4,510 Independent Nursing Homes in the United States

Nurse hours

3.66 /day

Staff turnover

53%

Serious cites

0

Stanton Health Center runs on thinner nurse coverage than most homes, 3.66 hours per resident day against a national average of 3.86, and weekends drop roughly 18% below its own weekday numbers. That matters more than the four-star staffing rating suggests, because the same pattern shows up in turnover: 53.4% of staff left over the past year, well above the 45.8% national figure. Inspections look better, with the most recent visit in July 2025 and a four-star health inspection rating, but the record still carries 16 deficiencies, including two at the harm level and three tied to abuse. Church-affiliated nonprofit ownership is a genuine plus here, mission-driven operators tend to reinvest in direct care rather than chase margins.

Nurse hours

3.99 /day

Staff turnover

40%

Serious cites

0

Blue Valley Lutheran runs a tight ship on inspections, a five-star health inspection record with ten deficiencies on file, none of them causing harm or involving abuse, and a survey done as recently as July 2025. That part is genuinely reassuring. The trouble sits elsewhere: staffing earns just one star, and quality measures also come in at one star, meaning the day-to-day care experience doesn't track with how clean the inspection record looks. Staff turnover runs about 40 percent, better than the national average of roughly 46 percent, though still meaning a good share of caregivers leave each year. As a church-affiliated nonprofit with 64 beds, it isn't chasing margins, but low staffing and quality scores are worth asking about directly before you decide.

Nurse hours

3.87 /day

Staff turnover

—

Serious cites

0

Mescalero Care Center runs 40 certified beds as a nonprofit, and its weakest spot in the federal data is staffing, which sits at one out of five stars. That rating reflects daily direct-care hours per resident well below the national average, and it matters more than the quality measure score, which lands in the middle at three stars. The inspection record shows 62 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy. State surveyors were last inside on May 19, 2025, so the picture is current. Small homes can struggle to keep enough aides on the floor, and the numbers here suggest that's the pressure point.

Nurse hours

3.89 /day

Staff turnover

48%

Serious cites

0

North Country's numbers are a mixed bag worth walking through. The 140-bed for-profit partnership in Massena runs 3.89 nurse hours per resident day, barely above the national average and not by much, and weekend staffing drops about 21% below its own weekday level, so care can look thinner on Saturdays and Sundays. Staff turnover sits at 47.6%, a bit worse than the national 45.8%, meaning familiar faces are hard to keep. On paper, the 26 deficiencies sound alarming until you see none reached harm or jeopardy and none involved abuse, and the most recent inspection was August 2025, so the record is current. Quality and staffing each earned 4 stars; inspections earned 2.

Nurse hours

4.91 /day

Staff turnover

55%

Serious cites

0

Knife River Care Center runs on a paradox: the raw staffing number is genuinely strong, 4.91 nurse hours per resident day against a national average of 3.86, and that's what earns it the top marks from CMS on staffing. But look at what's happened around that number. Turnover sits at 54.5%, well above the national 45.8%, meaning the aides and nurses in the building are cycling through frequently. Weekend staffing drops about 16% below weekday levels, so the coverage families see on a Tuesday isn't what shows up on a Saturday. And the inspection record is the real concern: 22 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $35,890 fine. Strong hours, unstable workforce, and a troubling compliance history.

Nurse hours

3.77 /day

Staff turnover

47%

Serious cites

0

Pembilier Nursing Center runs 31 certified beds in Walhalla under nonprofit corporate ownership, and its inspection record is the strongest part of the picture: a four-out-of-five health inspection rating and a survey completed in April 2026. Nine deficiencies sit on the current record, one serious enough to reach harm or jeopardy level, though none involve abuse. Staffing tells a more mixed story. At 3.77 nurse hours per resident day, the home sits just under the national average of 3.86, and weekend coverage drops roughly 16% below its own weekday staffing. Annual turnover of 46.9% edges past the national 45.8%. Small homes can absorb some of this, but thin weekend coverage is worth asking about directly.

