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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 2341–2360 of 4,510, best-graded first.

B

77/100

Sacred Heart Care Center

Austin, MN · Mower County

CMS 2/5 59 beds Non-profit Medicaid
Nurse hours
5.64 /day
Staff turnover
—
Serious cites
0

Sacred Heart runs plenty of nursing hours, 5.64 per resident day, roughly 46% above the national average, and that shows up in a 4-star staffing rating. The catch is weekends, when coverage drops about 15% below what the home staffs on weekdays. On the clinical side, the quality measure rating sits at 1 star, and the current record carries 29 deficiencies, including three tied to abuse; none rose to the level of actual harm or jeopardy. State inspectors were last in on July 25, 2025. For a 59-bed nonprofit in Austin, the staffing investment is real, but the quality numbers and that weekend dip are where a family should ask questions.

B

77/100

Divine Providence Community Home

Sleepy Eye, MN · Brown County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
34%
Serious cites
0

Divine Providence Community Home runs about 3.42 nurse hours per resident day, roughly 11 percent under the national average, and weekend coverage dips another 8 percent below its own weekday level, a pattern families often notice on Saturdays and Sundays. Staff turnover sits at 34.1 percent, better than the 45.8 percent national figure, so the people who are there tend to stay. The record is mixed: 14 deficiencies, including one at the harm level and one abuse-related, and the most recent inspection was April 2026. Quality measure scores are weak, while staffing is strong, which is worth asking about directly.

B

77/100

Hope Springs At Minnetonka

Minnetonka, MN · Hennepin County

CMS 1/5 21 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
13%
Serious cites
0

Hope Springs At Minnetonka runs 21 beds, and the staffing numbers are the interesting part: 2.82 nurse hours per resident day, roughly 27% under the national average, and weekends drop about 25% below its own weekday level. So care is thin, and thinner on Saturdays and Sundays. What offsets that is stability, 12.5% annual turnover against a national 45.8% means the people who are there tend to stay, which matters more in a small building where residents know their aides. The tradeoff shows up in oversight: 37 deficiencies on record, none at harm level, with three fines totaling $9,496 and a recent June 2026 inspection. Ask about weekend coverage specifically.

B

77/100

Riverview Nursing & Rehabilitation Center

Greenwood, MS · Leflore County

CMS 2/5 91 beds Non-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
—
Serious cites
0

Riverview runs 91 certified beds in Greenwood under nonprofit ownership, and its nurse staffing sits just barely above the national average, 3.91 hours per resident day versus 3.86. That margin is thin, and weekends drop about 19% below the home's own weekday coverage, so the weekday numbers flatter the overall picture. The inspection record is where the real story sits: 27 deficiencies on file, none flagged at harm or jeopardy level but one tied to abuse, with the most recent inspection in November 2024. Quality and health inspection ratings both land at 2 out of 5. Nothing here suggests danger, but the pattern points to a home that meets minimums rather than exceeds them.

B

77/100

Haven Hall Health Care Center

Brookhaven, MS · Lincoln County

CMS 3/5 81 beds Non-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
—
Serious cites
0

Haven Hall runs 81 certified beds in Brookhaven as a nonprofit, and its nurse staffing sits at 3.78 hours per resident day, just under the 3.86 national average, roughly two percent light. The bigger issue is weekends, when coverage drops about 16 percent below what the home staffs on weekdays. That gap matters because falls and infections don't check the calendar. Inspectors cited 12 deficiencies on the current record, one serious enough to involve harm or jeopardy, with a single fine of $9,445. The last inspection was April 2, 2026. No abuse findings appear in the record, which is worth noting. What you're looking at is a home that isn't failing badly but isn't staffing like it means to stay ahead of trouble, either.

B

77/100

Azalea Gardens Nursing Center

Wiggins, MS · Stone County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
23%
Serious cites
0

Azalea Gardens sits in Wiggins, a 99-bed for-profit home under individual ownership, and its numbers split sharply depending on where you look. The nurse staffing figure, 3.81 hours per resident day, lands just under the national average, though weekends run about 11% leaner than weekdays, worth asking about if your family visits or calls on Saturdays and Sundays. What stands out more is turnover: 22.6% against a national average near 46%, meaning the people caring for residents tend to stay. Inspectors were last in on March 6, 2025, and the record shows 12 deficiencies, six of them serious enough to involve harm or jeopardy, plus one tied to abuse. The quality measure star rating sits at 1 out of 5, which is the piece I'd press hardest on before deciding.

