4,510 Independent Nursing Homes in the United States

Nurse hours

4.25 /day

Staff turnover

38%

Serious cites

0

Kadoka Nursing Home runs a lean 31-bed nonprofit operation in Jackson County, and the staffing numbers are its strongest card: 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 9% below its own weekday level. Turnover sits at 38.2%, better than the 45.8% national figure. The tradeoff shows up in quality measures, where CMS gives it 1 out of 5 stars despite a 4-star inspection rating and no deficiencies at the harm or jeopardy level among its 11 on record. Last inspected April 16, 2025. Strong hands-on care, weaker clinical outcomes on paper, that's the tension worth asking about.

Nurse hours

4.83 /day

Staff turnover

—

Serious cites

0

Hansford Manor runs on a thin staffing margin, the federal data puts it at one star, well below what you'd want for a 60-bed home, and that's the number I'd weigh hardest. The quality measure score is also low at two stars, which tracks with a building that may not be moving residents toward better outcomes. On the other hand, inspections look solid: four stars, ten deficiencies on record, none at the level where someone was harmed or put in immediate danger, and none tied to abuse. The last survey was in September 2025, so the picture is current. Government hospital-district ownership can mean steadier funding than a for-profit chain, but it doesn't fix a direct-care hours problem.

Nurse hours

4.06 /day

Staff turnover

47%

Serious cites

0

Sunshine Terrace is run by a hospital district, which usually brings some stability, but the numbers here tell a different story. The health inspection rating sits at the bottom of the scale, and the record shows 29 deficiencies, including two that put residents in immediate harm and four tied to abuse, that's a lot to carry, and it points to problems that show up in practice, not just on paper. Staffing is also rated 1 out of 5, and turnover runs slightly above the national average at 47.2%, so the people caring for residents are cycling through quickly. The most recent inspection was in April 2026, so the picture is current.

Nurse hours

4.80 /day

Staff turnover

47%

Serious cites

0

Riverside in La Crosse is a nonprofit home with 123 beds, and its staffing is the standout: 4.80 nurse hours per resident day, roughly a quarter above the national average, which earns a top federal rating on that measure. Weekends dip about 9% below weekdays, so coverage isn't perfectly even. Turnover sits at 47.4%, just over the national figure. The tension shows up in the inspection record, 13 deficiencies, including one at the harm level and one abuse-related, plus a $21,645 fine, though the most recent inspection was January 2026 and the health inspection rating is 4 out of 5. Quality measures rate 1 out of 5, the weakest piece. Strong hands-on staffing, mixed follow-through on care quality and past compliance.

Nurse hours

4.42 /day

Staff turnover

52%

Serious cites

0

Christian Community Home Of Osceola is a small nonprofit outfit, 40 beds, where the hands-on care hours run meaningfully above what most homes provide: 4.42 per resident day against a national 3.86. That staffing shows up as its strongest federal mark, though weekends dip about 7% below its own weekday coverage, and turnover sits at 51.7%, higher than the 45.8% national figure. The health inspection record is the weak spot: 28 deficiencies, four tied to abuse, none rising to harm or jeopardy, with the most recent inspection in May 2025. For a family weighing a place this size, the question is whether consistent daily attention outweighs a citation history that's heavier than you'd like.

Nurse hours

4.14 /day

Staff turnover

45%

Serious cites

0

Golden Years of Lake Geneva runs 54 beds under corporate ownership, and its last inspection in May 2025 left 11 deficiencies on the books, none involving actual harm or jeopardy, but two tied to abuse. That's the kind of record that reads worse the longer you sit with it, and it's worth asking staff directly what those two were about. The inspection history is strong, with a five-star health inspection rating. But staffing sits at one star against a national turnover average the home only barely beats at 44.6%, and quality measures land at one star too. Good surveys can't carry a building where the people providing daily care keep leaving.

