though weekend hours dip about 16% below weekday levels, so coverage isn't perfectly even. Inspections are recent and clean where it counts, seven deficiencies on record, none at harm or jeopardy level and none abuse-related, which supports the four-star health inspection rating. The weaker spot is the two-star quality measure score, suggesting outcomes tracked through MDS data lag behind the staffing strength. Overall, a solidly staffed home with room to improve on measured care quality.

Nurse hours

4.12 /day

Staff turnover

22%

Serious cites

0

Laurelbrook's staffing is the strongest thing it has going: 4.12 nurse hours per resident day sits about 7% above the national average, and turnover of 21.7% is roughly half the national rate, a stable crew matters more than raw hours. The catch is weekends, when coverage drops about 22% below the home's own weekday level. The inspection record is where the real concern lives: 19 deficiencies on file, five of them at harm or jeopardy level and four tied to abuse, with the most recent inspection in October 2024. A church-affiliated nonprofit with 50 beds and steady staff, but that harm-level history is what a family should ask about directly.

Nurse hours

2.06 /day

Staff turnover

26%

Serious cites

0

Little Cottonwood Rehabilitation And Nursing is a 37-bed county-run home in South Salt Lake, and its inspection record is the strongest thing about it: a five-star health inspection rating, only six deficiencies on file, none at the harm or jeopardy level, and a survey completed in October 2025. The quality measures also come in at five stars. What holds it back is staffing, 2.06 nurse hours per resident day, roughly half the national average of 3.86, with weekends running about 18 percent thinner than weekdays. Turnover is unusually low at 26.3 percent against a 45.8 percent national figure, which suggests a stable crew, but a stable crew that's small. Two abuse-related deficiencies are worth asking about directly.

Nurse hours

4.34 /day

Staff turnover

52%

Serious cites

0

Richfield Health Center runs a nonprofit operation with 112 certified beds, and its nurse staffing sits at 4.34 hours per resident day, about 12% above the national average of 3.86. That's a real strength. The catch is weekends, when coverage drops roughly 20% below what the home staffs on weekdays. Turnover is 51.5%, higher than the 45.8% national figure, so the people providing that care change often. On inspections, the record shows 31 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $15,465 fine. The last inspection was in May 2024.

Nurse hours

5.45 /day

Staff turnover

51%

Serious cites

0

Burnett Medical Center runs on unusually heavy staffing, 5.45 nurse hours per resident day against a national average of 3.86, with weekend coverage dipping about 19% below its own weekday level. That cushion is real, but 51.4% annual turnover means the faces around a resident change often, and the 1-out-of-5 quality measure rating suggests the clinical outcomes aren't tracking with the hours worked. The record shows 31 deficiencies with none at harm level, including 5 tied to abuse, and the most recent inspection was January 2026, so the picture is current. This is a nonprofit home that staffs generously and still lands mid-pack on care quality.

Nurse hours

4.94 /day

Staff turnover

53%

Serious cites

0

John Knox Manor III runs 98 certified beds as a nonprofit corporation, and its inspection record is the steadiest thing about it, four deficiencies on file, none rising to harm or jeopardy, none tied to abuse, with the most recent state visit in January 2024. Staffing is where the picture darkens. CMS rates it 1 out of 5 on both staffing and quality measures, which means nurse coverage and resident care outcomes land well below what regulators expect. Annual staff turnover sits at 53.1 percent against a national average of 45.8 percent, so more than half the workforce leaves each year. Families weighing this one should ask directly how often shifts go short and who actually covers them.

Nurse hours

4.12 /day

Staff turnover

55%

Serious cites

0

Harris Health and Rehab runs 4.12 nurse hours per resident day, which is about 7% above the national average of 3.86, a real margin in a business where small differences add up. The catch is turnover: 55.3% of staff leave each year against a national average of 45.8%, and weekend coverage drops roughly 10% below weekday levels, so the people at the bedside change often and thin out on Saturdays and Sundays. The inspection record is a mixed picture. The most recent visit was in August 2025 and the health inspection rating sits at 4 of 5, but there are 22 deficiencies on file, including one at the harm level, plus an $8,281 fine. The limited liability company structure is common in Arkansas for-profit homes. Worth asking about weekend coverage and how they retain CNAs.

Nurse hours

4.96 /day

Staff turnover

50%

Serious cites

0

Orchards At Tulare runs a for-profit operation with 99 certified beds. Staffing looks solid on paper, 4.96 nurse hours per resident day, well above the national average, but weekends dip about 11% below weekday coverage, and half the nursing staff turns over each year, a bit worse than the 45.8% national figure. The inspection record is the real concern: 88 deficiencies, including three at the harm or jeopardy level and three tied to abuse, with a $68,938 fine. Inspectors were last on site in May 2025. The quality measure rating (4/5) and staffing rating (3/5) sit far above the health inspection rating (1/5), that gap tells you most of the story here.

Nurse hours

7.41 /day

Staff turnover

16%

Serious cites

0

Nurse staffing here runs 7.41 hours per resident day, roughly double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 16.3% against a national figure of 45.8%, so the people caring for residents tend to stay. What keeps the record from matching those numbers is the inspection side: 53 deficiencies on file, three tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was in December 2025. For-profit corporate ownership, 89 certified beds, and a survey history that's active enough to ask about directly before you visit.

Nurse hours

4.13 /day

Staff turnover

46%

Serious cites

0

Gunnison Valley Health Senior Care Center is city/county-owned and runs 50 certified beds. Nurse staffing comes in at 4.13 hours per resident day, roughly 7% above the national average, though weekend coverage drops about 12% below what the home staffs on weekdays. Staff turnover of 45.7% sits essentially at the national rate of 45.8%. The inspection record is mixed. Its last inspection was January 29, 2026, and it holds eight deficiencies, two of them at the harm or jeopardy level, including one abuse-related citation, with three fines totaling $14,866. Quality measures score low, while staffing scores high. Families weighing this home should ask specifically how weekends are covered and what changed after the abuse finding.