4,510 Independent Nursing Homes in the United States

Nurse hours

3.61 /day

Staff turnover

39%

Serious cites

0

Continental Springs is a for-profit LLC home with 77 beds in South Sioux City, and its staffing sits at 3.61 nurse hours per resident day, roughly 6% under the national average of 3.86. Weekends dip about 10% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover runs 38.8%, better than the 45.8% national figure, which matters more than a single snapshot of hours. The health inspection side is the weak spot: a 2/5 star rating, 13 deficiencies on record including one abuse-related citation, though none rose to harm or jeopardy. Its last inspection was January 14, 2026. Quality measures land mid-range and staffing scores well on CMS's own scale, the inspection record is what pulls the overall picture down.

Nurse hours

4.37 /day

Staff turnover

47%

Serious cites

0

Nye Legacy in Fremont runs a for-profit corporate operation with 100 certified beds, and its nurse staffing sits at 4.37 hours per resident day, roughly 13% above the national average of 3.86. That staffing cushion is real, though weekends dip about 12% below the home's own weekday level, and turnover lands at 47.1%, just slightly worse than the 45.8% national figure. The inspection record shows 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent visit in April 2025. Where the numbers get uneven is quality measures, which sit at 2 out of 5 stars even as inspections and staffing both hold at 4, worth asking about directly.

Nurse hours

3.48 /day

Staff turnover

58%

Serious cites

0

Hillsboro House runs 33 beds under corporate ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, about 10% under the national average of 3.86, and weekends drop roughly 14% below the home's own weekday coverage, so your family member's Saturday care may look thinner than a Tuesday's. Staff turnover is 57.7%, well above the 45.8% national figure, which matters because unfamiliar aides mean less continuity for residents who need consistent hands. The health inspection record shows 16 deficiencies with no harm or abuse findings, though 17 fines totaling $97,730 have accumulated; that inspection history, paired with a recent August 2025 survey, is worth reading closely before you decide.

Nurse hours

4.09 /day

Staff turnover

68%

Serious cites

0

Pines Village runs a nonprofit operation with 66 beds in Whiting, and its nurse staffing sits at 4.09 hours per resident day, about 6% above the national average. That's a real edge, though weekends dip roughly 8% below the home's own weekday coverage, so care isn't evenly spread across the week. The bigger concern is turnover: 68.1% of staff leave annually, well above the 45.8% national figure, which matters for residents who value seeing the same faces. Inspections in August 2025 turned up 14 deficiencies, none at harm or jeopardy level, but two tied to abuse. Quality measures score well; inspection history is middling.

Nurse hours

2.72 /day

Staff turnover

39%

Serious cites

0

Oceanview runs lean on nursing hours, 2.72 per resident day against a national average of 3.86, roughly a third less hands-on time, with weekends slightly thinner than weekdays. That staffing level earned two stars from CMS, and the inspection record shows 23 deficiencies, three tied to abuse, though none rose to actual harm or jeopardy. Turnover sits at 38.7%, better than the national 45.8%, so the staff who are there tend to stay. The quality measures score five stars, which tells you residents' clinical outcomes look good on paper even as the daily coverage lags.

Nurse hours

3.35 /day

Staff turnover

41%

Serious cites

0

Rego Park Nursing Home runs 200 certified beds in Flushing under corporate ownership, and its numbers tell a mixed story. Nurse staffing sits at 3.35 hours per resident day, roughly 13 percent under the national average, and weekends dip about 9 percent below what the home itself provides on weekdays, a gap families often feel when they visit Saturday or Sunday. Turnover is 41 percent, slightly better than the national 45.8 percent, and the current record shows 16 deficiencies with none at the harm level, though two are abuse-related. The last inspection was in October 2024, and quality measures score better than staffing or inspections do.

Nurse hours

3.74 /day

Staff turnover

49%

Serious cites

0

Wedgewood runs 29 beds in Spencerport, and its nurse staffing sits at 3.74 hours per resident day, a bit under the national average of 3.86. That gap looks small, but weekends here drop roughly 14% below the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Staff turnover is 48.5%, above the national 45.8%, meaning nearly half the nursing team turns over in a year. The health inspection record carries 13 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection in March 2024. Quality measures score well; the inspection side is where the record is weakest.

