4,510 Independent Nursing Homes in the United States

Nurse hours

3.51 /day

Staff turnover

—

Serious cites

0

Mon Valley Care Center runs 60 certified beds in Monongahela under for-profit partnership ownership, and its staffing numbers are the part worth slowing down on. At 3.51 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends dip roughly another 9% below its own weekday level, so the thinnest coverage lands when families tend to visit. The current record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in August 2025. Quality measures score well, but the lower staffing rating reflects a real gap, not a paperwork issue. Fewer hands per resident is the thing to ask about directly.

Nurse hours

3.36 /day

Staff turnover

—

Serious cites

0

Ellen Sagar Nursing Center runs 113 beds in Union under hospital-district ownership, and its staffing sits at 3.36 nurse hours per resident day, about 13% under the national average of 3.86. Weekends dip roughly 8% below its own weekday coverage, which is worth asking about if your family member needs steady care on Saturdays and Sundays. The inspection record shows 13 deficiencies, two of them serious enough to involve harm or jeopardy, though none related to abuse. That last inspection was recent, in March 2025, so the picture is current rather than stale. Quality measures score well; staffing is where this home is thin.

Nurse hours

5.09 /day

Staff turnover

55%

Serious cites

0

Monument Health Sturgis Care Center runs on unusually heavy staffing for a 40-bed nonprofit home, 5.09 nurse hours per resident day, roughly a third above the national average, though weekend coverage drops about 17% from weekday levels, so ask how that gap gets filled. Staff turnover sits at 54.7%, nearly nine points above the national figure, which matters in a building this small where residents see the same few faces daily. The inspection record shows 22 deficiencies, including two at harm or jeopardy level and two tied to abuse, plus $26,272 in fines across two penalties. The last inspection was March 2026.

Nurse hours

4.96 /day

Staff turnover

44%

Serious cites

0

Alamo Nursing and Rehabilitation Center runs on 4.96 nurse hours per resident day, roughly 28% above the national average of 3.86, that's the number working in its favor. Weekends dip about 18% below weekday staffing, so ask how coverage holds up on Saturdays and Sundays. Turnover sits at 43.8%, slightly better than the 45.8% national figure, which matters for whether your parent sees the same faces. The inspection history shows 17 deficiencies, one serious enough to reach harm or jeopardy level, and one fine of $12,542; the most recent inspection was March 2026. Corporate for-profit ownership, 121 beds. The staffing is real, but that one harm-level finding is worth asking about directly.

Nurse hours

5.13 /day

Staff turnover

38%

Serious cites

0

Dyer Nursing and Rehabilitation Center runs 5.13 total nurse hours per resident day, roughly a third more than the national average of 3.86, and its staff turnover of 38.2% sits below the national 45.8%, both signs of a home that keeps people and staffs them. Weekend hours drop about 24% from weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record is clean where it matters: nine deficiencies, none at harm or jeopardy level, none abuse-related, with the most recent survey in August 2025. The weak spot is the quality measure star rating of 1 out of 5, which doesn't square with the staffing picture and is the number to press the administrator on.

Nurse hours

4.40 /day

Staff turnover

28%

Serious cites

0

Jefferson County Nursing Home is county-owned, and that shows up in the staffing numbers: 4.40 nurse hours per resident day, roughly 14% above the national average, with turnover at 28.4% against a national 45.8%. People tend to stay here. Weekend staffing drops about 18% below weekday levels, which is worth asking about if your family member needs more attention on Saturdays and Sundays. The health inspection record is clean where it counts, nine deficiencies on file, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in December 2025. The weak spot is the quality measure rating, which sits near the bottom at 1 out of 5. That gap between good staffing and poor clinical outcomes is the thing to press the administrator on.

Nurse hours

3.84 /day

Staff turnover

—

Serious cites

0

Wellpark is a small for-profit home in Knox County, 32 beds, run by a limited liability company. Its quality scores look great, but that's where the shine fades. Nurse staffing sits just under the national average, and weekends run about 9% thinner than weekdays, so the care you'd want on a Saturday isn't quite the care you'd get on a Tuesday. Inspectors cited 17 deficiencies, including one tied to abuse, though none rose to actual harm or jeopardy. The last inspection was in January 2025, so the record is recent. The state's two-star health inspection rating tells you compliance has been uneven even if no single finding was severe. Ask about weekend coverage and that abuse citation before you decide.

Nurse hours

4.88 /day

Staff turnover

51%

Serious cites

0

Harbert Hills Academy N H runs a tight ship on nurse coverage, with 4.88 hours per resident day, roughly a quarter more than the national average, and that staffing earns it four stars. Weekends dip about 17% below weekday levels, so care may feel thinner on Saturdays and Sundays than the weekday numbers suggest. The inspection record is clean where it counts: 13 deficiencies on file, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Staff turnover sits just above the national rate at 50.8%, and quality measures lag at two stars, a gap that suggests the clinical outcomes don't fully match the staffing picture.

Nurse hours

3.93 /day

Staff turnover

48%

Serious cites

0

Friendship Health and Rehab Center is a 253-bed nonprofit in Roanoke, and its inspection record is genuinely solid, a four-star health inspection rating, with the most recent survey in October 2024 and no deficiencies at the harm or jeopardy level. What's under the surface: 17 total deficiencies on the current record, two of them abuse-related, plus staff turnover at 48.1%, running a bit above the national average of 45.8%. Nurse staffing sits at 3.93 hours per resident day, just above the 3.86 national figure, but weekends run about 18% leaner than weekdays, so coverage can feel different depending on when you visit.

