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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 2441–2460 of 4,510, best-graded first.

B

76/100

Forest Ridge Health And Rehab Llc

Woodland Park, CO · Teller County

CMS 4/5 80 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
53%
Serious cites
0

Forest Ridge runs about 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86, and weekends dip another 10% below its own weekday coverage. Annual turnover sits at 52.9% against a national 45.8%, so more than half the nursing staff leaves each year. The inspection record shows 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse. Recent inspections in early 2026 and four-star ratings on health inspections and quality measures are real strengths, but the staffing gap and that harm-level finding are what pull it down.

B

76/100

Greenwich Woods Rehabilitation

Greenwich, CT · Western Ct County

CMS 1/5 217 beds For-profit Medicaid
Nurse hours
3.83 /day
Staff turnover
35%
Serious cites
0

Greenwich Woods runs 217 beds under for-profit LLC ownership, and its staffing sits just under the national average at 3.83 nurse hours per resident day. Weekends drop about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. The bigger concern is the inspection record: 31 deficiencies, two at harm or jeopardy level, one tied to abuse, and $130,496 in fines across two actions, with the most recent inspection in March 2025. What keeps this from being worse is the workforce itself. Turnover runs 35.1% against a 45.8% national average, which suggests people stay longer here than at many peers, and the quality measure rating reflects that care outcomes look better than the inspection history would suggest.

B

76/100

Plymouth Harbor Incorporated

Sarasota, FL · Sarasota County

CMS 4/5 56 beds Non-profit
Nurse hours
5.31 /day
Staff turnover
72%
Serious cites
0

Plymouth Harbor is a nonprofit home in Sarasota with 56 beds, and its nurse staffing runs about 5.31 hours per resident day, roughly 37% above the national average, which helps explain the solid inspection and quality scores. A recent inspection in March 2025 turned up five deficiencies, none at the harm level, though one was abuse-related, so it's worth asking about directly. The bigger concern is staff turnover: nearly 72% annually versus about 46% nationally, meaning the people caring for residents change often. That churn can undercut even good staffing numbers. Weekend coverage also dips slightly below weekday levels.

B

76/100

Vivo Healthcare Taylor

Jacksonville, FL · Duval County

CMS 5/5 120 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
53%
Serious cites
0

Vivo Healthcare Taylor runs about 53% annual staff turnover, a few points above the national average of 45.8%. That churn matters more than the star ratings suggest, a five-out-of-five health inspection score from October 2025 is genuinely strong, and the quality measures land at four stars, but six deficiencies sit on the current record, including one tied to abuse. None rose to the level of actual harm or jeopardy, which is the distinction worth holding onto. As a nonprofit corporation running 120 beds in Jacksonville, the home has the inspection track record most families hope for. The staffing instability is the open question, since turnover shapes daily care in ways a survey snapshot can't capture.

B

76/100

Dolphin Pointe Health Care Center

Jacksonville, FL · Duval County

CMS 3/5 146 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
56%
Serious cites
0

Dolphin Pointe runs about 4.09 nurse hours per resident day, roughly 6% above the national average of 3.86, but weekends dip about 13% below its own weekday coverage. That's the pattern to watch, a home can look adequately staffed Monday through Friday and still feel thin on a Sunday. Annual turnover sits at 55.8% against a national 45.8%, so the people providing that care are changing over faster than average, which matters for anyone who needs consistent hands and familiar faces. The current record shows 19 deficiencies, none at the harm or jeopardy level, one abuse-related, with the most recent inspection dated January 2026. State survey results put it mid-range on health inspections, quality measures, and staffing alike.

B

76/100

Emanuel County Nursing Home

Swainsboro, GA · Emanuel County

CMS 2/5 49 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
39%
Serious cites
0

Emanuel County Nursing Home runs 49 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average of 3.86. Weekend coverage drops roughly 22% below its own weekday level, which is the kind of gap families notice when they visit on a Saturday. Annual turnover is 39%, better than the national 45.8%, though still meaning more than a third of staff left within the year. The current record shows 10 deficiencies, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2025. CMS rated staffing 4 stars, inspections and quality measures 3 each.

B

76/100

Maunalani Nursing And Rehabilitation Center

Honolulu, HI · Honolulu County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
5.51 /day
Staff turnover
97%
Serious cites
0

Maunalani runs 5.51 nurse hours per resident day, roughly 43% above the national average, and weekends dip only about 12% below its own weekday level, the kind of consistent coverage that matters when someone needs help on a Saturday night. Inspections look strong too: a five-star health inspection rating, a five-star quality rating, no abuse deficiencies, and 21 total deficiencies with two at the harm level. The number that stands out is turnover, 97.4% annually against a national average of 45.8%, meaning nearly the entire nursing staff turns over each year, and two fines totaling $32,133 sit on the record. High marks from surveyors, but a workforce in constant churn.

