4,510 Independent Nursing Homes in the United States

Nurse hours

4.74 /day

Staff turnover

42%

Serious cites

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Stone County Rehabilitation runs about 4.74 nurse hours per resident day, roughly 23% above the national average of 3.86, and turnover sits at 42.1%, slightly better than the 45.8% norm. That staffing picture looks solid on paper. But the quality measure rating is 1 out of 5, and the current record carries 9 deficiencies, 4 of them serious enough to involve harm or jeopardy, plus one fine of $8,190. Weekend coverage also dips about 20% below weekday levels, so the hours aren't evenly spread. A 4-star inspection from May 2025 counts for something, yet the clinical quality numbers and those four harm-level findings are what pull the overall picture down.

Nurse hours

3.42 /day

Staff turnover

44%

Serious cites

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Twin Pines runs 120 beds in Kirksville under nonprofit ownership, and its staffing numbers tell a mixed story. Nurses provide 3.42 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip about 16 percent below the home's own weekday coverage, a gap families should ask about directly. Turnover sits at 44.3 percent, slightly better than the national 45.8 percent, so the workforce is comparatively stable even if thin. Inspections are the weak point: 35 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level, and the most recent survey was in October 2024. State surveyors rated health inspections and quality measures 2 out of 5.

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Gasconade Manor sits in Owensville as a nonprofit home with 79 certified beds, and its inspection record is genuinely clean where it counts: 21 deficiencies on file, but none at the harm or jeopardy level, and the most recent survey was just this past July. The catch is staffing. CMS gives it one star there, which means nurse and aide hours per resident are running well below what most homes report, and that gap matters more than any quality measure score when your family member needs help getting to the bathroom or turning in bed. The two abuse-related deficiencies and a $6,293 fine are worth asking about directly. Strong outcomes, thin coverage, that's the tradeoff here.

Nurse hours

3.47 /day

Staff turnover

43%

Serious cites

0

Katy Manor is county-owned, and that shows up in how it's run: a clean inspection record, with zero deficiencies at the harm or jeopardy level and nothing abuse-related among its 16 total findings. Its last inspection was in March 2025, so you're looking at recent information. The trade-off is staffing. At 3.47 nurse hours per resident day, it runs about 10% under the national average, and weekends drop roughly 17% below its own weekday coverage. Turnover sits at 43.4%, slightly better than the 45.8% national figure. The inspection history is the strongest part of this home; the day-to-day staffing pattern, especially on weekends, is what I'd ask about directly.

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Staff turnover

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Myers Nursing & Convalescent Center has a real split in its record. The quality measures look strong at 5 out of 5, but staffing sits at 1 out of 5, and that's the number that matters most day to day, it tracks how many nurses and aides are actually there for 84 residents. The inspection history is heavy: 66 deficiencies on the current record, including 3 tied to abuse, though none rose to the harm or jeopardy level. The most recent inspection was October 10, 2025. This is a for-profit LLC, and the pattern here is a home that can document good clinical outcomes on paper while running thin on direct care.

Nurse hours

4.60 /day

Staff turnover

61%

Serious cites

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Glendive Medical Center N H runs about 4.60 nurse hours per resident day, roughly 19% above the national average, and that shows in its four-star staffing rating. But the total hides a split: weekends run about a fifth thinner than weekdays, and staff turnover sits at 61.1% against a national 45.8%, so the people providing that care change often. The inspection record carries 14 deficiencies, one at the harm level and one abuse-related, plus a $20,027 fine, with the most recent inspection in September 2025. Nonprofit ownership and a strong weekday floor are real strengths here; the thin weekend coverage and steady churn are the parts worth asking about directly.

Nurse hours

4.53 /day

Staff turnover

37%

Serious cites

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Parkview Haven is city-county owned, and the staffing numbers reflect that: 4.53 nurse hours per resident day, roughly 17% above the national average, with turnover at 37% compared to 45.8% nationally. What keeps it out of the top tier is what inspectors found, nine deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, with the last inspection in May 2025. Weekend staffing also drops about 20% below its own weekday level, which matters if your family visits or needs help on Saturdays and Sundays. The care hours are there on paper; the survey history is the part worth asking about directly.

