4,510 Independent Nursing Homes in the United States

Nurse hours

4.63 /day

Staff turnover

52%

Serious cites

0

The Suites at Someren Glen runs a non-profit home in Centennial with 109 beds, and its nurse staffing sits about 20% above the national average, 4.63 hours per resident day against 3.86. Weekends dip roughly 8% below its own weekday coverage, so ask how that plays out on a Sunday. Turnover is the number that gives me pause: 51.8% of staff leaving in a year, higher than the 45.8% national rate, and that churn shows up in care even when the hours look good on paper. The inspection record carries 20 deficiencies, two at harm or jeopardy level and two abuse-related, plus one fine of $36,446; the last inspection was April 2024.

Nurse hours

3.31 /day

Staff turnover

40%

Serious cites

0

Autumn Lake Healthcare At Glen Hill runs 100 beds in Danbury under individual for-profit ownership, and its numbers pull in different directions. Nurse staffing sits at 3.31 hours per resident day, about 14 percent under the national average of 3.86, and weekends dip roughly 4 percent below its own weekday level. Staff turnover is 40 percent, lower than the 45.8 percent national figure, so people tend to stay. On the record: 30 deficiencies, none at harm or jeopardy level, one abuse-related, with the last inspection in June 2025. The 5/5 quality measure rating sits alongside a 2/5 staffing rating, so family members should ask directly how coverage holds up on weekends and evenings.

Nurse hours

4.11 /day

Staff turnover

45%

Serious cites

0

Pierce Memorial Baptist Home is a 72-bed nonprofit in Brooklyn, and its strongest asset shows up in the staffing numbers: 4.11 nurse hours per resident day, about 6% above the national average, with a five-star CMS staffing rating to match. Turnover sits at 45.2%, essentially the national rate. The trade-offs are on the quality side. The quality measure rating is 2 out of 5, and the current record carries 25 deficiencies, one serious enough to reach harm or jeopardy level, plus a single $12,735 fine. Inspections are recent, March 2026, and the health inspection rating of 4 out of 5 suggests surveyors found real problems but nothing systemic. Ask about that harm-level deficiency specifically, and how the home is addressing its quality measures.

Nurse hours

4.06 /day

Staff turnover

48%

Serious cites

0

Colonial Health & Rehab Center Of Plainfield runs 90 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.06 hours per resident day, roughly 5% above the national average of 3.86. That's the strongest part of the picture, though weekend coverage drops about 9% below its own weekday level, and turnover runs 48.1% against a national 45.8%. The inspection record is where the concern lives: 25 deficiencies on file, 3 of them at harm or jeopardy level and 6 abuse-related, plus one fine of $12,735. Its most recent inspection was November 2024. Quality measures scored 2 out of 5 stars, which doesn't match what the staffing number alone might suggest.

Nurse hours

3.26 /day

Staff turnover

47%

Serious cites

0

Rehabilitation Center Of Winter Park runs 180 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average of 3.86. Weekend coverage dips about 1% below its own weekday level, so the shortfall isn't just a weekend problem. Staff turnover is 47.2%, a bit above the 45.8% national figure. The health inspection record shows 43 deficiencies, none at harm or jeopardy level, but four are abuse-related, and the most recent inspection was August 2024. CMS rates staffing 2 out of 5 stars and quality measures 5 out of 5, a wide split worth asking about directly.

Nurse hours

3.79 /day

Staff turnover

42%

Serious cites

0

The Terrace of St Cloud runs about 3.79 nurse hours per resident day, a bit under the national average, and weekends drop roughly 9% below its own weekday coverage, worth asking about if your family visits Saturday or Sunday. Turnover sits at 42.3%, slightly better than the national 45.8%, which suggests staff aren't leaving faster than elsewhere. The inspection record is the bigger question: 16 deficiencies, three at harm or jeopardy level and one abuse-related, with a single $8,512 fine. The most recent inspection was April 2025, so the picture is current. It's a for-profit limited liability company with 120 certified beds.

Nurse hours

4.00 /day

Staff turnover

31%

Serious cites

0

The Brooks County hospital-district home in Quitman runs on 4.00 nurse hours per resident day, a bit above the national average, though weekends dip about 10% below its own weekday staffing. Turnover sits at 30.8%, well under the 45.8% national figure, which matters for consistency of care. On the inspection side, its most recent survey was August 2025, and the record shows 19 deficiencies with none at harm or jeopardy level, though 2 are abuse-related. Staffing earns 4 stars, inspections 3, quality measures just 2, a mixed picture where the hands-on care looks steadier than the clinical outcomes data.

