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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 2241–2260 of 4,510, best-graded first.

B

77.5/100

Exceptional Care For Children

Newark, DE · New Castle County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Exceptional Care For Children is a 46-bed nonprofit in Newark, and its inspection record looks strong: five stars on health inspections, a May 2024 survey, and only three deficiencies on the current record, none of which rose to harm or jeopardy. One of those three is abuse-related, which is worth asking about directly, since even a single flag in that category matters more than the count suggests. What likely holds the overall picture back is size and staffing, not inspection findings, small pediatric-focused homes can struggle to match national staffing averages per resident. Ask about turnover and who covers nights before deciding.

B

77.5/100

Lakeview Terrace Rehab And Health Care Center

Altoona, FL · Lake County

CMS 2/5 40 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Lakeview Terrace runs on unusually deep staffing for a 40-bed nonprofit home in Altoona, 7.48 nurse hours per resident day, nearly double the national figure, with weekend coverage dipping only about 12% below weekdays. Turnover sits at 27.6% against a 45.8% national average, which suggests aides and nurses tend to stay. The catch is inspections: a 2-out-of-5 health inspection rating and 12 deficiencies on record, though none involved harm or abuse, and the most recent survey came in October 2025. Quality and staffing both score 5 out of 5. So you're looking at a well-staffed, well-liked-by-measures home with paperwork and process problems that haven't hurt anyone yet.

B

77.5/100

Church Home Rehabilitation And Healthcare

Fort Valley, GA · Houston County

CMS 4/5 75 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
48%
Serious cites
0

Church Home Rehabilitation and Healthcare runs 75 certified beds as a church-affiliated nonprofit in Fort Valley, and the direct-care hours here come in around 4.53 per resident per day, roughly 17% above the national average of 3.86. That said, weekends tell a different story: staffing drops about 25% below the home's own weekday level, so coverage narrows when families tend to visit. The current record shows 7 deficiencies, none at the harm or jeopardy level, though 2 are abuse-related, worth asking about directly. Staff turnover sits at 48.2%, slightly above the 45.8% national figure. Its last inspection was July 31, 2025, and both the health inspection and quality measure ratings land at 4 out of 5 stars, suggesting solid recent survey results and clinical metrics.

B

77.5/100

Gracewood Nsg Facility(Unit 9)

Gracewood, GA · Richmond County

CMS 5/5 56 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Gracewood's state-run unit on the Richmond County campus posted one deficiency on its current record, none of it involving harm, jeopardy, or abuse, a thin paper trail that explains the recent five-star inspection rating and a survey completed in March 2025. Quality measures land at the top of the federal scale too. So why doesn't the overall picture come out cleaner? At 56 beds, this is a small unit, and government ownership means it answers to the state rather than a chain or a family operator, which shapes how it's run and who it serves. The numbers here describe a stable, closely watched home; they don't promise it will fit your family's particular situation.

B

77.5/100

Bingham Memorial Skilled Nursing & Rehabilitation

Blackfoot, ID · Bingham County

CMS 4/5 27 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bingham Memorial runs 27 certified beds in Blackfoot under nonprofit ownership, and its inspection history is mixed but not alarming: 23 deficiencies on the current record, none of which rose to harm or jeopardy, and nothing abuse-related. The quality measure side is where it stands out, with a top CMS score there, while health inspections land in the middle. A resurvey on November 20, 2025 means the record is fresh, so what you're seeing is current rather than stale. For a small home, 23 deficiencies is a lot of paperwork, but the absence of any harm-level finding is the number that matters most to a family. Ask what those deficiencies were and how they were corrected.

B

77.5/100

West Suburban Medical Ctr

Oak Park, IL · Cook County

CMS 4/5 50 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

West Suburban Medical Center runs a small 50-bed unit in Oak Park, and its inspection record is its strongest suit, a four-star health inspection score and a clean abuse history, with the most recent survey completed in October 2024. But the staffing score tells a different story. One star means this home sits well below what CMS considers adequate on direct care hours, and that gap matters more than anything else here. Fourteen deficiencies on record, one serious enough to reach harm or jeopardy level, suggest the problems are more about day-to-day care capacity than outright neglect. Quality measures look strong at five stars, though those are largely self-reported. For-profit corporate ownership is worth noting when weighing where the money goes.

B

77.5/100

Oakview Nursing Home

Conrad, IA · Grundy County

CMS 3/5 46 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
54%
Serious cites
0

Oakview runs on thinner staffing than most homes its size, 3.42 nurse hours per resident day against a national average of 3.86, and weekends are where that gets sharper, with coverage dropping roughly 19% below its own weekday level. Turnover sits at 54.3%, well above the 45.8% national figure, so the people around your family member change often. The state's most recent visit, in May 2025, turned up three deficiencies, one serious enough to involve harm or jeopardy; nothing abuse-related. Corporate ownership and 46 beds mean you're one of a few, not a number in a big building, worth asking the administrator directly how they cover a weekend call-out.