Nurse hours

4.91 /day

Staff turnover

53%

Serious cites

0

Wishek Living Center runs on a nonprofit model with 43 certified beds, and its nurse staffing sits well above the national average. The tradeoff shows up in turnover: just over half the nursing staff leaves each year, notably higher than the national figure. Inspections in May 2025 turned up six deficiencies, two serious enough to involve harm or jeopardy, drawing two fines totaling $26,272. The quality measure score is weak, which is worth asking about directly.

Nurse hours

3.84 /day

Staff turnover

58%

Serious cites

0

Aneta Parkview runs 35 beds as a nonprofit, and its last state inspection came back clean enough for a top federal rating, four deficiencies on record, none causing harm or tied to abuse. Staffing is a different story. At 3.84 nurse hours per resident day, it sits just under the national average, but weekends drop roughly 20% below its own weekday coverage, and 57.5% annual turnover is well above the 45.8% national figure. That churn matters more in a small rural home, where replacing a nurse takes longer. Quality measures land mid-range. Solid care when inspectors look, thinner coverage when they don't.

Nurse hours

3.70 /day

Staff turnover

32%

Serious cites

0

Briarfield At Ashley Circle runs 74 certified beds in Youngstown under corporate, for-profit ownership. Nurse staffing sits at 3.70 hours per resident day, a bit under the national average, and weekends drop roughly 18% below what the home staffs on weekdays, worth asking about if your family member needs care on Saturdays and Sundays. Turnover is 32.1%, which is meaningfully better than the national 45.8%. The inspection record shows 10 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent survey in September 2025 and a 4-star inspection rating. Quality measures score lower at 2 stars, so ask what specifically drives that gap.

Nurse hours

4.41 /day

Staff turnover

55%

Serious cites

0

Windsor Medical Center is a small for-profit home in North Canton, just 20 certified beds, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average. That's a real strength, though weekends run about 17% thinner than weekdays, so ask how coverage holds up on Saturdays and Sundays. Staff turnover is 54.5%, higher than the 45.8% national figure, which matters in a building this size where residents see the same few faces daily. The inspection record is clean where it counts: eight deficiencies, none at harm or jeopardy level, no abuse findings, and two fines totaling $6,512. Its last inspection was May 2025.

Nurse hours

3.27 /day

Staff turnover

—

Serious cites

0

Mountain Laurel runs 240 beds in Clearfield under for-profit LLC ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average, with weekends about 10% thinner than weekdays. That shortfall shows up in its two-out-of-five staffing rating, and the inspection record is worse: 65 deficiencies, including two at the harm or jeopardy level and four tied to abuse, against a one-out-of-five health inspection rating. The quality measure score is perfect at five, which is a real bright spot, but a number built largely from self-reported resident data can look better than the day-to-day reality a staffing shortfall and that deficiency history suggest. The last inspection was August 2025, so the record is current.

Nurse hours

4.13 /day

Staff turnover

51%

Serious cites

0

Southland Health Care Center runs on more nursing hours than the typical American home, 4.13 per resident day against a national average of 3.86. That cushion matters, but it thins out on weekends, when coverage drops roughly 19% below what the building staffs Monday through Friday. Staff turnover sits at 50.5%, a few points above the national rate, so some of those hours are being filled by people still learning the building. The health inspection record is the strongest part of the picture: three deficiencies, none involving harm or abuse, and a survey completed in January 2026. Limited liability ownership, for-profit. Solid on paper, with a weekend and retention question underneath.

Nurse hours

3.25 /day

Staff turnover

48%

Serious cites

0

Strand-Kjorsvig runs 35 beds in Roslyn as a nonprofit, and its federal staffing star looks strong at 5 out of 5, but that rating sits on 3.25 nurse hours per resident day, about 16% under the national average of 3.86, with weekends roughly 20% thinner than weekdays. Turnover is 48%, a bit above the national 45.8%. The trouble is inspection history: 23 deficiencies on the current record, two at harm or jeopardy level and one abuse-related, plus eight fines totaling $49,964, against a 1-out-of-5 health inspection rating. Quality measures score 4 out of 5, and the most recent inspection was May 2025. Ask about weekend coverage and that abuse citation directly.

