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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 2401–2420 of 4,510, best-graded first.

B

76.5/100

Glades Health Care Center

Pahokee, FL · Palm Beach County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.86 /day
Staff turnover
—
Serious cites
0

Glades Health Care Center runs 120 beds in Pahokee under nonprofit ownership, and its nurse staffing sits at 3.86 hours per resident day, essentially dead even with the national average. Weekends dip about 5% below the home's own weekday levels, so coverage thins slightly when families tend to visit. The current inspection record shows 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey in December 2024. Quality measure scores come in at 2 out of 5 stars, the weakest part of the profile. What that means practically: adequate hands-on time, a survey history without serious harm findings, and some room to improve on clinical outcomes.

B

76.5/100

Early Memorial Nursing Facility

Blakely, GA · Early County

CMS 3/5 127 beds For-profit Medicaid
Nurse hours
4.23 /day
Staff turnover
31%
Serious cites
0

Early Memorial runs a for-profit shop with 127 certified beds, and the numbers pull in two directions. The nursing hours are real: 4.23 per resident day, about 10% above the national average, and staff turnover at 30.8% sits well below the 45.8% national figure, people here tend to stay. Weekends tell a different story, with staffing roughly 16% thinner than weekdays. Then you get to the inspection record. Twenty-four deficiencies on the current record, three serious enough to reach harm or jeopardy level, three tied to abuse. One fine totaling $177,463. The most recent inspection was December 2025. Good daily coverage doesn't cancel out findings like those, and that gap is what families should weigh.

B

76.5/100

Tripoli Nursing & Rehab

Tripoli, IA · Bremer County

CMS 2/5 28 beds Non-profit Medicaid
Nurse hours
5.48 /day
Staff turnover
52%
Serious cites
0

Tripoli Nursing & Rehab runs a small, 28-bed nonprofit home where the aides and nurses clock 5.48 hours per resident day, roughly 42% more hands-on time than the national average, which is the main thing this place has going for it. But that staffing drops about 16% on weekends, and 52.2% of the staff turned over in the past year, higher than the national 45.8%, so the faces around a resident change often. The record shows 25 deficiencies, four tied to abuse, though none rose to actual harm or jeopardy; the most recent inspection was July 2025. Extra hours help, but the quality measure score and the abuse findings are worth asking about directly.

B

76.5/100

Wellington Parc Of Owensboro

Owensboro, KY · Daviess County

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

Wellington Parc Of Owensboro is a for-profit limited liability home with 80 certified beds, and its inspection record is the strongest part of the picture, six deficiencies on file, none at the harm or jeopardy level, and a recent inspection in February 2026. The catch is the one abuse-related citation, which isn't a harm-level finding but is worth asking about directly. Staffing is where it slips: 3.68 nurse hours per resident day sits about 5% under the national average, and weekends run roughly 8% below the home's own weekday coverage, a gap that matters most when families visit Saturday and Sunday.

B

76.5/100

Telford Terrace

Richmond, KY · Madison County

CMS 5/5 26 beds Non-profit
Nurse hours
4.71 /day
Staff turnover
89%
Serious cites
0

Telford Terrace runs a small 26-bed nonprofit home in Richmond, and the raw staffing number looks strong: 4.71 nurse hours per resident day, roughly 22% above the national average. The catch is who's providing that care. Annual turnover sits at 89.3%, nearly double the national figure, and weekends run about 18% thinner than weekdays, so the coverage families see on a Tuesday may not resemble a Sunday. Inspections are recent and the health rating is strong, but seven deficiencies are on record, one serious enough to reach harm or jeopardy level. Nothing here suggests danger, just a home where consistent hands are harder to keep than the numbers alone imply.

B

76.5/100

St James Place Nursing Care Center

Baton Rouge, LA · E. Baton Rouge County

CMS 4/5 90 beds Non-profit
Nurse hours
4.87 /day
Staff turnover
25%
Serious cites
0

St. James Place runs a non-profit shop with 90 beds, and its staffing is the clearest strength here: 4.87 nurse hours per resident day, roughly a quarter above the national average. That's not a token cushion, and a 24.6% turnover rate, nearly half the national figure, suggests the crew mostly sticks around. Weekends thin out about 15% from weekday levels, which is worth asking about directly. The caution sits on the other side of the ledger: 22 deficiencies on the current record, three of them serious enough to involve harm or jeopardy, and one fine of $72,485. Two stars each for health inspections and quality measures, against four for staffing, tells you where the problems live.

B

76.5/100

Gueydan Memorial Guest Home

Gueydan, LA · Vermilion County

CMS 3/5 66 beds Government Medicaid
Nurse hours
3.13 /day
Staff turnover
31%
Serious cites
0

Gueydan Memorial Guest Home runs on 3.13 nurse hours per resident day, about 19% under the national average of 3.86, and weekends dip roughly 18% below its own weekday coverage. Turnover sits at 31%, better than the 45.8% national figure, which matters for consistency of care. The 26 deficiencies on record include none at the harm or jeopardy level and none abuse-related, and the most recent inspection was August 2025. Quality measures score 2 out of 5, so clinical performance is the weaker side of this home. If your family member needs steady hands on weekends, ask how that gap gets covered.