Nurse hours

5.23 /day

Staff turnover

—

Serious cites

0

Morning Star Care Center runs on federal money, it's a government-owned home on the Wind River Reservation with 45 certified beds. Nurse staffing sits at 5.23 hours per resident day, roughly 35% above the national average, though weekends drop about 24% below its own weekday level, so coverage isn't perfectly even. The tradeoff shows up elsewhere: 16 deficiencies on the current record, two tied to abuse, and one fine of $5,168, with the last inspection in April 2025. Quality measures score low even as staffing scores high, which is the tension here, plenty of nursing hours, but outcomes and compliance haven't kept pace.

Nurse hours

3.63 /day

Staff turnover

52%

Serious cites

0

Platte County Legacy Home runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That dip matters in a 50-bed home where you can't easily shuffle people around. Annual turnover sits at 52.3%, well above the 45.8% national figure, which means the aides and nurses getting to know your family member are often new to the building. The record shows 13 deficiencies, including one at the harm level and two tied to abuse. The most recent inspection was February 20, 2026, recent enough that these findings reflect how the place runs now, not years ago.

Nurse hours

4.39 /day

Staff turnover

46%

Serious cites

0

Grace Healthcare Center runs a hundred and one beds in Fresno under a for-profit limited liability owner, and the staffing numbers are the strongest thing it has going: 4.39 nurse hours per resident day, roughly 14 percent above the national average. That edge thins on weekends, when hours drop about 12 percent below the home's own weekday level, and turnover sits at 45.7 percent, essentially the national rate, neither better nor worse. The trouble is everything else. Seventy deficiencies sit on the current record, including four tied to abuse and one serious enough to reach harm or jeopardy, with five fines totaling $32,110. Inspectors last visited in March 2026.

Nurse hours

3.74 /day

Staff turnover

27%

Serious cites

0

Marina Garden is a small for-profit home in Alameda, 32 beds, and its inspection record is the standout: a five-star health inspection rating, ten deficiencies on the current record with none at the harm or jeopardy level and none involving abuse. Staffing is where it thins out. At 3.74 nurse hours per resident day, it runs about 3% under the national average, and weekends dip slightly below its own weekday numbers. The tradeoff is retention: 26.7% turnover is well below the national 45.8%, so the aides and nurses you meet are more likely to still be there next year. Quality measures land mid-range.

Nurse hours

4.24 /day

Staff turnover

30%

Serious cites

0

Height Street Skilled Care runs on a for-profit LLC model with 99 certified beds, and the staffing numbers are the bright spot: 4.24 nurse hours per resident day, about 10% above the national average, with turnover at 29.5% against a national 45.8%. That stability matters, though weekend coverage dips about 10% below its own weekday level. The inspection record is where the picture darkens, 70 deficiencies on file, including four at the harm or jeopardy level and four tied to abuse, with a 1-out-of-5 health inspection rating and a single $12,735 fine. The most recent inspection was April 2026. Staffing can carry a building only so far when the care environment draws that kind of scrutiny.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Holiday Hill runs on 3.58 nurse hours per resident day, about 7 percent under the national figure, and weekends drop roughly 14 percent below its own weekday staffing. Turnover is 36.4 percent, which is better than the 45.8 percent national average, so people tend to stay. Inspections look solid, a 4-out-of-5 star rating, last survey in September 2024, and none of the 18 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and 17 fines totaling $87,154 is real money. Nonprofit ownership and steady staff are points in its favor; the abuse citations and thin weekend coverage are what a family should ask about directly.

Nurse hours

3.72 /day

Staff turnover

45%

Serious cites

0

Spjst Rest Home No 2 runs about 3.72 nurse staffing hours per resident day, roughly 4% under the national average, and weekends drop another 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Staff turnover sits at 45.2%, essentially at the national rate. The inspection record is the strongest part of this home: a five-star health inspection rating, last survey in December 2025, and seven deficiencies total, one of them serious enough to reach harm or jeopardy level, with no abuse citations. One fine of $12,649 is on record. Quality measures land mid-range at three stars, which is where the softer spots show up.

Nurse hours

3.80 /day

Staff turnover

45%

Serious cites

0

Hatley Health Care runs 201 beds in Clanton under corporate ownership, and the staffing picture is roughly average, 3.80 nurse hours per resident day against a national 3.86. Weekends are where it thins out, dropping about 19% below the home's own weekday coverage, so a Saturday or Sunday visit may look different from a Tuesday. Turnover sits at 44.6%, essentially tracking the national rate. Seven deficiencies are on record, none at harm or jeopardy level, though one is abuse-related, worth asking about directly. The last full inspection was June 2023, so that record is getting older. Inspection and quality measures both scored well; staffing is the softer spot.

