4,510 Independent Nursing Homes in the United States

Nurse hours

4.05 /day

Staff turnover

47%

Serious cites

0

Ramsey Village runs a nonprofit home of 78 beds in Des Moines, and its staffing is the strongest part of the picture: 4.05 nurse hours per resident day, roughly 5% above the national average. The catch is consistency, weekend coverage drops about 11% below weekday levels, and turnover sits at 47.1%, just above the national figure. The inspection record is where families should slow down. Thirty-one deficiencies are on file, including one at the harm level and two tied to abuse, and the last inspection was August 2025. A 2/5 health inspection rating alongside that count tells you the day-to-day care environment has drawn repeated federal scrutiny, even while direct care hours look adequate on paper.

Nurse hours

5.07 /day

Staff turnover

55%

Serious cites

0

Pine Village runs 74 certified beds as a nonprofit, and its inspection record is genuinely solid, 13 deficiencies on the current record with none at harm or jeopardy level and no abuse citations, plus a recent May 2025 survey. The trouble sits in the day-to-day numbers. Its CMS staffing and quality measure ratings both come in at 1 out of 5, and annual staff turnover hits 54.5% against a national average of 45.8%. That combination matters: good survey results reflect how a building performed on inspection day, while thin staffing and heavy turnover shape what a resident actually experiences between surveys. If you're touring, ask directly how many CNAs are on the floor at night and how long the current director of nursing has been in place.

Nurse hours

5.89 /day

Staff turnover

59%

Serious cites

0

Little Sisters of the Poor runs a small home, 35 beds, and staffs it heavily: 5.89 nurse hours per resident day, well above the national figure. That nurse coverage is the strongest thing here, though weekends dip about 10% below weekdays and staff turnover sits at 59.3%, noticeably higher than the 45.8% national rate. Ten deficiencies show on the current record, none at the harm or jeopardy level, with the last inspection in May 2025. The 1/5 quality measure rating is the weak spot, that's resident care outcomes, separate from how many nurses are on the floor. So the picture splits: plenty of hands, mixed care results, and a workforce that keeps changing.

Nurse hours

3.49 /day

Staff turnover

50%

Serious cites

0

River Valley runs 3.49 nurse hours per resident day, about ten percent under the national average, and weekends drop roughly another fourteen percent below its own weekday coverage. That thin weekend margin is the pattern worth asking about, because it's when families tend to visit and when staffing gaps show. Annual turnover sits at 50 percent, above the 45.8 percent national figure, so the aides and nurses on any given shift change often. The inspection side looks steadier: a 4-star health inspection rating, five deficiencies on record with none at harm or jeopardy level and none abuse-related, and a survey completed in June 2025, so the record is current. Quality measures score 5 stars. The tension is real, strong clinical outcomes and clean inspections, but staffing that's lean and always turning over. Ask how they cover a weekend callout.

Nurse hours

4.08 /day

Staff turnover

57%

Serious cites

0

St. Margaret's Daughters Home runs 4.08 nurse hours per resident per day, which is genuinely better than the national average of 3.86, but that staffing thins out on weekends, dropping roughly 9% below its own weekday level. Turnover sits at 57.4%, well above the 45.8% national figure, so the people providing that care are cycling through faster than usual. The current inspection record shows 34 deficiencies, including one tied to abuse, though none reached the level of actual harm or jeopardy. The last inspection was in August 2025. Under for-profit individual ownership, it's a mixed picture: decent hours on paper, real questions about consistency.

Nurse hours

4.09 /day

Staff turnover

49%

Serious cites

0

High View Rehabilitation and Living Center runs on decent nurse hours, 4.09 per resident day, about 6% above the national average, so you might assume staffing carries the place. The catch is weekends, when coverage drops roughly 12% below what the home staffs on weekdays, and turnover sits at 49%, higher than the 45.8% national figure. Inspections are where the picture darkens: a 1-out-of-5 health inspection rating, 32 deficiencies on record with 4 serious enough to involve harm or jeopardy, and $17,917 in fines. CMS has placed this for-profit home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of trouble.