B

76.5/100

Presbyterian Village Of Homer

Homer, LA · Claiborne County

CMS 4/5 79 beds Non-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
34%
Serious cites
0

Presbyterian Village Of Homer runs 79 certified beds as a nonprofit corporation, and its staff turnover sits at 34.1 percent against a national average of 45.8 percent, people tend to stay here longer than at the typical home. The tradeoff shows up in the numbers: CMS gives staffing only 1 out of 5 stars, and quality measures come in at 2 out of 5, while the health inspection rating is a solid 4 out of 5. Thirteen deficiencies are on the current record, none at harm or jeopardy level, though three are abuse-related. The most recent inspection was May 29, 2025. Low turnover and recent, cleaner inspections are real strengths, but staffing depth and quality measures are where the weak spots sit.

B

76.5/100

Ledgewood Manor

Windham, ME · Cumberland County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.04 /day
Staff turnover
—
Serious cites
0

Ledgewood Manor runs about 4.04 nurse hours per resident each day, roughly 5% above the national average, though weekends dip about 6% below what the home staffs during the week. The current record shows 33 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, which matters more than a three-star inspection rating suggests. Ownership is for-profit and individual, and the last inspection was February 2025, so the record is recent. If you're considering this home, ask directly how the abuse finding was resolved and what weekend coverage actually looks like on the floor.

B

76.5/100

Cummings Health Care Facility

Howland, ME · Penobscot County

CMS 3/5 34 beds For-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
—
Serious cites
0

Cummings Health Care Facility runs 34 beds in Howland, and its nurse staffing comes in at 4.10 hours per resident day, roughly 6% above the national average. That number is doing real work here, because weekends dip about 7% below the home's own weekday coverage, so the margin over average shrinks when you need it most. The inspection record shows 29 deficiencies, one of them serious enough to reach harm or jeopardy level, though none involve abuse; a single fine of $8,824 rounds that out. The last state visit was June 2025, so the picture is current. A for-profit corporation owns it. Federal staffing stars sit at 2 out of 5 despite the raw hours, worth asking why.

B

76.5/100

Gardner Rehabilitation And Nursing Center

Gardner, MA · Worcester County

CMS 2/5 124 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
51%
Serious cites
0

Gardner Rehabilitation and Nursing Center runs 124 certified beds under for-profit LLC ownership, and its nurse staffing comes in at 4.06 hours per resident day, about 5% above the national average of 3.86. That headline number looks fine until you notice weekends drop roughly 17% below the home's own weekday level, and annual turnover sits at 51.2% against a national average of 45.8%, meaning more than half the nursing staff turns over in a year. The current record carries 32 deficiencies, none at the harm or jeopardy level and none abuse-related, though CMS rated health inspections 2 out of 5. The last inspection was recent, February 2026, so the picture is current rather than stale.

B

76.5/100

Iron County Medical Care Facility

Crystal Falls, MI · Iron County

CMS 4/5 200 beds Government Medicaid
Nurse hours
4.20 /day
Staff turnover
46%
Serious cites
0

Iron County Medical Care Facility runs on county money, and the staffing shows it: 4.20 nurse hours per resident day, roughly 9% above the national average, with a top federal staffing rating. That's the strongest thing here. Weekends drop about 17% below weekday coverage, though, and turnover sits at 46.2%, essentially the national rate, so the bench isn't especially stable. The current record carries 15 deficiencies, three of them abuse-related, none at harm or jeopardy level, and the last inspection was April 2025. Quality measures score low despite the strong staffing. The county runs a well-covered building with a documentation problem worth asking about directly.

B

76.5/100

New Brighton Care Center

New Brighton, MN · Ramsey County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
—
Serious cites
0

New Brighton Care Center runs a for-profit corporate operation with 57 beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's a real plus, though weekend coverage dips about 10% below its own weekday levels, so care may thin out when families visit. The current inspection record shows 29 deficiencies, two of them abuse-related, with none at the harm or jeopardy level; the last inspection was November 2025. Its two-star inspection and quality ratings are the weak spots against a three-star staffing score. Worth asking specifically how the abuse deficiencies were resolved.

B

76.5/100

The Meadows

Fulton, MS · Itawamba County

CMS 2/5 130 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
52%
Serious cites
0

The Meadows runs about 3.77 nurse hours per resident per day, a bit under the national average, and weekend coverage drops roughly 17% below its own weekday level, so the help you'd want on a Saturday afternoon is thinner than the weekday number suggests. Staff turnover sits at 51.8%, noticeably above the national 45.8%, which matters because unfamiliar aides mean less continuity for residents. On the record: 16 deficiencies, including one at the harm level and one abuse-related, plus a $12,735 fine. Inspections are recent, so this reflects current conditions rather than old history.