B

76/100

The Care Center Of Honolulu

Honolulu, HI · Honolulu County

CMS 3/5 182 beds For-profit Medicaid
Nurse hours
4.64 /day
Staff turnover
39%
Serious cites
0

The Care Center of Honolulu runs 182 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.64 hours per resident day, roughly 20% above the national average, with weekend coverage dipping about 11% below its own weekday levels. Staff turnover lands at 38.9%, which is lower than the 45.8% national figure, so people tend to stay longer here than at the typical home. What pulls the record down is the inspection side: 56 deficiencies on file, including one at the harm or jeopardy level and seven tied to abuse, plus a $8,018 fine. The most recent inspection was November 19, 2025.

B

76/100

Encore Village

Schaumburg, IL · Cook County

CMS 5/5 169 beds For-profit Medicaid
Nurse hours
3.99 /day
Staff turnover
41%
Serious cites
0

Encore Village runs 169 beds in Schaumburg under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, roughly 3% above the national average, with turnover at 41.4%, better than the 45.8% national figure. Those numbers are decent, and the four-out-of-five marks across health inspections, quality measures, and staffing back that up. What pulls the picture down is the inspection record itself: 26 deficiencies, including two at the harm or jeopardy level and four tied to abuse. Two fines totaling $25,454 are on file. Weekend staffing also drops about 12% below weekday levels, so care can thin out when families visit.

B

76/100

The Commons At Lisle Creek Estates

Lisle, IL · Du Page County

CMS 4/5 55 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
70%
Serious cites
0

Brookdale Plaza Lisle runs 55 beds under corporate ownership, and its recent inspection record is genuinely decent, a 4-out-of-5 health inspection rating and no abuse deficiencies among the 19 total, with only one rising to the level of harm and a single fine of about $10,000. Where the home gives ground is staffing. Total nurse hours sit at 3.92 per resident day, only slightly above the national average, but weekends run roughly 11 percent thinner than weekdays, and turnover hits 70 percent against a national 45.8. That churn matters more than the headline staffing number suggests. The last inspection was December 2025, so the record is current.

B

76/100

Eden Vista Burr Ridge

Burr Ridge, IL · Du Page County

CMS 4/5 29 beds For-profit
Nurse hours
4.69 /day
Staff turnover
70%
Serious cites
0

Eden Vista Burr Ridge runs a small house, 29 beds, under for-profit LLC ownership, and its nurse staffing sits at 4.69 hours per resident day, roughly a fifth above the national average, with weekends dipping only about 12% below weekdays. Turnover is the trouble spot: 70% of staff leave annually against a national 45.8%, which matters more in a building this size, where a few departures reshuffle the whole floor. The inspection record shows 23 deficiencies, including two at harm or jeopardy level and one tied to abuse, though the most recent survey closed at the end of 2025 and the health inspection score came in at 4 of 5.

B

76/100

Smith Crossing

Orland Park, IL · Cook County

CMS 4/5 92 beds Non-profit Medicaid
Nurse hours
5.43 /day
Staff turnover
54%
Serious cites
0

Smith Crossing has real nursing hours behind it, 5.43 per resident day, roughly 41% above the national average, and that's the strongest thing in its file. It's a nonprofit home in Orland Park with a 5-star federal staffing rating, though weekend coverage dips about 7% below its own weekday level, and turnover sits at 54.1% against a national 45.8%, so the faces change often. The inspection record is where the picture darkens. Thirty-two deficiencies on the current record, four of them at harm or jeopardy level, one abuse-related, and two fines totaling $125,906. The last inspection was June 2025. Strong staffing, a 3-star inspection rating, and a 2-star quality measure score don't point the same direction, and families should ask which one reflects the days their relative will actually live there.

B

76/100

Thrive Of Lisle

Lisle, IL · Du Page County

CMS 4/5 28 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
41%
Serious cites
0

Thrive Of Lisle is a small for-profit home, 28 beds, that runs slightly above the national average for nurse staffing, though the margin is thin, about 1%. Weekend coverage dips roughly 12% below what the home staffs on weekdays, so families should ask how that gap gets filled. Staff turnover sits at 41.4%, a bit better than the national 45.8%. The inspection record is the strongest part of the picture: 22 deficiencies, none at the harm or jeopardy level and none abuse-related, with a recent survey in January 2025. Quality and inspection ratings both land at 4 out of 5, staffing at 3. Nothing here looks alarming, but the weekend staffing pattern is worth a direct question.

