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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 2181–2200 of 4,510, best-graded first.

B

78/100

Minnewaska Community Health Services

Starbuck, MN · Pope County

CMS 2/5 39 beds Non-profit Medicaid
Nurse hours
7.14 /day
Staff turnover
62%
Serious cites
0

Minnewaska Community Health Services runs on unusually heavy nurse staffing, 7.14 hours per resident day against a national average near 3.86, and that shows up in its four-star staffing rating. The catch is who's providing it: turnover sits at 61.5%, well above the 45.8% norm, and weekend coverage dips about 9% below weekday levels, so the hours aren't always delivered by familiar faces. On inspections, the record is thinner: 18 deficiencies, two serious enough to reach harm or jeopardy, and roughly $25,000 in fines. The last survey came in April 2026. This church-affiliated nonprofit has real direct-care muscle, but consistency and regulatory follow-through are where it wobbles.

B

78/100

Fair Meadow Nursing Home

Fertile, MN · Polk County

CMS 3/5 42 beds Non-profit Medicaid
Nurse hours
5.24 /day
Staff turnover
—
Serious cites
0

Fair Meadow in Fertile runs a nonprofit home where the nurse staffing works out to 5.24 hours per resident each day, roughly a third more than the national average, though weekends drop about 22% below what the home covers during the week, so the coverage families see on a Saturday may not match a Tuesday. Inspectors were last in on September 10, 2025, and the health inspection rating came back strong, but the record still carries 14 deficiencies, three tied to abuse, none serious enough to reach harm or jeopardy level. The quality measure rating is the weak spot at 2 out of 5, which sits oddly against the generous staffing. Worth asking the director directly about those three abuse citations and how the home staffs weekends.

B

78/100

Worth County Convalescent Center

Grant City, MO · Worth County

CMS 3/5 50 beds Government Medicaid
Nurse hours
3.07 /day
Staff turnover
15%
Serious cites
0

Worth County Convalescent Center runs on a county budget with 50 beds, and the staffing math cuts both ways. At 3.07 nurse hours per resident day, it sits roughly 20% under the national average of 3.86, and weekends dip another 11% below its own weekday coverage, so the thinnest shifts land when families tend to visit. What offsets that is remarkable stability: 15% annual turnover against a national rate near 46% means the people showing up know the residents and stay. The record isn't spotless, 17 deficiencies, three tied to abuse, though none rose to harm or jeopardy, and the last inspection was February 2026. Quality measures score low; inspections middling. Ask about weekend coverage specifically.

B

78/100

Oakland Heights

Oakland, NE · Burt County

CMS 5/5 45 beds Government Medicaid
Nurse hours
4.40 /day
Staff turnover
47%
Serious cites
0

Oakland Heights is city-owned, which is unusual, and it runs on 4.40 nurse hours per resident day, roughly 14% above the national average. Weekends dip about 15% below its own weekday staffing, so coverage thins out on Saturdays and Sundays. Turnover sits at 46.8%, essentially the national rate, meaning you'll likely see new faces over a long stay. The inspection record is the strong part: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in June 2025. Quality measures are where it lags, scoring 2 of 5 stars, worth asking what specifically is dragging that down before you decide.

B

78/100

Eventide Prairie Commons Care Center

Grand Island, NE · Hall County

CMS 1/5 36 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
67%
Serious cites
0

Eventide Prairie Commons runs a tight operation on nurse hours, 4.41 per resident day, roughly 14% above the national average, but that staffing comes at a cost in continuity, with 67.4% annual turnover against a national figure near 46%. The inspection record is the bigger concern: 15 deficiencies, one serious enough to reach harm or jeopardy level, and a $10,296 fine, all from a May 2025 survey that left the home with a single star for health inspections even as its quality measures score 4 out of 5. Weekend coverage dips about 5% below weekday levels, which matters most when something goes wrong on a Saturday.

B

78/100

Coos County Nursing Home

Berlin, NH · Coos County

CMS 2/5 100 beds Government Medicaid
Nurse hours
4.93 /day
Staff turnover
51%
Serious cites
0

Coos County Nursing Home in Berlin runs on county money, and the staffing reflects that: 4.93 nurse hours per resident day, roughly 28% above the national figure. Weekends drop about 14% below its own weekday level, so coverage thins out on Saturdays and Sundays. Turnover sits at 50.9%, higher than the 45.8% national average, meaning a good share of the people caring for residents are still learning the building. Inspections tell a mixed story, 11 deficiencies on record, none at the harm level, but three tied to abuse, with the last survey in February 2026. The county's investment in direct care is real; the consistency and safety record are where the gaps show.