Nurse hours

1.67 /day

Staff turnover

12%

Serious cites

0

Avenues At Litchfield runs on 1.67 nurse hours per resident per day, roughly 57% below the national average of 3.86, and the weekend gap is real too, about 12% thinner than its own weekdays. Staff turnover, though, sits at 12% against a national 45.8%, so the people who are there tend to stay, and inspections look solid: 15 deficiencies on record, none at harm or jeopardy level, with a 4/5 inspection rating and a 5/5 on quality measures. The catch is two abuse-related citations and a staffing rating of 1/5. Low turnover doesn't offset thin coverage on nights and weekends, so ask specifically how many nurses are on the floor then.

Nurse hours

4.02 /day

Staff turnover

41%

Serious cites

0

Staffing is the strong point at Community Memorial Health Center: 4.02 nurse hours per resident day, a bit above the national average, with turnover at 41.1% that's actually lower than the typical nursing home. But weekends run about 13% thinner than weekdays, so coverage isn't even across the week. The trouble sits on the inspection side, 19 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, plus $44,528 in fines. The most recent inspection was January 2026. Nonprofit ownership and good weekday staffing don't cancel out that record; they just mean the problems aren't about money or raw hours.

Nurse hours

4.18 /day

Staff turnover

40%

Serious cites

0

Simpson Memorial Home runs a nonprofit operation of 55 beds in West Liberty, and the numbers say the day-to-day care is better staffed than most. Nurse hours work out to 4.18 per resident per day, roughly 8 percent above the national average, and staff turnover sits at 40 percent against a 45.8 percent national figure. The health inspection record is clean where it matters most: 9 deficiencies on file, none at the harm or jeopardy level, no abuse citations, and the most recent inspection was December 2025. The catch is in the quality measures, which score near the bottom. Staffing and inspection results look strong, but whatever the clinical data is tracking, falls, medications, mood, function, tells a rougher story than the staffing numbers alone would suggest.

Nurse hours

4.11 /day

Staff turnover

39%

Serious cites

0

Bethany Life runs a solid nursing floor on paper: 4.11 nurse hours per resident day, about 6% above the national average, with a CMS staffing rating of 5 out of 5 and turnover at 38.5%, better than the 45.8% national figure. Weekend coverage dips roughly 6% below weekday levels, which is common but worth knowing if your family visits on Saturdays and Sundays. The inspection record is where the picture darkens. Thirty-three deficiencies sit on the current record, five of them at harm or jeopardy level and five abuse-related, with two fines totaling $52,329 and a 1-out-of-5 health inspection rating. The most recent inspection, in March 2026, is recent enough that nothing here is stale.

Nurse hours

3.72 /day

Staff turnover

47%

Serious cites

0

Pioneer Valley Living and Rehab runs 66 beds in Sergeant Bluff under for-profit LLC ownership, and its inspection record is the part that stands out: 63 deficiencies on file, five of them serious enough to reach harm or jeopardy, plus two tied to abuse. The last inspection was recent, March 2026, so this isn't stale history. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends run about 14% thinner than weekdays. Annual turnover of 46.6% is essentially the national rate, meaning the staff you meet may not be there in a year. Worth asking the administrator directly what changed since that inspection.

Nurse hours

3.72 /day

Staff turnover

49%

Serious cites

0

F W Huston Medical Center runs 38 certified beds in Winchester under nonprofit ownership, and its recent inspection history is genuinely reassuring, 20 deficiencies on record, but none at the harm or jeopardy level and none tied to abuse. The tradeoff shows up in the intangibles: weekend nurse coverage drops roughly 9% below its own weekday level, and 48.9% annual turnover sits above the national rate of 45.8%, which matters in a small rural building where familiar faces are part of the care. Overall staffing of 3.72 hours per resident day lands about 4% under the national average, and the quality measure score is on the weaker side even as the staffing score holds up. A survey from August 2025 means inspectors have looked recently.