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Staff turnover

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Riverwoods At Exeter is an eight-bed nonprofit home, and that small scale shows in its record. Four deficiencies on file with none at the harm level and nothing abuse-related is a clean sheet by federal standards, and the most recent inspection came in March 2026, so you're looking at recent information rather than a stale survey. Quality measures score at the top of CMS's five-point scale, which speaks to how residents are actually doing day to day. The one number worth asking about is staffing: with only eight beds, coverage depends on a small crew, so find out who's on overnight and what happens when someone calls out.

Nurse hours

3.24 /day

Staff turnover

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Serious cites

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Cranford Park Care runs about 3.24 nurse hours per resident per day, roughly 16% under the national average of 3.86, and weekends drop another 10% below what the home staffs on weekdays. That thinner weekend coverage matters because the inspection record shows 34 deficiencies, though none at harm or jeopardy level and none tied to abuse. The health inspection rating of 2 out of 5 reflects that record; the quality measure score of 4 out of 5 sits much higher, which is a common split when day-to-day care indicators look better than the survey history. A for-profit corporate owner with 100 certified beds, inspected most recently in August 2025. Ask directly how weekend nurse coverage gets filled before you decide.

Nurse hours

4.36 /day

Staff turnover

24%

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Sprain Brook Manor runs on more nursing hours than most homes, 4.36 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 24% versus roughly 46% nationally. Weekend coverage does dip about 16% below weekday levels, so ask how that plays out on a Saturday. The inspection record shows nine deficiencies, none at the harm level and none abuse-related, with the last state visit in May 2024; staffing and quality measures both sit at four stars out of five. It's a for-profit partnership, which is worth knowing when you're comparing it to nonprofit options nearby.

Nurse hours

3.77 /day

Staff turnover

35%

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Split Rock runs 240 beds in the Bronx under for-profit LLC ownership, and its staffing sits slightly under the national average at 3.77 nurse hours per resident day. Weekends drop about 18% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the bright spot: 35.1% against a national 45.8%. Inspections look solid, a 4/5 star rating, 11 deficiencies on record, none at harm or jeopardy level, but three abuse-related citations are worth asking about directly. Last inspection was September 2024. Quality measures score 5/5; staffing stars come in at 3/5, which tracks with those weekend gaps.

Nurse hours

4.41 /day

Staff turnover

43%

Serious cites

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Lewis County General's nursing unit runs on county money, and the staffing numbers show it: 4.41 nurse hours per resident day, roughly 14 percent above the national average, with weekend coverage dipping about 16 percent below its own weekday levels. Turnover sits at 42.9 percent, a touch better than the 45.8 percent national figure. What pulls the record down is the inspection side, 16 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus a single $160,046 fine. The most recent inspection was July 2024, so the picture is current.

Nurse hours

3.03 /day

Staff turnover

39%

Serious cites

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United Helpers Canton runs on leaner nurse staffing than most homes, 3.03 hours per resident day against a national average of 3.86, with weekends about 20% thinner than weekdays. That's the tradeoff you're weighing against a clean inspection record: nine deficiencies, none at the harm level, and a survey from August 2024. Turnover sits at 38.5%, better than the 45.8% national figure, which matters for whether the people caring for your relative stick around long enough to learn their routines. One abuse-related deficiency is on the books, so ask about it directly. The nonprofit ownership structure tends to mean steadier management than a for-profit chain, though it doesn't change the math on daily coverage.

