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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 2361–2380 of 4,510, best-graded first.

B

77/100

Loretto Health And Rehabilitation Center

Syracuse, NY · Onondaga County

CMS 1/5 583 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
38%
Serious cites
0

Loretto runs 583 beds as a nonprofit, and the numbers tell a mixed story. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, and weekends run roughly 11% thinner than weekdays. That's a real gap if your family visits on Saturdays and Sundays. Turnover is 37.6%, which is better than the 45.8% national figure, so the people who stay tend to stay. The current record shows 39 deficiencies, including two tied to abuse, though none at the harm or jeopardy level. The last inspection was August 2025. Quality measures score well, but the inspection record is where the concerns concentrate. Ask about the abuse-related findings and weekend coverage before deciding.

B

77/100

Medina Memorial Hospital Snf

Medina, NY · Orleans County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
53%
Serious cites
0

Medina Memorial Hospital SNF runs a small 30-bed unit, and its staffing is genuinely better than most: 4.36 nurse hours per resident day, roughly 13 percent above the national average, with weekends only about 7 percent lighter than weekdays, a modest dip. The trade-offs show up elsewhere. Staff turnover sits at 52.9 percent against a national 45.8, so the people delivering that care keep changing. Inspections in May 2024 turned up 8 deficiencies; none rose to harm or jeopardy, but 2 were abuse-related, and the quality measure rating lands at 1 out of 5. Strong hands-on hours, uneven consistency and outcomes.

B

77/100

Northern Metropolitan Res Health Care Facility Inc

Monsey, NY · Rockland County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
20%
Serious cites
0

Northern Metropolitan runs lean on nurse hours, 3.62 per resident day against a national average of 3.86, and the gap widens on weekends, when staffing drops about 14% below its own weekday level. What stands out is retention: 19.5% turnover is less than half the national rate, so the people showing up are largely the same people, which matters more at a smaller 120-bed nonprofit than raw hours suggest. The record shows 15 deficiencies, none involving harm or abuse, with the most recent inspection in July 2024. Quality measures score well; the inspection and staffing ratings sit at 2 out of 5.

B

77/100

Hillside Manor Rehab & Extended Care Center

Jamaica Estates, NY · Queens County

CMS 2/5 400 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
27%
Serious cites
0

Hillside Manor runs 400 certified beds in Jamaica Estates under for-profit LLC ownership, and the raw staffing number, 3.37 nurse hours per resident day, sits about 13% under the national average of 3.86. Weekends dip roughly another 9% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. What stands out in the other direction is retention: 26.5% turnover against a 45.8% national average means far fewer unfamiliar faces than at a typical home. The inspection record is where the picture darkens, 19 deficiencies on file, including two at harm or jeopardy level and three tied to abuse, plus a $34,947 fine and a 2-out-of-5 health inspection rating. The most recent survey was March 31, 2025, so that record is current.

B

77/100

Degraff Memorial Hospital-Skilled Nursing Facility

North Tonawanda, NY · Niagara County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
54%
Serious cites
0

The staffing number is the one to sit with here: 1 out of 5 stars, with 53.6% annual turnover against a national average of 45.8%. That means the people caring for residents are changing over at a faster clip than at the typical American nursing home. On the other side of the ledger, the clinical quality measures score a full 5 out of 5, and the ten deficiencies on record include none at the harm or jeopardy level, though two are abuse-related, which is worth asking about directly. Inspections were recent, in October 2024, and the last one drew a middling result. Corporate-owned, 80 beds.

B

77/100

Sheepshead Nursing & Rehabilitation Center

Brooklyn, NY · Kings County

CMS 3/5 200 beds For-profit Medicaid
Nurse hours
3.69 /day
Staff turnover
25%
Serious cites
0

Sheepshead runs leaner than the typical U.S. nursing home on nursing hours, 3.69 per resident day against a national average of 3.86, and weekends drop roughly 11% below its own weekday staffing, which is worth asking about if most of your visits would fall on Saturdays or Sundays. The good news sits in the turnover number: 25.1% is well under the national 45.8%, so the aides and nurses around your family member are more likely to still be there next year. The current record shows 17 deficiencies, none at the harm level, one tied to abuse, and the last inspection was April 2024.

B

77/100

Silvercrest

Jamaica, NY · Queens County

CMS 2/5 320 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
19%
Serious cites
0

Silvercrest runs a tight ship on staffing: 3.93 nurse hours per resident day, just above the national average, and weekend coverage dips only about 6% below weekdays. The standout number is turnover, 19.3% against a national average near 46%. That kind of retention usually means consistent caregivers who know the residents. Then there's the inspection record. Sixteen deficiencies, one at the harm level, one abuse-related, and a $24,850 fine. The last inspection was December 2024, so the record is current, not stale. A nonprofit with 320 beds holding a 4/5 on quality measures and a 2/5 on health inspections is a mixed picture: the day-to-day care metrics look solid, but the survey history is where a family should ask questions.