B

77.5/100

Stacyville Community Nursing Home

Stacyville, IA · Mitchell County

CMS 3/5 34 beds Non-profit Medicaid
Nurse hours
4.90 /day
Staff turnover
57%
Serious cites
0

Stacyville Community Nursing Home runs high on nurse staffing, 4.90 hours per resident day, roughly 27% above the national average, and CMS gives it its top staffing rating. That's real, but look at how the hours land: weekends run about 16% thinner than weekdays. Staff turnover sits at 56.8%, well above the 45.8% national figure, which matters more in a 34-bed home where residents know their caregivers by name. The inspection record is the bigger concern. There are 39 deficiencies on file, including two at the harm or jeopardy level and two tied to abuse, plus one fine of $21,986. The last inspection was June 2025.

B

77.5/100

Timely Mission Nursing Home

Buffalo Center, IA · Winnebago County

CMS 5/5 42 beds Non-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
36%
Serious cites
0

Timely Mission Nursing Home runs on a leaner staffing budget than most Iowa homes, 3.09 nurse hours per resident day against a national average of 3.86, and weekends dip about 16% below its own weekday coverage. That's worth asking about directly, especially if your family member needs help at predictable times. The tradeoff is a clean inspection record: zero deficiencies at the harm level, nothing abuse-related, and a survey completed just months ago. Staff turnover sits at 36%, better than the national 45.8%, which suggests people tend to stay. The nonprofit ownership and 42-bed size mean a small, stable operation, fewer moving parts, but also fewer nurses on the floor at any given hour.

B

77.5/100

Lawrence Memorial Hospital Snf

Lawrence, KS · Douglas County

CMS 3/5 14 beds Government
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Lawrence Memorial Hospital's skilled nursing unit is small, 14 certified beds, and it's run by the city, which is unusual in this part of Kansas. The staffing numbers are the weak spot: Medicare rates nurse staffing at just one star, well below what most homes in the country manage, and that's the main thing pulling the overall picture down. The clinical quality scores are a different story, sitting at the top of the scale, and the nine deficiencies on record include nothing at the harm level and nothing tied to abuse. State inspectors were last in during October 2024, so the record is current. If you're weighing this one, ask directly how many nurses are on the floor at night.

B

77.5/100

Wichita County Health Center Ltcu

Leoti, KS · Wichita County

CMS 4/5 4 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Wichita County Health Center is a ten-bed county-run home in Leoti, and the small size shows in the numbers. It was inspected in June 2025 and has 30 deficiencies on its current record, but none of them rose to the level of harm or jeopardy, and none were abuse-related, so what's on paper reads more like paperwork and process problems than anything that put residents in danger. Its quality measure score is essentially perfect, which usually means residents are being tracked and treated well. The tradeoff is inspection performance, which lands a step below the top. For a county facility this size, that's a fairly ordinary picture.

B

77.5/100

Pioneer Lodge

Coldwater, KS · Comanche County

CMS 2/5 25 beds Non-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
58%
Serious cites
0

Pioneer Lodge is a 25-bed nonprofit home in Coldwater, and the numbers tell a mixed story. Nurse staffing runs 3.04 hours per resident day, about 21% under the national average, and weekends dip roughly 19% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover sits at 58.3%, well above the 45.8% national figure, which matters because familiar faces are hard to keep. On the other hand, its 23 deficiencies include none at the harm level and none related to abuse, and the most recent inspection was in September 2025. Quality and staffing measures both rate 4 out of 5, while inspections rate 2.

B

77.5/100

Owsley County Health Care Center, Inc.

Booneville, KY · Owsley County

CMS 4/5 91 beds Non-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
28%
Serious cites
0

Owsley County Health Care Center runs on 4.08 nurse hours per resident day, about 6% above the national average, and its staff retention is unusually strong, 28.4% turnover against a national 45.8%. Weekend coverage drops roughly 15% below its own weekday level, so ask how that plays out on Saturdays and Sundays. The inspection record is clean where it counts: nine deficiencies, none at harm or jeopardy level, none abuse-related, with a survey as recent as July 2025. Where the picture weakens is quality measures, which sit at the low end even as staffing and inspections hold up. That split is worth asking about directly.