Nurse hours

3.52 /day

Staff turnover

41%

Serious cites

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Seneca Hill Manor runs about 3.52 nurse hours per resident each day, roughly 9% under the national average, so care here leans on a thinner staffing margin than most homes. Weekends dip further, about 16% below the facility's own weekday levels, which is worth asking about if your family visits or calls on Saturdays and Sundays. Turnover sits at 40.6%, a bit better than the 45.8% national figure, and the latest inspection in October 2024 found ten deficiencies with none rising to harm or jeopardy, though two were abuse-related, which deserves a direct question about how they were resolved.

Nurse hours

12.52 /day

Staff turnover

26%

Serious cites

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Longleaf is a state-run home in Wilson with 248 beds, and its staffing is genuinely unusual: 12.52 nurse hours per resident day, more than triple the national average of 3.86. Turnover sits at 25.9%, well under the national 45.8%, so the people providing that care tend to stay. Weekends run about 19% thinner than weekdays, which is worth asking about. The trouble is everything else. Twenty deficiencies sit on the current record, six of them at harm or jeopardy level and three tied to abuse, with $158,403 in fines across three events. Inspections in June 2025 produced 2 out of 5 stars for both health inspections and quality measures. Strong staffing hasn't translated into safe care.

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Black Mountain Neuro-Medical Treatment Center is state-run, with 163 certified beds, and the federal inspection picture looks strong on paper: five stars for health inspections, five for quality measures. But the deficiency record tells a more complicated story. Five deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, are the kind of findings that matter more than a star rating. Inspections were recent, last dated September 25, 2025. State ownership can mean stable funding and oversight, but it can also mean slower fixes when something goes wrong. Ask directly about those two serious deficiencies and what changed afterward.

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Staff turnover

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Logan Acres is county-owned, and the county runs 110 certified beds in Bellefontaine. The health inspection side looks solid, four stars, but that record includes 16 deficiencies, one of them serious enough to involve actual harm, and three tied to abuse. Staffing is where it really slips: a single star against a national average that's already thin. Quality measures earn top marks, but those often reflect documentation more than daily care, and the most recent inspection was back in January 2023. If you're weighing this one, ask specifically about direct-care hours per resident and what changed after that harm-level finding.

Nurse hours

4.52 /day

Staff turnover

33%

Serious cites

0

Caprice Health Care Center runs on 4.52 nurse hours per resident day, roughly 17% above the national average, and its staff tends to stay, turnover is 33.3% against a national average near 46%. The tradeoff is weekends, when coverage drops about 19% below what the home staffs on weekdays. Inspections look strong: a 5/5 health inspection rating, five total deficiencies, none at the harm level, one abuse-related, and the most recent visit was March 2026. Quality measures sit at 3/5, which is where the score gives back some ground. Corporate-owned and Medicare-certified for 75 beds, this is a home with real staffing depth and a clean recent inspection record, held back mainly by average clinical quality measures.

Nurse hours

4.82 /day

Staff turnover

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Serious cites

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Beadles runs 4.82 nurse hours per resident day, roughly a quarter above the national average, and that staffing is the clearest strength in its file. Weekends dip about 8% below its own weekday level, so coverage stays fairly even across the week rather than collapsing on Saturdays. The problems sit elsewhere: four deficiencies on the current record, one serious enough to reach harm or jeopardy, and a two-star health inspection rating alongside three stars for quality measures. Corporate-owned and 74 beds, with its most recent inspection in January 2026. Strong daily staffing, but the survey history is the piece worth asking about directly.

Nurse hours

3.28 /day

Staff turnover

40%

Serious cites

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Holy Family Manor runs lean on direct care: 3.28 nurse hours per resident day against a national average of 3.86, and weekends drop roughly a quarter below its own weekday staffing. The tradeoff shows up in consistency, 39.5% annual turnover, better than the 45.8% national figure, which suggests the aides and nurses who are there tend to stay. Its inspection record is the strongest part of the picture: six deficiencies on file, none involving harm or abuse, and a survey completed in July 2025, so the findings are recent rather than stale. As a church-affiliated nonprofit with 208 beds, it isn't chasing margin, and that shows up in a clean regulatory record even where daily coverage runs thin.