ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 221 to 240 of 4,510, best-graded first.

A

94.5/100

Allina Health Restorative Suites

Plymouth, MN · Hennepin County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.19 /day
Staff turnover
39%
Serious cites
0

Allina Health Restorative Suites in Plymouth runs a nonprofit shop with 50 certified beds, and the nurse staffing number is the headline: 5.19 hours per resident day, roughly a third above the national average. Weekend coverage dips about 19% below weekday levels, which is worth asking about if your family visits or needs help on Saturdays and Sundays. Staff turnover sits at 38.8%, better than the 45.8% national figure, and the home's last inspection was in May 2026. Thirteen deficiencies are on the current record, one of them serious enough to involve harm or jeopardy, though none are abuse-related. Quality and staffing both score well on CMS measures; the inspection record is where the deductions pile up.

A

94.5/100

Mount Olivet Home

Minneapolis, MN · Hennepin County

CMS 5/592 bedsNon-profitMedicaid
Nurse hours
2.68 /day
Staff turnover
19%
Serious cites
0

Mount Olivet Home runs lean on daily nursing hours, 2.68 per resident, roughly a third below the national average, and weekends drop about a fifth below its own weekday coverage. That's the trade-off behind its strong marks: turnover sits at 19% against a national 45.8%, meaning the aides and nurses who are there tend to stay, and its last inspection in May 2026 came back clean enough for a 4 out of 5. Seventeen deficiencies are on record, one serious enough to involve harm, but none tied to abuse. As a nonprofit, it isn't answering to investors, which may explain the stability even with thinner shifts.

A

94.5/100

Mountain Vista Health Park

Denton, NC · Davidson County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.96 /day
Staff turnover
22%
Serious cites
0

Mountain Vista Health Park, a nonprofit home with 60 beds in Denton, runs on unusually strong staffing for a nursing home: 4.96 nurse hours per resident day, roughly 28 percent above the national average of 3.86. Weekend coverage does dip about 19 percent below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 21.9 percent, less than half the national average of 45.8 percent, so the people caring for residents tend to stay. One health deficiency on record, none involving harm or abuse, and a clean five-star inspection rating back up what the numbers suggest.

A

94.5/100

Northern Regional Hospital

Mount Airy, NC · Surry County

CMS 5/533 bedsGovernmentMedicaid
Nurse hours
4.79 /day
Staff turnover
18%
Serious cites
0

Northern Regional Hospital runs a small 33-bed unit in Mount Airy, and the numbers here are unusually clean. Nurse staffing sits at 4.79 hours per resident per day, roughly a quarter above the national average, and weekend coverage only dips about 20% below weekday levels, a gap that's common but manageable at this size. The turnover figure is the standout: 18.4% against a national average near 46%, which suggests people stay. On inspections, there's a single deficiency on record, none involving harm or abuse, with the most recent survey in March 2025. Government hospital-district ownership doesn't guarantee quality, but it does mean this home answers to a public board rather than shareholders.

A

94.5/100

Bethesda Home

Webster, SD · Day County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
4.53 /day
Staff turnover
31%
Serious cites
0

Bethesda Home runs on 4.53 nursing hours per resident day, roughly 17 percent above the national average, and its staff tends to stay, turnover of 30.6 percent against a national figure near 46 percent. Weekends dip about 19 percent below its own weekday staffing, so ask how that gap gets covered. The eight deficiencies on record include nothing at the harm level and nothing abuse-related, and the most recent inspection was April 2026. Church-affiliated nonprofit ownership with 50 certified beds. The weak spot is thin weekend coverage; the strong spots are retention and a clean harm record.

A

94.5/100

Stones River Manor, Inc

Murfreesboro, TN · Rutherford County

CMS 5/530 bedsNon-profitMedicaid
Nurse hours
6.19 /day
Staff turnover
29%
Serious cites
0

Stones River Manor runs a small house, 30 beds, and staffs it far heavier than most places. At 6.19 nurse hours per resident per day, it's roughly 60 percent above the national average, and its nurses stay: turnover of 28.6 percent against a national rate of 45.8 percent. Inspectors were last in on July 1, 2025, and the home has 15 deficiencies on record with none at the harm or jeopardy level, one of them abuse-related, which is worth asking about directly. The trade-off to know is weekends, when staffing drops about a fifth below its own weekday level. Ownership is nonprofit.