B

77.5/100

Courtyard Of Natchitoches

Natchitoches, LA · Natchitoches County

CMS 1/5 112 beds Government Medicaid
Nurse hours
4.13 /day
Staff turnover
20%
Serious cites
0

Courtyard of Natchitoches runs on a hospital district's dime, and the staffing shows it: 4.13 nurse hours per resident day, roughly 7% above the national average, with turnover at 19.8%, less than half the national rate of 45.8%. That kind of retention is rare and worth noticing. The tradeoff sits on the inspection side. Forty-five deficiencies on the current record, including five tied to abuse, and a 2-out-of-5 health inspection rating alongside a 1-out-of-5 quality measure score. Weekend staffing drops about 17% below its own weekday level, so coverage thins out when families tend to visit. The last inspection was January 7, 2026.

B

77.5/100

Tri-Community Nursing Center

Palmetto, LA · St. Landry County

CMS 3/5 108 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
39%
Serious cites
0

Tri-Community Nursing Center runs 108 certified beds in Palmetto under corporate for-profit ownership, and its nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average of 3.86. Weekend coverage drops about 23% below the home's own weekday levels, which matters if your family visits or calls on Saturdays and Sundays. Staff turnover is 38.5%, actually better than the 45.8% national figure, so the same faces are somewhat more likely to stick around. The current inspection record shows 19 deficiencies, none at harm or jeopardy level, but one is abuse-related. Its last inspection was March 25, 2026, so the record is recent.

B

77.5/100

The Lodge At Lane

Zachary, LA · E. Baton Rouge County

CMS 5/5 39 beds For-profit Medicaid
Nurse hours
4.68 /day
Staff turnover
41%
Serious cites
0

The Lodge At Lane runs on 4.68 nurse hours per resident per day, roughly 21% above the national average of 3.86, and its staff turnover of 40.5% is lower than the national 45.8%, a good sign that people tend to stay. Inspections back that up: a 5/5 health inspection rating, only three deficiencies on record with none at the harm level and nothing abuse-related, and the most recent visit dated March 2026. What tempers the picture is a 2/5 on quality measures, and weekend staffing that drops about 22% below its own weekday level, meaning care thins out on Saturdays and Sundays.

B

77.5/100

Maplewood Park Place

Bethesda, MD · Montgomery County

CMS 5/5 31 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Maplewood Park Place is small, 31 certified beds, and it's owned by a for-profit corporation, which is worth knowing going in. The inspection history is genuinely strong: five deficiencies on the current record, only one of them serious enough to reach harm or jeopardy, and nothing abuse-related. Federal inspectors gave it top marks on both health inspections and quality measures, and the most recent visit was in March 2025, so the record is current. Where the picture gets less tidy is staffing, which is what keeps a home with this inspection record from scoring higher. Ask the administrator directly about nurse and aide hours per resident per day, and how they hold up on nights and weekends.

B

77.5/100

Brookhaven At Lexington

Lexington, MA · Middlesex County

CMS 5/5 49 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Brookhaven At Lexington runs 49 certified beds under nonprofit ownership, and its inspection record is genuinely clean, four deficiencies total, none at the harm or jeopardy level and nothing abuse-related, with a survey done as recently as November 2025. The federal inspection and quality measure ratings both sit at five stars, which tells you the clinical numbers and the survey history hold up on their own. What keeps the overall picture from being flawless is staffing relative to what you'd expect for a home with these marks. Read the numbers yourself: strong outcomes, small size, no serious citations. If you're weighing this one against others, ask about direct care hours per resident per day before you decide.

B

77.5/100

Jourdain Perpich Ext Care Fac

Redlake, MN · Beltrami County

CMS 5/5 47 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Jourdain Perpich Extended Care in Redlake runs 47 beds as a nonprofit, and its inspection record is genuinely clean, two deficiencies on the current record, none at the harm or jeopardy level, nothing abuse-related, with a survey completed in January 2026. Where it falls short is staffing, which CMS rates in the bottom tier. That single weak spot matters more than the perfect marks on inspections and quality measures, because aides and nurses are who actually deliver the care those scores describe. A small facility can only stretch so far, and the numbers say this one is stretched. If you're considering it, ask specifically how many CNAs are on the floor on evenings and weekends.

B

77.5/100

Aftenro Home

Duluth, MN · St. Louis County

CMS 1/5 54 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
26%
Serious cites
0

Aftenro Home runs lean on nurse staffing at 3.52 hours per resident day, about 9% under the national average, and weekends drop roughly 17% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is heavy: 24 deficiencies, though none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 19, 2026. That one-star health inspection and one-star quality measure rating sit alongside a five-star staffing rating, which looks contradictory until you notice turnover at 26.4%, well below the 45.8% national average. Stable, experienced caregivers are a real strength; the state surveyor findings are the concern worth asking about directly.

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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