B

77/100

Bronxcare Special Care Center

Bronx, NY · Bronx County

CMS 4/5 240 beds Non-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
24%
Serious cites
0

Bronxcare Special Care Center runs a tight ship on retention, 23.9% turnover is roughly half the national rate, which tells you aides and nurses tend to stay. That matters, because consistency of care is hard to fake. The trade-off shows up in raw hours: 2.91 nurse staffing hours per resident day sits about a quarter below the national average, and weekends dip further. Inspections look solid, a 4/5 health inspection star and a recent survey with no deficiencies at the harm level, though 14 total deficiencies and three abuse-related citations are worth asking about directly. Nonprofit ownership and a stable workforce are real strengths here; the staffing number is the thing to watch.

B

77/100

Queens Boulevard Extended Care Facility

Woodside, NY · Queens County

CMS 4/5 280 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
40%
Serious cites
0

Queens Boulevard Extended Care Facility runs 3.72 nurse hours per resident per day, a bit under the national average of 3.86. Weekends dip about 5% below its own weekday coverage, so the thinnest shifts are predictable ones. Staff turnover sits at 39.8%, better than the 45.8% national figure, people tend to stay here longer than at the typical home. The 280-bed for-profit LLC was last inspected in June 2024 and carries 12 deficiencies, none at harm or jeopardy level, though one is abuse-related. Federal ratings put quality and inspection at 4 out of 5 while staffing lands at 2. The pattern is a home that scores well when surveyed but runs leaner than average between visits.

B

77/100

St Catherine Of Siena Nursing And Rehabilitation C

Smithtown, NY · Suffolk County

CMS 3/5 240 beds Non-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
28%
Serious cites
0

St Catherine of Siena runs a 240-bed nonprofit home in Smithtown, and its staffing sits right at the national average, 3.88 nurse hours per resident day against 3.86, so don't expect more hands on deck than a typical facility. Weekend coverage drops about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays. Turnover is the real bright spot: 28% versus a national 45.8%. On the other side, 13 deficiencies are on record, one at harm or jeopardy level and three abuse-related, plus a $64,496 fine, with the last inspection in August 2025.

B

77/100

The Forest At Duke Inc

Durham, NC · Durham County

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

The Forest At Duke is a four-bed nonprofit unit in Durham, and its inspection record is close to spotless, one deficiency on the books, none of it involving harm, jeopardy, or abuse, with a survey as recent as November 2024. Where it slips is staffing, and the picture is odd: total nurse hours run about 4.15 per resident day, roughly 8% above the national average, yet weekend coverage drops about 11% below the home's own weekday level. With only four certified beds, a single callout can swing the numbers in ways they wouldn't at a larger home, so read the low staffing rating alongside the size rather than on its own.

B

77/100

Carriage Inn Of Steubenville

Steubenville, OH · Jefferson County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
38%
Serious cites
0

Carriage Inn of Steubenville runs 120 certified beds under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, about 7% under the national average of 3.86, with weekends running roughly 8% thinner than weekdays. Turnover is 37.9%, which is actually better than the 45.8% national figure, though the current inspection record carries 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. The most recent inspection was April 6, 2026. Quality measures score well, but the staffing and inspection numbers are where a family should focus their questions.

B

77/100

Wood Haven Health Care Senior Living & Rehab

Bowling Green, OH · Wood County

CMS 4/5 93 beds Government Medicaid
Nurse hours
3.71 /day
Staff turnover
49%
Serious cites
0

Wood Haven is county-owned, which usually means steadier oversight than a for-profit chain, and its quality measures come in strong at 5 out of 5 stars. The staffing picture is more mixed: 3.71 nurse hours per resident day sits about 4% under the national average, and weekend coverage drops roughly 13% below what the home staffs on weekdays. Turnover runs 48.8%, a few points above the national rate. Inspections show 29 deficiencies on record, none at the harm level, though three are abuse-related, and the most recent inspection was in April 2026. Nothing here reads as dangerous, but the thin weekend staffing and abuse citations are worth asking about directly.