A

94.5/100

Augusta Medical Ctr Skilled Ca

Fishersville, VA · Augusta County

CMS 5/517 bedsNon-profit
Nurse hours
6.29 /day
Staff turnover
35%
Serious cites
0

Augusta Medical Center Skilled Care is a small unit, 17 beds, run by a nonprofit corporation, and the numbers behind its record are worth knowing. Nurse staffing sits at 6.29 hours per resident day, well above the national average, though weekends run roughly 17% lighter than weekdays, so coverage isn't perfectly even. Staff turnover is 35%, better than the national 45.8%. Inspections tell a clean story: four deficiencies on record, none involving harm or abuse, and the most recent visit was in May 2024. For a family weighing a rehab stay or longer-term placement, the low deficiency count and steady staffing carry more weight than any single score.

A

94.5/100

Brandon Oaks Nursing And Rehabilitation Center

Roanoke, VA · Roanoke County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
35%
Serious cites
0

Brandon Oaks runs about 5.4 nurse hours per resident per day, roughly 40% above the national figure, which is the kind of margin that usually shows up as more hands on the floor. Weekend coverage dips about 16% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 34.6%, better than the 45.8% national average, and the home carries 12 deficiencies with none at harm or jeopardy level and none abuse-related. Its last inspection was September 2023, so the record is getting a little dated. Nonprofit ownership tends to mean steadier staffing decisions, and the numbers here back that up.

A

94/100

Sun Health La Loma Care Center

Litchfield Park, AZ · Maricopa County

CMS 3/543 bedsNon-profit
Nurse hours
5.20 /day
Staff turnover
21%
Serious cites
0

Sun Health La Loma runs 43 certified beds in Litchfield Park under nonprofit ownership, and its staffing is the story here: 5.20 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping about 10% below its own weekdays. Staff turnover sits at 20.8%, less than half the national figure, which suggests people stay. The trade-off shows up in inspections, 11 deficiencies on the current record, one serious enough to reach harm or jeopardy level, and a two-star health inspection rating, though the last visit was recent, in March 2025. A single fine totaling $8,278 is modest, and there's nothing abuse-related. Strong daily care, thinner regulatory record.

A

94/100

California Pacific Medical Ctr- Davies Campus Hosp

San Francisco, CA · San Francisco County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
8.97 /day
Staff turnover
29%
Serious cites
0

Nurse staffing here runs 8.97 hours per resident day, more than double the national average of 3.86, and that holds up on weekends, which dip only about 5% below weekday levels. Turnover sits at 29%, well under the national 45.8%. The health inspection rating is 5/5, though the record shows 10 deficiencies, one abuse-related, none at harm or jeopardy level; the most recent inspection was January 9, 2026. Note this is a 38-bed hospital-based unit, so the numbers reflect a small, closely staffed operation rather than a typical standalone nursing home.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

A

94/100

Beth Israel At Shalom Park

Aurora, CO · Arapahoe County

CMS 5/5135 bedsNon-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
14%
Serious cites
0

Beth Israel At Shalom Park runs on numbers families rarely see in one place. Nurse staffing sits at 4.13 hours per resident day, above the national average, though weekends dip about 11% below the home's own weekday levels, worth asking about if your visits fall on Saturdays or Sundays. Annual turnover of 14.1% is far below the national rate, meaning the people caring for residents tend to stay. The inspection record shows just two deficiencies, none involving harm or abuse, with a recent survey. Three five-star CMS ratings across health inspections, quality measures, and staffing round out a picture of steady, well-staffed care under nonprofit church ownership.

A

94/100

Frasier Meadows Health Care Center

Boulder, CO · Boulder County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Frasier Meadows runs a leaner ship than most. Nurse staffing sits at 5.18 hours per resident day, roughly a third more than the national average, and weekend coverage barely dips, staying within about 7% of weekday levels. That consistency matters, because short weekend shifts are where care problems tend to hide. Staff turnover is 28.8%, well under the national 45.8%, so the people caring for residents here tend to stick around. The record isn't spotless: seven deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and three fines totaling $49,202. But a 4-out-of-5 inspection rating and a recent April 2024 inspection suggest those issues were addressed rather than ignored, and the quality measures themselves are strong.