B

77/100

St Andrew's At Francis Place

Eureka, MO · St. Louis County

CMS 3/5 106 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
49%
Serious cites
0

St Andrew's at Francis Place runs 106 certified beds as a nonprofit, and its staffing sits at 3.64 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 5% below the home's own weekday coverage, and turnover runs 48.5% against a national 45.8%, so the crews covering those shifts keep changing. The inspection record is where the bigger questions are. CMS has cited 33 deficiencies on the current record, including 3 at harm or jeopardy level and 4 tied to abuse, with a $77,664 fine and a February 2025 inspection. Federal ratings give 2 of 5 stars for both health inspections and quality measures, 3 for staffing.

B

77/100

Brooke Haven Healthcare

West Plains, MO · Howell County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
50%
Serious cites
0

Brooke Haven in West Plains runs 120 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, barely above the national average of 3.86, so the margin is thin. Weekends drop roughly 9% below weekday coverage, and staff turnover hits 50% against a 45.8% national rate, which means the people caring for residents keep changing. Inspections look strong on paper, but the record shows 29 deficiencies, including one at the harm level and one abuse-related, plus a $10,033 fine. The most recent inspection was March 2026.

B

77/100

Clarence Care Center

Clarence, MO · Shelby County

CMS 3/5 60 beds Government Medicaid
Nurse hours
4.15 /day
Staff turnover
40%
Serious cites
0

Clarence Care Center runs on county money, and its nurse staffing reflects that: 4.15 hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 9% below its own weekday level. Staff turnover sits at 40%, better than the 45.8% national figure, and the recent inspection date of January 29, 2026 means the record is current. What holds it back is the inspection history: 25 deficiencies, one at the harm level and four tied to abuse, against a quality measure rating of 2 out of 5. Strong hands-on staffing, but a record that needs watching.

B

77/100

Good Shepherd Community Care And Rehabilitation

Lockwood, MO · Dade County

CMS 3/5 69 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
40%
Serious cites
0

Good Shepherd runs a nonprofit home with 69 beds in Lockwood, and its staffing is the strongest part of the picture, 4.37 nurse hours per resident day, well above the 3.86 national average, with weekend coverage dipping about 10% below its own weekday level. Turnover sits at 39.5%, better than the 45.8% national figure, which matters for whether residents see familiar faces. The tradeoffs show up elsewhere: 17 deficiencies on record, none at the harm level and none abuse-related, with a single fine of $5,293 and a survey from April 2024. Quality measures score lower than staffing does, so ask about specific clinical outcomes when you visit.

B

77/100

Oakridge Of Plattsburg

Plattsburg, MO · Clinton County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
40%
Serious cites
0

Oakridge Of Plattsburg runs 3.25 nurse hours per resident day, about 16% under the national average of 3.86, and weekends dip roughly 11% below its own weekday staffing. Turnover sits at 39.6%, better than the 45.8% national figure, which matters for consistency of care. The 21 deficiencies on record include one at the harm or jeopardy level, and there's a single fine of $12,735; the last inspection was March 2026. As a nonprofit corporation with 60 beds, it's small enough that staffing shortfalls aren't easily absorbed. The federal staffing rating reflects the hours worked, but the inspection record and that harm-level finding are the parts I'd ask about directly before deciding.

B

77/100

Courville At Nashua

Nashua, NH · Hillsborough County

CMS 5/5 94 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
53%
Serious cites
0

Courville At Nashua runs 94 certified beds under corporate ownership, and its staffing is the number worth sitting with. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekends dip about 7% below its own weekday staffing, small gaps that add up over a long stay. Annual turnover of 52.6% against a national 45.8% means more than half the nursing staff leaves each year, which is felt most in whether residents see familiar faces. The good news: eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with an inspection as recent as July 2025.

B

77/100

Presidential Oaks

Concord, NH · Merrimack County

CMS 3/5 85 beds Non-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
68%
Serious cites
0

Presidential Oaks runs 4.43 nurse hours per resident day, roughly 15% above the national average, but weekends drop about 13% below its own weekday level, so the coverage you get depends on when you visit. Staff turnover sits at 68.3% against a national 45.8%, meaning a lot of the people providing that care are new and still learning the building. The current record shows 16 deficiencies, none at the harm level, but one abuse-related citation is worth asking about directly. Inspections were recent and the quality measures are strong; the weaker inspection history and churn are what pull the overall picture down.

