4,510 Independent Nursing Homes in the United States

Nurse hours

3.29 /day

Staff turnover

52%

Serious cites

0

Rose Haven runs about 15% leaner on nurse staffing than the national average, 3.29 hours per resident day against 3.86, and weekends dip roughly 11% below its own weekday coverage, which is when families tend to notice. Turnover sits at 52.1% versus 45.8% nationally, so the aides and nurses on the floor change often. The current inspection record carries 26 deficiencies, including one at the harm or jeopardy level and eight tied to abuse. A single fine of $10,062 is on file, and the last full inspection was December 11, 2025. For-profit corporate ownership, 58 beds.

Nurse hours

4.33 /day

Staff turnover

55%

Serious cites

0

Memorial Hospital Ltcu in Abilene runs on a government hospital-district license and 75 certified beds. The staffing numbers are the strongest part of the story: 4.33 nurse hours per resident day, roughly 12% above the national average, though weekend coverage slips about 7% below its own weekday level. Turnover sits at 55.1% against a 45.8% national average, so the people providing that care are cycling through fairly quickly. The inspection record shows 17 deficiencies, including one at the harm level and one abuse-related, with the most recent survey in September 2024. Quality measure scores came in at 2 stars while staffing earned 4.

Nurse hours

4.34 /day

Staff turnover

52%

Serious cites

0

Enterprise Estates runs a nonprofit home of 40 beds, and its nurse staffing comes in around 4.34 hours per resident day, roughly 12% above the national average of 3.86, with weekend coverage only about 2% lighter than weekdays. That's a real strength. The trouble sits elsewhere: 35 deficiencies on the current record, three of them serious enough to put residents in harm's way and five tied to abuse. Staff turnover is 51.5%, higher than the 45.8% national average, and CMS rated the last health inspection just one star out of five, with a $16,556 fine attached. The most recent inspection was November 17, 2025.

Nurse hours

1.71 /day

Staff turnover

41%

Serious cites

0

Haviland Operator runs 45 beds under for-profit LLC ownership, and its inspection record is genuinely clean, one deficiency total, none at harm level, none tied to abuse, with the most recent survey in October 2025. Quality measures also score at the top of CMS's scale. The staffing number is where the picture changes: 1.71 nurse hours per resident day sits roughly 56% under the national average of 3.86, and weekends run about 7% thinner than weekdays. Turnover at 40.9% is slightly better than the 45.8% national figure, which helps, but it doesn't offset how few hands are present per resident. Ask specifically how many nurses are on the floor on a Saturday evening.

Nurse hours

4.40 /day

Staff turnover

61%

Serious cites

0

Village Care Center runs on more nursing hours than most homes, 4.40 per resident per day against a national average of 3.86, and that shows up in its staffing rating. The catch is turnover: 60.5% of staff left over the year, well above the 45.8% national figure, and weekend coverage drops about 12% below its own weekday level. Its inspection record is recent and clean at the serious end, 18 deficiencies, none causing harm or jeopardy, though three are abuse-related, which families should ask about directly. This for-profit corporate home earns solid marks across all three CMS categories, but the workforce churn is the number worth watching.

Nurse hours

4.50 /day

Staff turnover

37%

Serious cites

0

J. Michael Morrow Memorial runs about 4.5 nurse hours per resident day, roughly 17% above the national average, and its staff turnover of 36.8% is notably better than the 45.8% national figure. Weekend staffing, though, drops about 13% below its own weekday level, so coverage thins out on Saturdays and Sundays. The home carries 18 deficiencies on its current record, including one abuse-related citation, but none at the harm or jeopardy level, and its only fine totals $4,194. Inspectors were last on site in August 2025, and the health inspection rating sits at 4 out of 5 while quality measures come in at 2. That split, solid staffing and inspections, weaker clinical measures, is worth asking about directly.

Nurse hours

3.20 /day

Staff turnover

30%

Serious cites

0

Covenant Home runs on a church-affiliated nonprofit model with 96 beds, and its staff turnover of 30.2% sits well below the national average of 45.8%, that kind of retention matters for residents who need consistent caregivers. The tradeoff shows up in daily staffing: 3.20 nurse hours per resident, roughly 17% under the national figure, with weekends dipping about 8% below its own weekday level. State inspectors logged 23 deficiencies, none at the harm level, though five are abuse-related, and the last visit was May 2025. All three CMS star categories land at 3 out of 5.