Nurse hours

3.96 /day

Staff turnover

31%

Serious cites

0

Maple Grove runs on 3.96 nurse hours per resident day, a bit above the national average, and its 30.8% turnover is well below the typical 45.8%, that kind of retention usually means the people caring for your family member have been there a while. The catch is weekends, when staffing drops roughly 15% below its own weekday level, so ask how coverage looks on a Saturday. The inspection record shows 14 deficiencies, including one at the harm level and one tied to abuse, with an $8,278 fine and a survey completed in October 2024.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

0

Birmingham Green is county-owned, which usually means steadier funding but also slower movement on staffing. And staffing is where this place shows its soft spot: 3.76 nurse hours per resident day, a bit under the national average, with weekends running about 13% leaner than weekdays. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, last surveyed in January 2024, though it carries 15 deficiencies, including one at the harm level and one abuse-related, so the history isn't spotless. Quality measures score well at 4 out of 5. The takeaway: excellent survey performance and good clinical metrics, but ask directly about weekend nurse coverage before you decide.

Nurse hours

4.24 /day

Staff turnover

36%

Serious cites

0

Elkins Rehabilitation & Care Center runs on a nonprofit model with 111 certified beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. Weekend coverage drops about 16% below its own weekday level, so care shifts depending on the day. Staff turnover is 36.3%, which is lower than the national 45.8%, meaning fewer unfamiliar faces than at many homes. The inspection history is mixed: 34 deficiencies on record, including one at the harm level and six tied to abuse, plus a single fine of $8,278. The most recent inspection was August 2025, so the record is current.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

St. Mary's Hospital runs a small unit, just 19 certified beds, as a nonprofit, and its inspectors clearly like what they see: top marks on health inspections and quality measures, with a recent April 2026 survey. The catch is staffing, where it scores at the very bottom of the federal scale. Fourteen deficiencies are on the current record, and while none rose to the level of actual harm or jeopardy, two are abuse-related, which families should ask about directly. So you have a home that's clean on paper and well-rated for care outcomes, but running thin on the people who deliver that care. Ask what the direct-care hours per resident actually look like on evenings and weekends.

Nurse hours

4.80 /day

Staff turnover

38%

Serious cites

0

South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

This 37-bed pediatric subacute home in Saratoga has strong inspection and quality ratings from CMS, but the 17 deficiencies on its current record deserve a closer look. None of those rose to the level of actual harm or immediate jeopardy, which is genuinely meaningful, but three are abuse-related, a category worth asking about directly, since even non-harm citations in that area can point to gaps in how staff screen, supervise, or report. The last inspection was recent, February 2026, so this is a current picture, not a stale one. A limited liability company operating for profit means you'll want to ask who's actually on-site overnight and how often licensed nurses are present, especially in a pediatric setting.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

The numbers here tell two different stories. Eskaton Village Care Center keeps residents safe in the ways inspections measure: 41 deficiencies on record but none rising to actual harm or jeopardy, and the most recent inspection was in March 2026. Quality measures earn top marks, meaning low rates of things like pressure ulcers and falls. Where it falls down is staffing, the lowest possible rating, well below what CMS expects for 35 beds. Three abuse-related deficiencies also appear on the record. A nonprofit corporation runs the place, so there's no profit motive pushing the margin. The gap between good outcomes and thin staffing is the thing to ask about directly.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Richmond Post Acute Care is a 35-bed for-profit in Contra Costa County, and its record splits in an unusual way. Inspectors have been inside recently, January 2025, and found 22 deficiencies across surveys, but none rose to the level of actual harm or jeopardy, and nothing was abuse-related. The quality measures look strong. The problem is staffing: on that measure this home sits at the bottom of the federal scale, and seven fines totaling $31,405 suggest the paperwork and care-process side has been a recurring issue rather than a one-time lapse. For a family weighing a small home with a decent inspection history, the question worth asking on a tour is who's actually on the floor overnight, and how long they've been there.

Nurse hours

3.60 /day

Staff turnover

—

Serious cites

0

Homeplace Manor runs 60 beds in Hamlin under for-profit LLC ownership. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 8% thinner than weekdays, so the coverage dip families notice on Saturdays is real. The record shows 39 deficiencies, none at harm or jeopardy level, but four tied to abuse, which is the number to ask about directly. Health inspection and staffing each came in at 2 out of 5 stars; quality measures scored 4. The most recent inspection was December 18, 2025, so the picture is current. Ask the administrator how four abuse-related citations happened and what changed since.

Nurse hours

3.37 /day

Staff turnover

—

Serious cites

0

Munday Nursing Center runs on a hospital district's budget, and the numbers show a place that inspects well but staffs thin. Its 3.37 nurse hours per resident day sit about 13% under the national average, and weekends drop roughly 14% below its own weekday coverage, a gap families often feel on Saturday and Sunday. The tradeoff looks deliberate: a clean recent inspection with no harm-level or abuse deficiencies among the 12 on record, plus solid marks on health inspections and quality measures. The weak spot is staffing, and that's the thing to ask about directly, who's on the floor, and when.

Nurse hours

4.15 /day

Staff turnover

40%

Serious cites

0

Menard Manor runs on 4.15 nurse hours per resident day, which is roughly 7% above the national average, and its staff turnover of 40% sits below the national 45.8%, both signs of a steadier operation than many. The catch is weekend coverage, which drops about 20% below weekday levels, so care may thin out when families tend to visit. On paper, though, 17 deficiencies with one at the harm level and two abuse-related, a 2/5 quality measure rating, and a fine of $8,018 point to real problems that good staffing alone doesn't erase.