B

77/100

Villa Crest Nursing And Retirement Center

Manchester, NH · Hillsborough County

CMS 4/5 126 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
35%
Serious cites
0

Villa Crest runs 126 certified beds under for-profit LLC ownership, and its staffing tells the clearest story: 3.45 nurse hours per resident day, about 11% under the national average of 3.86, with weekends running roughly 8% leaner than weekdays. Turnover sits at 35.4%, better than the 45.8% national figure, which matters for consistency of care. The inspection record shows 9 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was July 2025. Its four-star marks for health inspections and quality measures are genuinely earned, but the three-star staffing rating reflects that thinner coverage.

B

77/100

Bartley Nursing & Rehab

Jackson, NJ · Ocean County

CMS 5/5 234 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
54%
Serious cites
0

Bartley Nursing & Rehab in Jackson runs 234 beds under for-profit LLC ownership, and its inspection record is genuinely clean: 11 deficiencies on file, none at the harm level, no abuse citations, and a survey as recent as August 2025. The two five-star ratings for health inspections and quality measures back that up. Staffing tells a different story. Total nurse hours sit right at the national average, but weekends drop about 9% below the home's own weekday coverage, and turnover hits 53.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. Consistent weekday coverage paired with heavy turnover and thinner weekend shifts is the tension worth asking about directly.

B

77/100

Atlas Healthcare At Seashore Gardens

Galloway Township, NJ · Atlantic County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
53%
Serious cites
0

Atlas Healthcare At Seashore Gardens runs 151 certified beds in Galloway Township under for-profit LLC ownership, and its staffing tells a mixed story: 4.12 nurse hours per resident day sits about 7% above the national average of 3.86, yet weekend coverage drops roughly 6% below its own weekday level. Annual turnover of 52.9% outpaces the 45.8% national figure, so the people showing up are often new. The record holds 29 deficiencies with none at harm or jeopardy level, though one is abuse-related, and the most recent inspection came in July 2025. CMS gives it 2 out of 5 on both health inspections and staffing, but 5 out of 5 on quality measures, a split worth asking about directly.

B

77/100

New Community Extended Care Facility

Newark, NJ · Essex County

CMS 1/5 180 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
37%
Serious cites
0

New Community Extended Care in Newark runs 180 certified beds as a nonprofit, and its staffing picture is mixed. Nurses provide 3.67 hours per resident day, roughly 5% under the national average, and weekends dip about 12% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Retention is a genuine strength: 37.3% turnover beats the 45.8% national figure. The trouble sits in inspections, where a single star and 22 deficiencies, one serious enough to reach harm or jeopardy, produced a $70,317 fine. That record, last reviewed in February 2025, is the main reason this home lands where it does.

B

77/100

Clover Rest Home

Columbia, NJ · Warren County

CMS 5/5 33 beds For-profit Medicaid
Nurse hours
4.42 /day
Staff turnover
43%
Serious cites
0

Clover Rest Home in Columbia runs 33 certified beds under for-profit LLC ownership, and the staffing picture is better than most: 4.42 nurse hours per resident per day, roughly 14% above the national average of 3.86. That said, weekends dip about 11% below the home's own weekday levels, so coverage isn't perfectly even across the week. Turnover sits at 42.9%, a touch better than the national 45.8%. Nine deficiencies appear on the current record, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was May 2025. Quality measures land mid-range while inspections came back strong, which is roughly what you'd expect from a small home with solid hands-on hours but some unevenness.

B

77/100

St. John's Health Care Corporation

Rochester, NY · Monroe County

CMS 1/5 455 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
47%
Serious cites
0

St. John's runs 4.24 nursing hours per resident day, roughly 10% above the national average, and its staffing and quality-measure ratings both come in at 4 out of 5. That's the good part. The health inspection record is where it falls apart: a 1 out of 5, with 30 deficiencies on file, three of them at the harm or jeopardy level and three tied to abuse. Two fines totaling $141,034 sit on the record, and the most recent inspection was June 9, 2025. Staff turnover is 46.8%, essentially the national average, and weekend coverage drops about 10% below weekday levels, so the hours look strong on paper, but consistency and safety are the real questions here.

B

77/100

Pine Forest Car Center For Rehab & Healthcare

Huntington, NY · Suffolk County

CMS 1/5 76 beds For-profit Medicaid
Nurse hours
3.15 /day
Staff turnover
16%
Serious cites
0

Pine Forest Car Center runs on 3.15 nursing hours per resident day, roughly 18% under the national average, and weekends drop about 15% below its own weekday levels. That staffing score still comes out strong on CMS's scale because turnover is just 16.1%, well below the 45.8% national figure, so the hours it does budget tend to go to people who stay. The inspection record is the problem: a 1/5 health inspection rating, 21 deficiencies including two at harm or jeopardy level and four tied to abuse, plus one fine of $15,733. The most recent inspection was February 2025.

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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