Nurse hours

4.15 /day

Staff turnover

49%

Serious cites

0

Harmony Suites runs a 100-bed for-profit operation in Silver Spring where the day-to-day staffing looks reasonable on paper, 4.15 nurse hours per resident day, a bit above the national average. But weekends drop about 13% below the home's own weekday coverage, and turnover sits at 49.3%, higher than the national figure, so the people around your family member change often. The bigger issue is the inspection record: 61 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus $61,269 in fines, with the most recent inspection in February 2025. A five-star quality measure score doesn't offset that history.

Nurse hours

3.21 /day

Staff turnover

56%

Serious cites

0

Maryland Baptist Aged Home runs 29 beds in Baltimore under church-affiliated nonprofit ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national average of 3.86. Weekend coverage dips a bit further, about 3% below its own weekday level, and annual turnover of 55.6% runs well above the 45.8% national figure. The inspection record shows 44 deficiencies, none at the harm or jeopardy level but one tied to abuse, with the most recent inspection in June 2025. Quality measures score well, and staffing and inspections both land mid-range. For a small home, the numbers point to decent clinical outcomes propped up by a thin, churning workforce.

Nurse hours

3.94 /day

Staff turnover

45%

Serious cites

0

Quaboag runs a bit above the national average on nurse staffing, and its last inspection in May 2025 came back clean on the things that matter most, eight deficiencies total, none at the harm level, none tied to abuse. Turnover sits at 44.6%, essentially in line with the national figure, so staffing is stable by industry standards. The one soft spot worth knowing: weekends run roughly 13% thinner than weekdays, which is common but still means less coverage on Saturdays and Sundays. Quality measures land at three stars, a middle-of-the-road signal rather than a red flag. For a 166-bed nonprofit, the inspection record is the strongest part of the story.

Nurse hours

3.62 /day

Staff turnover

31%

Serious cites

0

Nevins runs on a nonprofit model in Methuen with 153 certified beds, and its staffing is a mixed picture. Nurses provide 3.62 hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 10% below the home's own weekday coverage, so care thins out right when families tend to visit. Retention is a genuine strength, though: 31.1% turnover beats the national 45.8% by a wide margin. The harder reading comes from inspections. Thirty-one deficiencies sit on the current record, including two at the harm level and one tied to abuse, with a $9,318 fine and a January 2026 inspection date. Steady staff, rough survey history.

Nurse hours

3.30 /day

Staff turnover

38%

Serious cites

0

Wingate at Silver Lake runs 164 beds in Kingston under corporate for-profit ownership. Its nurse staffing sits at 3.30 hours per resident day, roughly 15% under the national average of 3.86, and weekends dip about 4% below its own weekday levels, so coverage thins out exactly when families tend to visit and when backup is hardest to reach. Turnover is the brighter spot: 38.3% against a national 45.8%, which suggests aides and nurses are sticking around longer than at the typical home. Inspections in March 2025 turned up 23 deficiencies, none at the harm or jeopardy level and none abuse-related, while the quality measure rating sits at just 2 of 5.

Nurse hours

3.71 /day

Staff turnover

33%

Serious cites

0

Beaumont Rehab & Skilled Nursing Ctr in Natick runs 53 certified beds under corporate for-profit ownership, and its staffing sits at 3.71 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends dip about 8% below weekday coverage, which matters if your family visits on Saturdays and Sundays. Turnover is the bright spot: 32.5% against a national 45.8%, so the aides and nurses you meet are more likely to still be there next year. The trade-offs show elsewhere. Inspectors found 12 deficiencies, 2 serious enough to put residents at risk of harm, and one fine of $10,517. Quality measures score low despite a January 2025 inspection.

Nurse hours

4.29 /day

Staff turnover

51%

Serious cites

0

Norlite Nursing Center sits in Marquette with 99 certified beds and a for-profit corporate owner. The staffing numbers look decent on paper, 4.29 nurse hours per resident day, roughly 11% above the national average, but weekends run about 15% lighter than weekdays, and turnover hits 50.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is where things get harder to ignore: 28 deficiencies, two at harm or jeopardy level, four tied to abuse, and a $113,129 fine. That combination explains the 2/5 health inspection rating even as quality measures score 5/5. The most recent inspection was January 28, 2026. Ask about weekend coverage and turnover directly before deciding.