B

78/100

Abigail House For Nursing & Rehabilitation

Camden, NJ · Camden County

CMS 2/5 188 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
39%
Serious cites
0

Abigail House runs on thinner nurse coverage than most homes, 3.12 hours per resident day against a national average of 3.86, and weekends dip roughly 11% below its own weekday levels, so the stretches with the least oversight are predictable. Its inspection record is the real concern: 40 deficiencies, one serious enough to reach harm or jeopardy level, with a 1-out-of-5 health inspection rating, though there's nothing abuse-related and the most recent survey was April 2025. Staff turnover at 39.4% is better than the 45.8% national figure, and the 5-out-of-5 quality measure rating shows clinical outcomes are being tracked well. The gap between strong quality scores and weak inspection results is the tension here.

B

78/100

Massapequa Center Rehabilitation & Nursing

Amityville, NY · Suffolk County

CMS 5/5 320 beds For-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
23%
Serious cites
0

Massapequa Center Rehabilitation & Nursing runs 320 certified beds in Amityville under for-profit LLC ownership, and its record is genuinely mixed. The good news sits in two places: nurse staffing averages 3.90 hours per resident day, just above the national figure, and annual turnover of 22.6% is roughly half the national rate, that kind of retention usually means consistent caregivers who know the residents. Weekend coverage, though, drops about 9% below its own weekday staffing, so families should ask how that gap gets handled. Inspectors last visited in December 2024 and found 11 deficiencies, none at harm or jeopardy level, though one is abuse-related. Quality measures score well; staffing stars don't.

B

78/100

Pelham Parkway Nursing Care And Rehabilitation Fac

Bronx, NY · Bronx County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
2.60 /day
Staff turnover
33%
Serious cites
0

Pelham Parkway runs on 2.60 nurse hours per resident day, roughly a third below the national average of 3.86, and weekends dip another 6% under its own weekday level. That thin coverage is the main reason its staffing star sits at 2 out of 5. The record shows 24 deficiencies, none at harm or jeopardy level, though three are abuse-related; the last inspection was in August 2025. Turnover, at 32.8%, actually beats the national 45.8%, so workers tend to stay. Quality measures score a perfect 5, which tells you the clinical numbers look strong even where the floor coverage doesn't.

B

78/100

Sky View Rehabilitation & Health Care Center L L C

Croton On Hudson, NY · Westchester County

CMS 4/5 192 beds For-profit Medicaid
Nurse hours
3.03 /day
Staff turnover
25%
Serious cites
0

Sky View runs 192 certified beds in Croton-on-Hudson, and its nurse staffing sits at 3.03 hours per resident per day, roughly 22% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 25% against a national 45.8%, meaning the aides and nurses you meet are more likely to still be there next year. The current inspection record shows 12 deficiencies, one serious enough to reach harm or jeopardy level, with no abuse citations; the most recent survey was March 3, 2026. Quality measures score well, but low staffing hours and that harm-level finding are what pull the overall picture down.

B

78/100

Aaron Manor Rehabilitation And Nursing Center

Fairport, NY · Monroe County

CMS 5/5 140 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
59%
Serious cites
0

Aaron Manor runs about 3.63 nurse hours per resident per day, roughly 6% under the national average, and weekend coverage drops about 15% below its own weekday level, so the hours thin out exactly when families tend to visit. Staff turnover sits at 58.5% against a national 45.8%, meaning more than half the nursing staff left within a year. The good news is real: a 4-star health inspection rating, a 5-star quality measure rating, and 14 deficiencies on record with none at the harm level and nothing abuse-related, last inspected in October 2024. For-profit LLC ownership with 140 beds. Solid care quality on paper, but the staffing pattern is where I'd focus your questions.

B

78/100

East Haven Nursing & Rehabilitation Center

Bronx, NY · Bronx County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
32%
Serious cites
0

East Haven runs lean on nurse staffing, 2.83 hours per resident day, roughly 27% under the national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins out right when families tend to visit. The 200-bed for-profit home has 23 deficiencies on its current record, including one abuse-related citation, though none rose to harm or jeopardy level, and CMS has fined it five times for $14,819 total. Turnover sits at 32.2%, better than the 45.8% national figure, which suggests some stability in the workforce even as hours per resident lag. Its last inspection was February 2025.

B

78/100

Ten Broeck Commons

Lake Katrine, NY · Ulster County

CMS 4/5 258 beds For-profit Medicaid
Nurse hours
3.12 /day
Staff turnover
22%
Serious cites
0

Ten Broeck Commons runs 258 beds in Lake Katrine under individual for-profit ownership, and its staffing is the number to sit with. At 3.12 nurse hours per resident day, it sits about 19 percent under the national average of 3.86, and weekends drop roughly another 15 percent below its own weekday levels, worth asking about if your family visits or needs help mostly on Saturdays and Sundays. Turnover is the bright spot: 22 percent against a national 45.8 means aides and nurses tend to stay. Sixteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with an inspection dated January 12, 2026.