B

77/100

Village Green Rehabilitation And Healthcare Center

Greenville, OH · Darke County

CMS 5/5 51 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
53%
Serious cites
0

Village Green runs 4.22 nurse hours per resident per day, about 9% above the national average, and its inspection and quality-measure ratings both come back clean. Seven deficiencies sit on the record, none of them causing harm or involving abuse, which is a quiet sheet for a 51-bed home. The catch is who's actually there to deliver those hours: staff turnover is 52.8% against a national 45.8%, and weekends run roughly 11% lighter than weekdays, so the coverage that looks strong on paper may thin out precisely when families visit. For-profit corporate ownership, last inspected in December 2023.

B

77/100

Overbrook Center

Middleport, OH · Meigs County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
51%
Serious cites
0

Overbrook Center runs 99 certified beds in Middleport under for-profit LLC ownership, and its record splits sharply depending on which federal measure you look at. The quality measure score sits at the top of the scale, but staffing lands at the bottom, a 1 out of 5, while annual turnover hits 51%, above the national average of 45.8%. That gap matters: good clinical outcomes on paper are harder to sustain when the workforce keeps churning. The inspection history shows 36 deficiencies on the current record, none at the harm or jeopardy level, though three are abuse-related. The last inspection was May 2026, so the picture is recent. Ask about direct-care staffing levels and how the home keeps experienced aides on the floor.

B

77/100

Ohman Family Living At Briar

Middlefield, OH · Geauga County

CMS 5/5 96 beds For-profit Medicaid
Nurse hours
4.49 /day
Staff turnover
55%
Serious cites
0

Ohman Family Living At Briar runs 4.49 nurse hours per resident day, about 16 percent more than the national average, and weekend staffing only dips around 6 percent below its own weekday level. That's a real cushion. The tension is in the numbers around it: staff turnover sits at 54.6 percent against a national average of 45.8 percent, and the federal staffing star comes out to 2 out of 5 despite the raw hours. Eighteen deficiencies appear on the current record, none of them at the harm level, though two are abuse-related. The last inspection was March 5, 2026, and quality measures score 5 out of 5 under corporate ownership.

B

77/100

Ohman Family Living At Holly

Newbury, OH · Geauga County

CMS 5/5 92 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
60%
Serious cites
0

Ohman Family Living At Holly sits in Newbury, and the inspection record is genuinely strong, five stars, four deficiencies total, none tied to abuse, and the most recent survey closed in December 2025. The staffing side tells a different story. At 3.66 nurse hours per resident day, it runs about 5% under the national average, and weekends drop roughly 11% below its own weekday coverage. Annual turnover of 60.3% is well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. A for-profit corporation owns the 92 certified beds. Good surveys paired with thin, churning staff is the tension here, worth asking how weekends are covered before you decide.

B

77/100

Elizabeth Scott Community

Maumee, OH · Lucas County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.34 /day
Staff turnover
56%
Serious cites
0

Elizabeth Scott Community runs a leaner ship than most on direct care: 4.34 nurse hours per resident day, roughly 12 percent above the national average. Inspections look solid too, a four-star health rating, with the most recent visit in September 2024 and no deficiencies at the harm or jeopardy level. The catch is retention. Staff turnover sits at 56.4 percent against a national 45.8, and weekend coverage drops about 14 percent below its own weekday level, so the people at the bedside change often and thin out on Saturdays and Sundays. Nine deficiencies sit on the current record, one tied to abuse. For-profit corporate ownership rounds out the picture.

B

77/100

Lutheran Village At Wolfcreek

Holland, OH · Lucas County

CMS 4/5 67 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
49%
Serious cites
0

Lutheran Village at Wolfcreek runs 3.45 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday coverage, so the thinnest shifts land when families visit and when problems tend to surface. Staff turnover sits at 49.1%, meaning roughly half the nursing team turns over in a year. The quality measure score is perfect, but that's largely self-reported data, while the inspection history shows 29 deficiencies with none at harm or jeopardy level and none abuse-related. The last inspection came in September 2025, so the record is current. Corporate-owned, 67 beds: decent care documentation, thinner staffing than average.

B

77/100

Vian Nursing & Rehab, Llc

Vian, OK · Sequoyah County

CMS 3/5 133 beds For-profit Medicaid
Nurse hours
4.40 /day
Staff turnover
49%
Serious cites
0

Vian Nursing & Rehab runs 133 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.40 hours per resident day, roughly 14% above the national average of 3.86. That's a real cushion, though weekends drop about 14% below the home's own weekday level, so coverage isn't evenly spread across the week. Turnover lands at 48.6% against a national 45.8%, meaning staff are cycling out slightly faster than typical. The current inspection record carries 22 deficiencies, including one at the harm or jeopardy level and seven tied to abuse. One fine totaling $12,735 is on file, and the last inspection was April 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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