Nurse hours

3.78 /day

Staff turnover

44%

Serious cites

0

Hendrix Health And Rehabilitation runs 110 certified beds in Double Springs, owned by an individual for-profit operator. Nurse staffing sits at 3.78 hours per resident day, just under the national average of 3.86, and weekends drop roughly 19% below the home's own weekday coverage. Staff turnover is 44.3%, slightly better than the 45.8% national figure. The current record shows 7 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection dated September 7, 2023. CMS gives the home 2 of 5 stars on health inspections, 3 on quality measures, and 3 on staffing, so the concerns here center on inspection findings and thinner weekend coverage rather than any documented resident harm.

Nurse hours

4.02 /day

Staff turnover

36%

Serious cites

0

Capitol Hill Healthcare Center sits in Montgomery with 284 certified beds under corporate for-profit ownership. Nurse staffing runs about 4.02 hours per resident day, a bit above the national average, though weekends dip roughly 17% below its own weekday levels. Staff turnover of 36.3% is meaningfully lower than the national 45.8%, a real plus for consistency of care. Inspections look mostly clean: three deficiencies on record, none involving harm or abuse, and a 4/5 health inspection rating. The softer spot is quality measures at 2/5. One caution: the last inspection was April 2021, so that record is dated.

Nurse hours

3.78 /day

Staff turnover

40%

Serious cites

0

Little River Nursing & Rehab is city-county owned, one of the fewer government-run homes you'll find in Arkansas, and its inspection record is genuinely strong: five out of five stars, 13 deficiencies on the current record but none at the harm level and none abuse-related, with the last visit in June 2026. Where it slips is quality measures, just two stars, and staffing sits slightly under the national average at 3.78 hours per resident day, with weekends running about 18% thinner than weekdays. Turnover is 40.2%, better than the 45.8% national figure. The takeaway: this is a clean, well-inspected building that may feel stretched on weekends.

Nurse hours

4.39 /day

Staff turnover

—

Serious cites

0

Meadowbrook Post Acute runs 4.39 total nurse hours per resident day, roughly 14% above the national average, but weekends dip about 11% below its own weekday coverage. The staffing star rating sits at 2 out of 5, and the health inspection rating matches it. The current record carries 52 deficiencies, including four at the harm or jeopardy level and three tied to abuse. Quality measures score 4 out of 5, so the clinical metrics look better than the inspection side. A for-profit limited liability company operates the 64-bed home, and the last inspection was November 18, 2025. The staffing hours look strong on paper, but the deficiency history and weekend drop-off are what a family should ask about directly.

Nurse hours

4.45 /day

Staff turnover

—

Serious cites

0

Grand Park Convalescent Hospital runs 151 certified beds in Los Angeles under individual for-profit ownership, and its total nurse staffing of 4.45 hours per resident day sits about 15% above the national average of 3.86, a genuinely good number on paper. But look closer and the picture gets uneven: weekends run roughly 9% below its own weekday coverage, so the daily experience depends on when you visit, and CMS's own staffing rating lands at just 2 out of 5. The inspection record shows 37 deficiencies, none at harm or jeopardy level, though four are abuse-related. Quality measures and health inspections both score 4 out of 5, and the most recent inspection came in July 2025, so the record is current.

Nurse hours

3.57 /day

Staff turnover

—

Serious cites

0

The Rehabilitation Center at Sandalwood runs about 3.57 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends drop another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Its record shows 23 deficiencies, including 2 at harm or jeopardy level and 1 tied to abuse, plus a $46,150 fine. The last inspection was February 2026. That said, this isn't a home with bad clinical outcomes on paper: the 5/5 quality measure rating suggests wounds, falls, and similar measures look strong, and the 4/5 staffing star reflects that 3.57 figure. The tension is between good outcome scores and a citation history that includes two serious findings.