Nurse hours

3.07 /day

Staff turnover

37%

Serious cites

0

Corewell Health Rehabilitation & Nursing Center runs 196 certified beds in Dearborn as a nonprofit, and its numbers pull in different directions. Nurse staffing sits at 3.07 hours per resident day, roughly 21 percent under the national average, and weekends run about 14 percent thinner than weekdays, a pattern families often feel on Saturday and Sunday. Turnover is 36.5 percent, better than the national 45.8 percent, so the people who stay tend to stay. The current inspection record carries 20 deficiencies, including two at the harm or jeopardy level and one tied to abuse, with a 2-out-of-5 health inspection rating. Quality measures score 5 out of 5, which makes the thin weekday-and-weekend coverage and that deficiency list the parts worth asking about directly.

Nurse hours

3.60 /day

Staff turnover

43%

Serious cites

0

Sauer Health Care runs 61 beds as a nonprofit, and its staffing sits at 3.60 nurse hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 11% below its own weekday coverage, a gap worth asking about if your family visits on Saturdays or Sundays. Staff turnover is 43.1%, slightly better than the 45.8% national figure, which suggests some stability. The tradeoff shows up in oversight: a 2/5 inspection rating with 19 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy. The last inspection was January 7, 2026. Quality measures score 1/5, so ask how that plays out day to day.

Nurse hours

3.60 /day

Staff turnover

83%

Serious cites

0

Kittson Healthcare runs 40 beds in Hallock, and it's a nonprofit, which usually buys some stability. The staffing numbers complicate that: 3.60 nurse hours per resident day sits about 7% under the national average, weekend coverage dips roughly 10% below its own weekdays, and annual turnover hits 82.9% against a national 45.8%. That churn matters more than the star ratings suggest, because nearly nine in ten caregivers leaving each year is hard on residents who need consistency. The inspection record shows 25 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $8,190. The last inspection was June 2025, so the picture is current.

Nurse hours

3.65 /day

Staff turnover

37%

Serious cites

0

Grenada Living Center runs 90 certified beds under for-profit LLC ownership, and its inspection record is the strongest card it holds: a four-out-of-five health inspection rating, a recent April 2025 survey, and 11 deficiencies with none rising to harm or jeopardy and none tied to abuse. Staffing sits at 3.65 nurse hours per resident day, roughly 6% under the national average, and weekends run about 12% thinner than weekdays, worth asking about if your family visits on Saturdays. Turnover at 36.6% actually beats the 45.8% national figure, which matters for continuity of care. The quality measure rating of just one out of five is the real outlier here, and it's the number I'd press the administrator on before deciding.

Nurse hours

4.37 /day

Staff turnover

61%

Serious cites

0

Glen Oaks runs on more nursing hours than most homes in the country, 4.37 per resident day against a national average of 3.86, and that staffing shows up in a four-star rating on that measure. What the numbers also show is a workforce that doesn't stay put: 61.1% annual turnover, well above the 45.8% national figure, and weekend coverage drops roughly 15% from weekday levels. The inspection record itself is the strongest part of the picture: a clean five-star history, two deficiencies on file, none involving harm or abuse, and a survey completed in March 2025. Corporate-owned and small at 45 beds, it's a home that inspects well but leans hard on a churning staff to keep those hours filled.

Nurse hours

4.47 /day

Staff turnover

—

Serious cites

0

Comfort Care Nursing Center in Laurel runs on county money, and its 126 beds get more nursing attention than most, 4.47 hours per resident day against a national average of 3.86. That staffing cushion has limits, though: weekends run about 24% leaner than weekdays, so care depends on which day you visit. The inspection record carries 14 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent state visit was November 2025. Health inspection and quality measure ratings both sit at 2 out of 5, while staffing earns 4. That gap tells the story, decent hands on deck, uneven execution everywhere else.

Nurse hours

3.13 /day

Staff turnover

—

Serious cites

0

Miller County Care and Rehabilitation Center, a nonprofit home in Tuscumbia, runs thin on nursing hours: 3.13 per resident per day against a national average of 3.86, with weekends about 15 percent below its own weekday level. That staffing picture is what pulls its CMS staffing rating down to 1 out of 5, and it's the main reason this isn't a stronger home on paper. The inspection record is steadier, 15 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection came in April 2025. Quality measures and health inspections both score 4 out of 5. So the care outcomes look decent; the worry is whether there are enough hands on weekends.