Nurse hours

4.73 /day

Staff turnover

48%

Serious cites

0

Gray Birch runs a nonprofit home in Augusta with 77 certified beds, and its nurse staffing sits at 4.73 hours per resident day, roughly 23% above the national average of 3.86. Weekends dip about 12% below its own weekday coverage, and turnover at 48% edges past the national 45.8%, so the strong weekday numbers come with some churn behind them. The health inspection record shows 27 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, though the last survey was in January 2026. Federal staffing and inspection ratings land at 5 and 4 stars, while the quality measure rating sits at just 1, worth asking the staff directly about, since those measures track things like falls, infections, and antipsychotic use.

Nurse hours

3.95 /day

Staff turnover

43%

Serious cites

0

Madigan Estates sits in Houlton with 99 certified beds and a for-profit corporate owner. Nurse staffing runs 3.95 hours per resident day, a bit above the national average, and the 42.6% turnover rate is slightly better than typical, though weekend coverage drops about 8% below weekday levels. Inspections are recent, from May 2025, and the health inspection rating is strong at 4 out of 5. The quality measure rating, though, is 2 out of 5, and the record shows 25 deficiencies, including one at the harm or jeopardy level and five related to abuse. One fine totaling $11,450 has been levied.

Nurse hours

4.89 /day

Staff turnover

68%

Serious cites

0

Breakwater Commons runs a for-profit shop under an LLC, with 96 certified beds in Rockland. The nurse staffing number is genuinely good, 4.89 hours per resident day, roughly 27% above the national average, but weekends dip about 7% below the home's own weekday level, so coverage isn't uniform across the week. The harder issue is turnover: 68.4% annually against a national average of 45.8%, meaning most of the people providing that care are relatively new to the building. Add a 2-out-of-5 inspection rating, 57 deficiencies on the current record including 5 tied to abuse, and two fines totaling $11,998, and you have a home where the day-to-day staffing hours look strong on paper while the inspection history and workforce churn raise real questions worth asking about directly.

Nurse hours

3.52 /day

Staff turnover

46%

Serious cites

0

St. Mary's Nursing Center runs 160 certified beds as a nonprofit corporation, and its last full health inspection came in November 2024, recent enough that the record reflects current conditions. Inspectors have cited 18 deficiencies, none rising to harm or jeopardy, though two are abuse-related, which families should ask about directly. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average, and weekends run about 12% lighter than weekdays. Turnover of 46.1% essentially matches the national rate. The inspection and quality-measure ratings both come in at the top of CMS's scale; staffing lands in the middle. The gap between those is the real story here.

Nurse hours

3.32 /day

Staff turnover

36%

Serious cites

0

Montcare At Bethesda runs lean on direct care: 3.32 nurse hours per resident day, roughly 14 percent below the national average, and weekends dip about 6 percent below its own weekday staffing. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover sits at 35.8 percent, better than the 45.8 percent national figure, which suggests some stability in the workforce even if raw hours are thin. The inspection record shows 28 deficiencies, none at the harm level and none abuse-related, with the most recent survey dated February 2026, recent enough to trust. Quality measures score well. The weak spot is staffing volume, not safety or clinical outcomes.

Nurse hours

4.15 /day

Staff turnover

43%

Serious cites

0

Stella Maris runs a 390-bed nonprofit home in Timonium, and its staffing is the strongest card it holds, 4.15 nurse hours per resident day, roughly 7% above the national average, with turnover at 42.9% against a national 45.8%. Weekends thin out about 10% below weekday coverage, so ask how that gap gets covered. The weaker side shows up in inspections: a 2-out-of-5 health inspection rating and 47 deficiencies on the current record, six of them abuse-related, though none rose to harm or jeopardy. The last inspection was July 2025, so the record is recent. Quality measures also sit at 2 out of 5.