Nurse hours

4.29 /day

Staff turnover

54%

Serious cites

0

Christian Health Center runs on more nursing hours than most homes nationally, 4.29 per resident day against an average of 3.86, and that staffing shows up in a clean inspection record: four deficiencies total, none at harm or jeopardy level, none abuse-related, with a 5/5 health inspection rating. The tradeoffs are real, though. Weekend coverage dips about 7% below weekday levels, and staff turnover sits at 54%, noticeably above the 45.8% national figure. Quality measure scores land at 2/5, which means the clinical outcomes data doesn't match the inspection story. For a church-affiliated nonprofit with 114 beds, the care presence is there; the question is whether it holds steady across weekends and staffing changes.

Nurse hours

3.45 /day

Staff turnover

34%

Serious cites

0

Turtle Creek runs 140 beds in Kensington under corporate ownership, and the numbers pull in different directions. Nurse staffing sits at 3.45 hours per resident day, about 11 percent under the national average, and weekends drop roughly 12 percent below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 34.2 percent is better than the 45.8 percent national figure, which suggests some stability in the workforce. The inspection record is the harder read: 48 deficiencies, including 3 at the harm or jeopardy level and 5 tied to abuse, with $80,425 in fines and a February 2025 inspection. Quality measures score well, but that history deserves your attention before a tour.

Nurse hours

4.02 /day

Staff turnover

41%

Serious cites

0

St Francis runs about 4.02 nurse hours per resident day, a bit above the national average of 3.86, though weekend coverage drops roughly 11% below its own weekday levels, worth asking about if your family visits on Saturdays or Sundays. Staff turnover sits at 41.1%, slightly better than the national 45.8%. Against that, the inspection record shows 23 deficiencies, four at the harm level and one abuse-related, with two fines totaling $19,175 and a survey as recent as November 2025. The quality measure score is strong; the health inspection side is where the concerns live. This is a for-profit limited liability company operating 137 beds.

Nurse hours

4.36 /day

Staff turnover

43%

Serious cites

0

Carlyle House runs 4.36 nurse hours per resident day, about 13% above the national average, and turnover at 42.9% is slightly better than the 45.8% norm. Those numbers sound decent until you notice CMS rates staffing 1 out of 5 and weekend coverage drops roughly 13% below its own weekday level. The inspection record carries 22 deficiencies, four of them at the harm or jeopardy level, with two fines totaling $25,263 and a 2/5 health inspection rating. Last inspection was July 2025. Despite the above-average raw staffing hours, the harm-level citations and thin weekend coverage are what families should weigh.

Nurse hours

3.96 /day

Staff turnover

48%

Serious cites

0

Wellspring Lutheran Services in Frankenmuth runs on a nonprofit model with 83 certified beds, and its nurse staffing sits at 3.96 hours per resident day, roughly 3% above the national average of 3.86. That margin is real but thin, and weekends dip about 7% below the home's own weekday coverage, so the weekday-to-weekend gap is worth asking about directly. Turnover lands at 47.7%, just above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The current record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related, a volume that reflects paperwork and process issues rather than resident safety. The most recent inspection was August 2025, so the picture is current.

Nurse hours

3.63 /day

Staff turnover

62%

Serious cites

0

Aerius Health Center in Riverview is a for-profit, individually owned home with 78 certified beds, and its inspection record is genuinely strong, a 2025-08-06 survey, 16 total deficiencies, none of them causing harm or jeopardy, and none abuse-related. Where it gets shakier is staffing: 3.63 nurse hours per resident day, roughly 6% under the national average, with weekend coverage dropping about 13% below its own weekdays. Annual turnover sits at 61.9% against a national 45.8%, so the people around your family member change often enough that consistency is a fair question to raise. A low staffing score next to high inspection and quality scores usually means the home does well when it's watched closely and thins out between visits, worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

35%

Serious cites

0

Lakehouse Healthcare runs 260 beds in Minneapolis under for-profit LLC ownership, and its inspection record is the first thing to know: 81 deficiencies on file, including one at the harm or jeopardy level and one abuse-related citation, with the most recent inspection in August 2025. Staffing is genuinely better than most homes on retention, 34.5% annual turnover beats the national 45.8%, but total nurse hours come in around 3.34 per resident day, roughly 13% under the national average, and weekends run about 8% thinner than weekdays. That combination, a stable workforce stretched too thin against a heavy citation history, is what sits behind the grade.