Nurse hours

3.65 /day

Staff turnover

—

Serious cites

0

Allegria runs 3.65 nursing hours per resident day, about 6% under the national average, and weekends drop roughly 18% below its own weekday staffing. That thin weekend coverage matters because the home carries 23 deficiencies on its current record, 4 of them abuse-related, none flagged at harm or jeopardy level, but that's still a meaningful cluster. Its last inspection was May 2025, so the record is fairly current. Ownership is for-profit and individual. The staffing star sits at 2 out of 5 while quality measures score 4 out of 5, which is a real split: the care processes look decent on paper, but the people-hours behind them run light. Ask about weekend nurse coverage specifically.

Nurse hours

4.69 /day

Staff turnover

56%

Serious cites

0

Good Shepherd-Fairview in Binghamton runs a 54-bed nonprofit home where the staffing numbers look strong on paper, 4.69 nurse hours per resident day, about 21% above the national average. Weekends dip roughly 7% below weekday coverage, though, and staff turnover sits at 55.6% against a national average of 45.8%, so that bedside coverage depends on a workforce that's changing over fairly quickly. The inspection record is the weaker side: 16 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $16,153 fine. The last inspection was August 2025, so the record is current rather than stale. Good staffing, but the deficiency history is what holds this one back.

Nurse hours

3.32 /day

Staff turnover

45%

Serious cites

0

Park Avenue Extended Care runs 240 certified beds as a for-profit corporation, and its staffing is the number that stands out first: 3.32 nurse hours per resident day against a national average of 3.86, roughly 14 percent below. Weekends dip about 5 percent under the home's own weekday coverage, so the thinnest shifts are the ones families tend to visit. Turnover sits at 44.6 percent, essentially level with the 45.8 percent national figure, meaning this is a stable-by-industry-standards workforce rather than a churning one. Inspections landed at 2 of 5 stars with 19 deficiencies on record, none at harm or jeopardy level and none abuse-related, while the quality measure score came in at 5 of 5, and the most recent inspection was November 4, 2024.

Nurse hours

4.11 /day

Staff turnover

63%

Serious cites

0

Atrium Nursing and Rehabilitation runs 99 beds in Xenia under for-profit LLC ownership, and the numbers pull in opposite directions. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, which helps explain its 4/5 staffing rating, but that cushion thins on weekends, when coverage drops roughly 9% below the home's own weekday level. Meanwhile, annual turnover hits 63% against a national average near 46%, meaning the people delivering that care keep leaving. Then there's the inspection record: 54 deficiencies, including four at the harm or jeopardy level and four tied to abuse, plus four fines totaling $193,839. The most recent inspection was December 11, 2025. High quality-measure scores and steady staffing don't offset that history, ask about turnover and the abuse findings before deciding.

Nurse hours

4.16 /day

Staff turnover

60%

Serious cites

0

Merit House in Toledo runs 99 beds under for-profit LLC ownership, and the inspection record is the part that stands out. Forty-two deficiencies on the current record, including two abuse-related citations, with a one-star health inspection rating. The last inspection was in September 2024, so the findings are recent, not stale. Staffing is the puzzle. Total nurse hours sit about 8% above the national average, yet the staffing star rating is one out of five, and turnover is 60.2% against a national 45.8%. Weekend coverage drops roughly 10% below weekday levels. High turnover and thin weekends can undercut raw hours on paper. The five-star quality measure rating reflects resident outcome data, which is a different measure entirely.

Nurse hours

3.62 /day

Staff turnover

50%

Serious cites

0

Bristol Village runs a tight ship on inspections, a five-star health inspection rating and only six deficiencies on record, none of them serious enough to cause harm. But the staffing numbers tell a different story. At 3.62 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 11% below what the home itself manages during the week. Annual turnover hits 50%, higher than the 45.8% national figure. So you're looking at a place that gets the big things right and runs leaner than average on the people doing the daily work, with a quarter of the staff leaving each year. Worth asking about weekend coverage specifically when you visit.

Nurse hours

3.72 /day

Staff turnover

47%

Serious cites

0

Briarfield Manor runs 92 beds under corporate ownership in Youngstown, and its nurse staffing sits at 3.72 hours per resident day, about 4% under the national average of 3.86. Weekends dip roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 36 deficiencies on file, including one at the harm or jeopardy level and one tied to abuse, with the most recent inspection in March 2025. Staff turnover of 46.6% edges just past the national rate of 45.8%. A 2 out of 5 on health inspections against 3s for quality measures and staffing tells you where the problems concentrate.