B

76/100

Willows Of Greensburg

Greensburg, IN · Decatur County

CMS 2/5 100 beds Government Medicaid
Nurse hours
4.18 /day
Staff turnover
53%
Serious cites
0

Willows Of Greensburg is city/county-owned, which usually buys some stability, and its 4.18 nurse hours per resident day sit about 8% above the national average of 3.86. But weekends run roughly 9% thinner than weekdays, and turnover hits 53.2% against a national 45.8%, that's a lot of churn for a 100-bed home. The current record shows 30 deficiencies, one tied to abuse, though none rose to harm or jeopardy level, and the last inspection was May 2026. CMS gives it 2 stars each for staffing and health inspections, 3 for quality measures. Enough coverage on paper; the question is who's actually showing up.

B

76/100

Northern Lakes Nursing And Rehabilitation Center

Angola, IN · Steuben County

CMS 1/5 99 beds Government Medicaid
Nurse hours
3.39 /day
Staff turnover
38%
Serious cites
0

Northern Lakes is run by a hospital district, which usually suggests stable public oversight, and its recent inspection history is at least current, surveyors were last in during December 2025. But that visit and the ones before it produced 12 deficiencies, including two involving actual harm or jeopardy to residents and one tied to abuse, along with a single $174,525 fine. Nurse staffing sits about 12% under the national average at 3.39 hours per resident day, and weekends run roughly 13% thinner than weekdays, which matters most when families visit. Turnover is 38.1%, better than the 45.8% national figure, yet the one-star health inspection rating against four stars for quality measures and staffing tells you where the trouble lives.

B

76/100

Bethel Manor

Evansville, IN · Vanderburgh County

CMS 2/5 75 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
46%
Serious cites
0

Bethel Manor is county-owned, which matters here, government homes often run leaner, and this one mostly holds its own. Nurse staffing sits at 4.31 hours per resident day, roughly 12 percent above the national average, though weekends drop about 12 percent below its own weekday levels, so coverage isn't perfectly even across the week. Turnover is 46.4 percent, essentially neck-and-neck with the national 45.8 percent, meaning nearly half the nursing staff turns over in a year. The current record shows 32 deficiencies, none at the harm or jeopardy level, but one tied to abuse, and the last inspection was recent, in August 2025.

B

76/100

Westview Acres Care Center

Leon, IA · Decatur County

CMS 4/5 46 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
56%
Serious cites
0

Westview Acres runs a tight ship on inspections, a clean 4-star health rating, no deficiencies at the harm level, and a survey completed just months ago in June 2025. But look at the staffing math and a different picture emerges. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 14% below its own weekday coverage, which matters when a resident needs help on a Saturday night. Turnover at 55.8% is well above the 45.8% national figure, meaning caregivers cycle through faster than average. Two abuse-related deficiencies on record are worth asking about directly. The care is decent, but consistency is the open question.

B

76/100

Exira Care Center

Exira, IA · Audubon County

CMS 2/5 60 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
50%
Serious cites
0

Exira Care Center runs 60 certified beds as a nonprofit, and its staffing sits just under the national average at 3.74 nurse hours per resident day. Weekends dip about 8% below its own weekday coverage, and turnover runs 50% against a national 45.8%, a workforce that's churning faster than average. The inspection record shows 21 deficiencies, one serious enough to involve harm or jeopardy, plus one fine of $22,880. Its most recent inspection was in August 2025, so the picture is current. Quality and inspection measures both land at 2 out of 5 stars, while staffing holds at 4. That gap matters: the hands-on care is there, but the outcomes and compliance history aren't keeping pace.

B

76/100

Lakeside Lutheran Home

Emmetsburg, IA · Palo Alto County

CMS 3/5 55 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
37%
Serious cites
0

Lakeside Lutheran Home runs on 4.11 nurse hours per resident day, roughly 7% above the national average, and it holds a five-star staffing rating. Weekend coverage dips about 8% below its own weekday level. Turnover sits at 37.2%, better than the 45.8% national figure. The tradeoff shows up in care quality: a one-star quality measure rating and a three-star inspection rating, with 22 deficiencies on record, one at harm level and seven tied to abuse. State inspectors were last in the building in February 2026. Nonprofit ownership, steady staffing, and a thin quality record point in different directions, worth asking about the abuse deficiencies directly.

B

76/100

Westhaven Community

Boone, IA · Boone County

CMS 3/5 100 beds Non-profit Medicaid
Nurse hours
4.10 /day
Staff turnover
96%
Serious cites
0

Westhaven Community runs 4.10 nurse hours per resident day, about 6% above the national average, which helps explain its decent staffing marks, but weekends drop roughly 11% below its own weekday coverage, so care thins out exactly when families tend to visit. The bigger concern is turnover: 96.1% of staff leave each year, more than double the national rate of 45.8%, meaning the people delivering care are constantly new. Add 13 deficiencies on record, including one at the harm level, and an April 2025 inspection that's already aging, and you've got a home with real strengths sitting alongside real instability. It's nonprofit-owned, so nobody's paying dividends, but that doesn't make the churn any easier on residents.

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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