B

78/100

Union Plaza Care Center

Flushing, NY · Queens County

CMS 5/5 280 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
30%
Serious cites
0

Union Plaza Care Center runs 280 certified beds in Flushing under corporate for-profit ownership, and the numbers pull in two directions. The nurses give each resident about 3.19 hours of care per day, roughly 17 percent below the national average of 3.86, and weekends run about 9 percent thinner than weekdays, so coverage depends on when you visit. Against that, turnover sits at 29.5 percent versus 45.8 percent nationally, meaning the staff who are there tend to stay. Nine deficiencies show on the current record with none at the harm level, though two are abuse-related, and the last inspection was August 2024.

B

78/100

Canterbury Woods

Williamsville, NY · Erie County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
54%
Serious cites
0

Canterbury Woods runs on a solid staffing base, 4.48 nurse hours per resident day against a national average of 3.86, and its most recent inspection in January 2025 backs that up with no deficiencies at the harm or jeopardy level. The catch is what's in the record: nine deficiencies total, three of them abuse-related, and a quality measure score of one out of five stars despite the four-star inspection and staffing marks. Staff turnover sits at 54.4%, well above the 45.8% national figure, and weekend coverage dips about 12% below weekday levels. Church-affiliated nonprofit ownership at 50 beds suggests a smaller, mission-driven operation, but the abuse citations and turnover are worth asking about directly.

B

78/100

New York Center For Rehabilitation & Nursing

Astoria, NY · Queens County

CMS 5/5 280 beds For-profit Medicaid
Nurse hours
4.03 /day
Staff turnover
—
Serious cites
0

The New York Center for Rehabilitation & Nursing in Astoria runs 280 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a five-star health inspection rating, just three deficiencies on the current record, and none of them at the harm or jeopardy level. The catch is staffing: 4.03 nurse hours per resident day sits about 4% above the national average, but the home only earns three stars there, and weekend coverage drops roughly 15% below its own weekday level. One abuse-related deficiency also appears in the record. Overall nursing hours look fine on paper; the thinner weekend shifts and that abuse citation are what keep this from being a clean bill of health.

B

78/100

Alpine Health And Rehabilitation Of Asheboro

Asheboro, NC · Randolph County

CMS 5/5 238 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
22%
Serious cites
0

Alpine Health and Rehabilitation of Asheboro runs 238 certified beds under individual for-profit ownership, and its inspection record is unusually clean, a single deficiency on the current record, none at the harm or jeopardy level, with the most recent visit in April 2025. That lone citation is abuse-related, which is worth asking about directly. Staffing is the weak spot: 3.34 total nurse hours per resident day sits about 13% under the national average, weekend coverage drops roughly 12% below its own weekdays, and the federal staffing rating lands at 2 out of 5. Turnover is the bright spot at 22.2%, well below the 45.8% national figure, so the people who are there tend to stay.

B

78/100

Fair Haven Of Forest City, Llc

Forest City, NC · Rutherford County

CMS 4/5 100 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
27%
Serious cites
0

Fair Haven Of Forest City runs a 100-bed for-profit operation, and its inspection record is the strongest part of the story: a four-star health inspection rating, six total deficiencies, none at the harm or jeopardy level, and nothing abuse-related. The tradeoff shows up in daily care. Nurse staffing sits at 3.52 hours per resident day, roughly 9% under the national average, and weekends run about 8% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Staff turnover of 27% is well below the 45.8% national figure, which suggests a steadier workforce than most. Quality measures, at two stars, are the weak point. The last inspection was April 2026.

B

78/100

Marian Manor Healthcare Center

Glen Ullin, ND · Morton County

CMS 1/5 54 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
58%
Serious cites
0

Marian Manor runs a nonprofit shop with 54 beds in Glen Ullin, and the staffing hours look decent on paper, about 4.11 per resident day, roughly 6% above the national average. But weekends dip about 14% below its own weekday coverage, and turnover sits at 57.8% against a national 45.8%, so the people giving that care keep changing. The inspection record is where it gets harder to explain away: 15 deficiencies, two at harm or jeopardy level, one tied to abuse, and a $22,835 fine. The last inspection was June 2026, so this isn't stale history. Quality measures score well, but the survey findings and the churn behind them are what pull the overall picture down.

B

78/100

Eventide Jamestown

Jamestown, ND · Stutsman County

CMS 3/5 79 beds Non-profit Medicaid
Nurse hours
4.16 /day
Staff turnover
53%
Serious cites
0

Eventide Jamestown runs a nonprofit home with 79 certified beds, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That's the strongest part of the picture, and it's why staffing earns 4 stars. But the same numbers show weekend coverage dropping roughly 8% below weekday levels, and annual turnover of 52.6% is higher than the 45.8% national average, so consistent hands aren't guaranteed. The inspection record shows 16 deficiencies, 2 of them at harm or jeopardy level, with the most recent inspection in May 2025. Quality measures come in at 2 stars, which is where the home looks weakest.

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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