Nurse hours

3.94 /day

Staff turnover

48%

Serious cites

0

North Oaks Communities runs 37 certified beds in Baltimore under individual for-profit ownership, and its staffing sits slightly above the national average at 3.94 nurse hours per resident day. The catch is consistency: weekends drop roughly 8% below weekday coverage, and annual turnover hits 48.4%, a bit worse than the 45.8% national figure. The inspection record is genuinely strong, a 5-out-of-5 health inspection rating, a recent November 2025 survey, and 26 deficiencies with none at the harm or jeopardy level, though one abuse-related citation appears on the record. Where the home slips is quality measures, rated 1 out of 5, a gap worth asking about directly since it reflects resident outcomes rather than the survey itself.

Nurse hours

3.58 /day

Staff turnover

36%

Serious cites

0

Foremost at Sharon runs 66 beds under for-profit LLC ownership, and its nurse staffing sits at 3.58 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 7% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 35.8%, which is actually better than the 45.8% national figure, meaning workers here tend to stay longer than at the typical home. The tradeoff shows up in inspections: 32 deficiencies on the current record, two serious enough to reach harm or jeopardy level, one fine of $26,232, and a June 2025 inspection. No abuse citations. The clinical quality measures score well; the survey history is where the concern lives.

Nurse hours

3.58 /day

Staff turnover

24%

Serious cites

0

Casa De Ramana runs leaner than the average nursing home on nurse hours, 3.58 per resident day against a national 3.86, and weekends dip roughly 10% below its own weekday staffing. That's worth knowing if your family visits mainly on Saturdays and Sundays. Turnover is the bright spot: 24.1% annually, roughly half the national rate, which suggests a steadier crew than most for-profit LLC homes. Twenty deficiencies sit on the current record, including one at harm or jeopardy level and three tied to abuse, with a single $8,512 fine. The last inspection was November 2024, so the record is fairly current.

Nurse hours

3.13 /day

Staff turnover

35%

Serious cites

0

Oceanside runs a 76-bed for-profit home in Rockport, and its inspection history is the strongest card it holds, a 4/5 health inspection rating with the last survey in June 2025 and no deficiencies at the harm or jeopardy level. The catch is staffing: 3.13 nurse hours per resident day is roughly 19% under the national average of 3.86, and weekends drop about 8% below its own weekday levels, which matters when a resident needs help on a Sunday. Turnover at 35.4% actually beats the national 45.8%, so the people who stay tend to stay. One abuse-related deficiency sits on the record, and 30 total deficiencies is not nothing.

Nurse hours

3.72 /day

Staff turnover

54%

Serious cites

0

The Gilbert Residence is a 32-bed nonprofit home in Ypsilanti with a recent inspection on record and no deficiencies at the harm or jeopardy level, a meaningful distinction, since most of its 18 citations are paperwork and process issues rather than resident injury. Two abuse-related deficiencies still stand out. Staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends run roughly 7% thinner than weekdays. Turnover is the bigger concern at 54.3%, well above the 45.8% national figure, which matters more in a building this small where residents see the same few aides every day.

Nurse hours

3.73 /day

Staff turnover

43%

Serious cites

0

St. Anthony Health & Rehabilitation runs on a for-profit partnership model with 110 certified beds, and its nurse staffing sits at 3.73 hours per resident day, roughly 3% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so families should ask how that gap gets filled. Turnover lands at 42.6%, a bit better than the 45.8% national figure. The current inspection record carries 28 deficiencies, none at harm or jeopardy level, though two are abuse-related, plus one fine of $10,203. The most recent inspection was April 10, 2025.

Nurse hours

4.35 /day

Staff turnover

37%

Serious cites

0

Havenwood Care Center sits in Bemidji with 65 certified beds, run by a for-profit corporation, and its numbers pull in two directions. Nurse staffing runs 4.35 hours per resident day, about 13% above the national average, and turnover at 36.6% is better than the 45.8% national figure, real strengths. But the inspection record is where the story turns: 49 deficiencies on file, four of them at harm or jeopardy level, four tied to abuse, and four fines totaling $137,245. Weekend staffing also dips about 8% below weekday levels. The quality and staffing stars look strong; the health inspection star does not, and that gap is what families should sit with.