A

94/100

Livewell Connecticut

Plantsville, CT · Capitol County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
30%
Serious cites
0

Livewell Connecticut runs a nonprofit home of 120 beds in Plantsville, and the numbers behind its record are steady rather than flashy. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, and the weekend gap is small enough that care doesn’t drop off much when weekday administrators go home. Staff turnover of 30.4% is well under the national 45.8%, which matters because consistent aides know the residents. Nine deficiencies on the current record with none at the harm level and none abuse-related, plus a March 2025 inspection, points to a home that fixes problems before they escalate.

A

94/100

Seabury

Bloomfield, CT · Capitol County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
10%
Serious cites
0

Seabury is a church-affiliated nonprofit in Bloomfield with 72 beds, and the numbers that stand out most are its staffing and its retention. Nurses provide 4.78 hours of care per resident each day, roughly a quarter more than the national average, and weekend coverage dips only about 10% below its own weekday level, a far smaller drop than many homes see. Annual turnover of 10.4% is remarkably low against a national average near 46%, meaning familiar faces are likely to stay familiar. The current record shows 16 deficiencies, none at the harm level and none abuse-related, with one fine of $28,105 and an inspection in March 2024.

A

94/100

Forest Hills Of Dc

Washington, DC · The District County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
26%
Serious cites
0

Forest Hills Of Dc runs 55 certified beds as a nonprofit, and its inspection record is genuinely solid, a 4/5 health inspection rating and a 4/5 quality measure rating, with the most recent survey done in December 2024. Staff turnover sits at 25.5%, well below the 45.8% national average, which matters for consistency of care. But the staffing star rating is only 1/5, and the deficiency record shows 46 total findings, including one at the harm or jeopardy level and two abuse-related. One fine totaling $9,311 is on file. The staff retention is a real strength; the direct-care staffing level itself is the clear weak point, and that tension shapes what this home looks like day to day.

A

94/100

Majestic Oaks

Orange City, FL · Volusia County

CMS 5/5150 bedsNon-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
26%
Serious cites
0

Majestic Oaks runs on a nonprofit model with 150 certified beds, and the numbers back up the care. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though weekends drop about 12% below the home's own weekday levels, worth asking about if your family member needs consistent weekend attention. Turnover is the real standout: 26.1% against a national average of 45.8%, meaning the people caring for residents tend to stay. One deficiency on the current record, none involving harm or abuse, and the last inspection was in December 2024.

A

94/100

Boca Pointe Center For Rehabilitation And Healing

Boca Raton, FL · Palm Beach County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
19%
Serious cites
0

Stratford Court of Boca Raton runs 60 certified beds under corporate for-profit ownership, and the staffing numbers stand out: 5.10 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Annual turnover of 19.2% is well under half the national rate, which suggests a stable crew. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in September 2024. The health inspection rating sits at 3 out of 5, softer than the staffing and quality scores.

A

94/100

Inn At Sarasota Bay Club

Sarasota, FL · Sarasota County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
5.75 /day
Staff turnover
42%
Serious cites
0

The Inn at Sarasota Bay Club runs on 5.75 nurse hours per resident per day, roughly half again the national average of 3.86, and it holds that level on weekends instead of thinning out. Staff turnover sits at 42.2%, a bit better than the 45.8% national figure, which matters for whether caregivers actually know the residents. Eleven deficiencies appear on the current record, none causing harm or jeopardy and none abuse-related, with the most recent inspection in August 2024. For-profit corporate ownership is the one thing here that doesn't distinguish it; the staffing numbers do.

A

94/100

Oak Hammock At The University Of Florida Inc

Gainesville, FL · Alachua County

CMS 5/573 bedsNon-profit
Nurse hours
5.24 /day
Staff turnover
36%
Serious cites
0

Oak Hammock runs 5.24 nurse hours per resident day, about 36% above the national average, and staff turnover sits at 35.6% against a national 45.8%, meaning aides and nurses here tend to stay longer than is typical. Weekend staffing dips about 7% below its own weekday level, a small enough gap that care shouldn't feel different on a Saturday. The tradeoff is on inspections: 13 deficiencies on the current record, though none at harm or jeopardy level and none abuse-related, which is a lighter picture than the raw count suggests. The last inspection was March 2025, so the record is current.

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.

Before you shortlist