B

76.5/100

Billdora Senior Care

Tylertown, MS · Walthall County

CMS 3/5 60 beds For-profit Medicaid
Nurse hours
4.67 /day
Staff turnover
42%
Serious cites
0

Billdora Senior Care runs 60 certified beds in Tylertown, and its nursing hours are the strongest part of the picture, 4.67 per resident day, about 21% above the national average. That staffing cushion matters less on weekends, when hours drop roughly 22% below the home's own weekday level. Turnover sits at 41.8%, slightly better than the national 45.8%. The inspection record is where the concern lives: 8 deficiencies, 2 of them at harm or jeopardy level, and one fine of $14,020. The most recent inspection was April 9, 2026, so the record is current. Ownership is for-profit corporate. Solid staffing, uneven coverage, and a mixed inspection history.

B

76.5/100

Laurel Meadows Wellness & Rehabilitation

Saint Charles, MO · St. Charles County

CMS 2/5 103 beds For-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
—
Serious cites
0

Laurel Meadows runs 4.31 total nurse hours per resident per day, about 12% above the national average of 3.86, but weekend staffing drops roughly 14% below its own weekday level. That staffing star sits at 3 of 5, and the inspection record is the weaker part: 23 deficiencies on file, including 2 at harm or jeopardy level and 2 abuse-related, plus 4 fines totaling $11,536. The last inspection was June 6, 2024. For-profit, limited liability ownership. If you're considering this one in Saint Charles, ask how the weekend coverage gap gets filled and what changed after those harm-level citations.

B

76.5/100

Brooking Park

Chesterfield, MO · St. Louis County

CMS 3/5 49 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
—
Serious cites
0

Brooking Park runs a nonprofit home of 49 beds in Chesterfield, and its nurse staffing sits at 4.65 hours per resident day, about 21 percent above the national average of 3.86. That higher staffing is real, but weekend coverage drops roughly 15 percent below its own weekday level, so the extra help isn't evenly spread across the week. The inspection record is where the picture gets messier: 36 deficiencies on file, two of them serious enough to involve harm or jeopardy, though none are abuse-related. One fine totaling $15,646 has been levied. The last inspection was July 2024. If you're weighing this one, ask how the weekend shifts are actually covered.

B

76.5/100

Garden View Care Center At Dougherty Ferry

Valley Park, MO · St. Louis County

CMS 4/5 66 beds For-profit Medicaid
Nurse hours
5.96 /day
Staff turnover
—
Serious cites
0

Garden View Care Center At Dougherty Ferry runs 5.96 nurse hours per resident day, roughly half again the national average of 3.86, and that staffing shows up in a 4-out-of-5 staffing star. Weekend coverage dips about 8% below its own weekday level, so the weekday-to-Saturday gap is worth asking about directly. The five-star health inspection rating reflects the survey from June 2024, which found 14 deficiencies, none of them serious enough to cause harm or jeopardy, though two were abuse-related, a small number against strong staffing, but abuse citations are the kind you want explained rather than counted. The 1-out-of-5 quality measure rating is the clear weak spot here, and it sits oddly beside the staffing picture.

B

76.5/100

Elsberry Missouri Health Care Center

Elsberry, MO · Lincoln County

CMS 4/5 56 beds Non-profit Medicaid
Nurse hours
3.05 /day
Staff turnover
39%
Serious cites
0

Elsberry Missouri Health Care Center runs on 3.05 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 16% below its own weekday staffing. Turnover sits at 38.6%, better than the 45.8% national figure, and the quality measure rating comes in at 5 out of 5, which makes the thin weekday-to-weekend staffing gap the thing worth watching. The inspection record shows 13 deficiencies, two serious enough to involve harm or jeopardy, and one fine of $28,704, with the most recent inspection in July 2025. Nonprofit ownership and a 3 out of 5 on inspections suggest a home that's adequate on paper but not airtight.

B

76.5/100

Fieser Nursing Center

Fenton, MO · St. Louis County

CMS 2/5 47 beds For-profit Medicaid
Nurse hours
3.56 /day
Staff turnover
—
Serious cites
0

Fieser Nursing Center runs 47 beds in Fenton under individual for-profit ownership, and its nurse staffing sits at 3.56 hours per resident day, roughly 8% under the national average, with weekends about 12% thinner than its own weekdays. The inspection record is the bigger concern: 56 deficiencies, including one at the harm or jeopardy level and four tied to abuse. That combination of below-average hours and a recent, lengthy deficiency list is what drags the inspection rating to 2 out of 5. The last survey was September 30, 2025, so the findings are current, not stale. If you're weighing this one, ask specifically how the abuse-related citations were resolved and who covers the floor on weekends.

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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