Nurse hours

4.24 /day

Staff turnover

—

Serious cites

0

Delano District Skilled Nursing Facility has 141 certified beds and enough nursing hours to beat the national average by roughly 10%, but that staffing edge comes with a catch: weekends run about 12% thinner than weekdays, and the health inspection record is where the real trouble sits. Sixty-eight deficiencies on the current record, two of them at harm or jeopardy level and a dozen tied to abuse, with two fines totaling $17,966. The last inspection was February 2025, so the picture is recent rather than stale. Nonprofit corporate ownership doesn't change what those inspection numbers say. Quality and staffing measures land mid-range, but the enforcement history is the part a family should weigh hardest.

Nurse hours

3.63 /day

Staff turnover

54%

Serious cites

0

Bronte Health and Rehab Center runs on thinner nursing coverage than most homes in the country, 3.63 hours per resident day against a national average of 3.86, with weekends dipping roughly 18% below its own weekday levels. That gap matters most on Saturdays and Sundays, when families often visit and fewer hands are on the floor. The hospital district ownership is a point in its favor, and a 4-star health inspection rating reflects real strength in how the place is run day to day. But 23 deficiencies on the current record, including one at the harm level and three tied to abuse, is a lot to carry, and 54.3% annual turnover means the staff who know your parent may not be there next year.

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.

Nurse hours

3.23 /day

Staff turnover

49%

Serious cites

0

Mcguffey Health & Rehabilitation Center runs 209 certified beds in Gadsden under corporate for-profit ownership, and its inspection record is genuinely clean, seven deficiencies on the books, none at the harm or jeopardy level and none abuse-related. The staffing picture is more mixed than the four-star CMS staffing rating suggests: 3.23 total nurse hours per resident day sits about 16 percent under the national average of 3.86, and weekend coverage drops roughly 13 percent below the home's own weekday level. Staff turnover lands at 49.4 percent against a national 45.8 percent. One thing worth asking about directly: the last inspection was May 2021, so the record you're reading is several years old.

Nurse hours

3.23 /day

Staff turnover

53%

Serious cites

0

Bibb Medical Center Nursing Home runs on thinner staffing than most places. At 3.23 nurse hours per resident day, it sits about 16% under the national average of 3.86, and weekends drop roughly 12% below what the home itself staffs during the week, so the thinnest coverage lands when families tend to visit. Turnover is 53.1% against a national 45.8%, which means aides and nurses cycle through faster than average. The inspection record shows nine deficiencies, none reaching harm or jeopardy and none abuse-related, though the most recent look was November 2023 and the health inspection star sits at 1 out of 5. County-owned, 131 beds.

Nurse hours

4.36 /day

Staff turnover

60%

Serious cites

0

The Californian carries a five-star health inspection rating and a clean deficiency record, 15 citations on file, none of them causing harm or involving abuse, with the most recent inspection in March 2025. Nurse staffing runs 4.36 hours per resident day, about 13 percent above the national average, though weekends drop roughly 15 percent below the home's own weekday coverage. The bigger question is retention: 60 percent annual turnover against a national 45.8 percent means a large share of the people caring for your family member are new to the building. Good inspection results, shaky consistency underneath.

Nurse hours

3.79 /day

Staff turnover

40%

Serious cites

0

San Francisco Health Care runs 168 beds as a for-profit corporation, and its staffing sits just under the national average at 3.79 hours per resident day. Weekends dip about 6% below its own weekday coverage, so the hours aren't evenly spread across the week. The current record shows 34 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $152,404. Staff turnover at 40.2% is actually better than the 45.8% national figure, and the most recent inspection was February 2025. What pulls the record down is the inspection history and those harm-level findings, not the day-to-day staffing numbers.