Nurse hours

3.27 /day

Staff turnover

54%

Serious cites

0

Aristos runs about 3.27 nursing hours per resident per day, roughly 15% under the national average of 3.86, and weekends drop another 7% below the home's own weekday coverage. Annual turnover sits at 54.3%, nearly nine points above the national figure, with 41 deficiencies on record, one abuse-related, none at harm level, and a 2/5 inspection rating, though the most recent survey was in late September 2025. The quality measure star of 4/5 suggests the clinical data looks better than the staffing and inspection picture. For-profit corporate ownership means decisions about wages and coverage get made elsewhere, which is worth asking about directly.

Nurse hours

4.01 /day

Staff turnover

53%

Serious cites

0

Bel Air Care Center runs on better-than-average nurse coverage, 4.01 hours per resident day against a national figure near 3.86, but weekends dip about 10% below what the home staffs on weekdays, so a Saturday shift isn't the same as a Tuesday one. The bigger question mark is retention: 52.5% annual turnover sits above the 45.8% national average, meaning roughly half the nursing staff leaves each year, and that churn is hard on residents who rely on familiar faces. Inspections look solid, with a 4-star health rating, 14 deficiencies on record and none involving harm or abuse, and the most recent survey came in March 2025. It's an individually owned for-profit with 45 beds, so ask how they hold staffing steady when someone calls off.

Nurse hours

4.03 /day

Staff turnover

55%

Serious cites

0

Amherst Meadows runs on thin margins that the headline numbers don't quite capture. The 4.03 nurse hours per resident day looks solid next to the national 3.86, but weekends drop about 9% below the home's own weekday staffing, and turnover sits at 54.7% against a 45.8% national average, a rate that tends to mean unfamiliar faces on the floor. Ownership is for-profit corporate, which is worth knowing when you read the staffing star rating of 2/5. The counterweight is genuine: a 5/5 inspection rating with only seven deficiencies on record, none at harm level, none abuse-related, and the last survey came in April 2025. If you tour, ask how weekend coverage is actually filled.

Nurse hours

3.83 /day

Staff turnover

36%

Serious cites

0

Villa Vista Royale runs 54 beds in Steubenville under for-profit LLC ownership, and its last inspection came back clean at the harm level, zero deficiencies that put residents in jeopardy, out of 20 total on the record. Three of those are abuse-related, which is worth asking about directly. Nurse staffing sits at 3.83 hours per resident day, just under the national average, but weekends drop about 12% below the home's own weekday coverage. Turnover is the bright spot: 36.4% against a national 45.8%, meaning aides and nurses tend to stay longer here than average. The tradeoff is thin weekend coverage and that abuse flag on an otherwise strong inspection history.

Nurse hours

5.13 /day

Staff turnover

67%

Serious cites

0

Jamestowne Rehabilitation runs a tight ship on hours: 5.13 nurse staffing hours per resident day, about a third more than the national average, which is not nothing for a 42-bed nonprofit home in Hamilton. The catch is who's delivering those hours. Turnover sits at 67.3%, well above the 45.8% national figure, so a lot of that generous staffing is likely newer, less settled hands. The inspection record is a mixed bag too, 13 deficiencies, one serious enough to involve harm, with the last state visit in November 2024. Weekend coverage dips a bit from weekday levels. What you're looking at is a place that invests in coverage but struggles to keep people, and it shows in the survey history.

Nurse hours

4.21 /day

Staff turnover

46%

Serious cites

0

Wilkins Health & Rehabilitation Community runs 118 certified beds in Duncan under corporate ownership, and the nurse staffing number is the real story here: 4.21 hours per resident day, roughly 9% above the national average of 3.86. Weekends dip about 10% below its own weekday level, so ask how that gap gets covered. Staff turnover sits at 45.7%, essentially identical to the national 45.8%, no red flag, but no retention advantage either. The inspection record is the strongest part: a 5/5 health inspection rating, last survey in May 2025, with 8 deficiencies on file, none at harm or jeopardy level and none abuse-related. Quality measures, though, rate 2/5, which is worth asking about directly.