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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 2521–2540 of 4,510, best-graded first.

B

76/100

The Redwoods, A Community Of Seniors

Mill Valley, CA · Marin County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
4.65 /day
Staff turnover
40%
Serious cites
0

The Redwoods runs a solid care floor on paper: 4.65 nurse hours per resident day, roughly a fifth more staffing than the national average, and turnover at 40.4% sits better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekdays, which is worth asking about directly. What pulls the record down is inspections, 37 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $103,054 and the last survey in July 2024. A nonprofit with good staffing but a troubled inspection history usually means the problems are specific and fixable, not structural. Ask for the plan of correction.

B

76/100

Bella Vista Health Center

Lemon Grove, CA · San Diego County

CMS 4/5 99 beds For-profit Medicaid
Nurse hours
4.87 /day
Staff turnover
48%
Serious cites
0

Bella Vista Health Center in Lemon Grove runs 4.87 total nurse hours per resident day, roughly 26% above the national average of 3.86, and its weekend staffing only dips about 7% below weekdays, a smaller drop-off than many homes show. The 22 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and the most recent inspection was November 2025. Staff turnover sits at 47.6%, slightly above the national 45.8%. With 99 certified beds under for-profit LLC ownership, the numbers describe a home that is adequately staffed and recently inspected, but not one where retention stands out.

B

76/100

Electra Healthcare Center

Electra, TX · Wichita County

CMS 5/5 62 beds Government Medicaid
Nurse hours
4.31 /day
Staff turnover
55%
Serious cites
0

Electra Healthcare Center runs on more nursing hours than most places, 4.31 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday levels, so coverage thins when families tend to visit. Staff turnover sits at 55.2%, well above the 45.8% national figure, which matters for whether you'll see the same faces month to month. The inspection record is clean where it counts most: 17 deficiencies, none at harm or jeopardy level, though one is abuse-related. Hospital district ownership and a recent March 2026 inspection round out a picture of a home that's well-staffed on paper but cycling through caregivers.

B

75.5/100

Regency Health Care And Rehabilitation Center

Huntsville, AL · Madison County

CMS 1/5 90 beds For-profit Medicaid
Nurse hours
4.30 /day
Staff turnover
63%
Serious cites
0

Regency Health Care and Rehabilitation Center has 90 certified beds and is run by a for-profit corporation. The nursing hours look decent on paper, 4.30 per resident day, about 11% above the national average, but weekends run roughly 21% leaner than weekdays, so coverage thins out exactly when families tend to visit. Staff turnover sits at 62.7% against a national average of 45.8%, which means a lot of the people caring for your relative are new. The bigger concern is the inspection record: 18 deficiencies, three of them serious enough to put residents in harm's way, two fines totaling $16,801, and a one-star health inspection rating from CMS. Its last full inspection was August 21, 2024.

B

75.5/100

Twin Oaks Convalescent Center

Alma, GA · Bacon County

CMS 5/5 88 beds Non-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
45%
Serious cites
0

Twin Oaks Convalescent Center in Alma runs on a nonprofit model with 88 certified beds, and its staffing sits right at the national average, about 3.89 nurse hours per resident day. The catch is weekends, when coverage drops roughly 18% below what residents get Monday through Friday. Turnover is 45%, almost exactly the national rate, so retention isn't unusually bad but isn't a strength either. What stands out is the inspection record: just two deficiencies, none involving harm or abuse, and a survey completed in March 2025. The quality measure score of 2 out of 5 is the weak spot, pulling down an otherwise solid profile. If you're weighing this one, ask specifically how weekend staffing is covered.

B

75.5/100

Oaks Nursing Home, Inc, The

Marshallville, GA · Macon County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
35%
Serious cites
0

Oaks Nursing Home runs a tight ship on the clinical side, its last inspection was in June 2025, and the five deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which is why inspectors gave it 4 out of 5 stars. Staffing is the weaker spot. At 3.76 nurse hours per resident day, it sits just under the national average of 3.86, and weekend coverage drops roughly 16% below its own weekday level, so families should ask who's actually on the floor on Saturdays and Sundays. Turnover of 34.5% is better than the 45.8% national figure, meaning caregivers here tend to stick around longer than at the typical home.

B

75.5/100

Hillcrest Home

Geneseo, IL · Henry County

CMS 4/5 99 beds Government Medicaid
Nurse hours
3.27 /day
Staff turnover
61%
Serious cites
0

Hillcrest Home is owned by the city or county, which usually means steadier oversight and no corporate parent pushing for cuts. The tradeoff shows up in the numbers: nurses give 3.27 hours per resident per day, about 15% under the national average, and weekends run roughly 15% lighter than weekdays. Staff turnover sits at 60.9% against a national 45.8%, so familiar faces are hard to count on. Inspections are the strong point, a 4/5 health inspection rating with a recent May 2025 visit, but the record still carries 17 deficiencies, one at harm level and two abuse-related, which is worth asking about directly.

B

75.5/100

Sunny View Care Center

Ankeny, IA · Polk County

CMS 2/5 94 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
44%
Serious cites
0

Sunny View Care Center in Ankeny runs 94 certified beds under for-profit LLC ownership, and the staffing numbers are where I'd start. At 3.34 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends dip roughly 15% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover at 44.4% is essentially at the national average, meaning the workforce churns steadily without being an outlier either way. The bigger concern is the inspection record: 42 deficiencies on file, one serious enough to reach harm or jeopardy level, with the last inspection dated January 2026. Quality and staffing measures land mid-range, but that inspection history is what pulls the overall picture down.

B

75.5/100

Fahrney-Keedy Memorial Home

Boonsboro, MD · Washington County

CMS 5/5 106 beds Non-profit Medicaid
Nurse hours
4.07 /day
Staff turnover
44%
Serious cites
0

Fahrney-Keedy runs on 4.07 nurse hours per resident per day, a bit above the national average, and its inspection history is strong, zero deficiencies at the harm or jeopardy level and a recent survey. The catch is in the day-to-day: weekend staffing drops roughly 16% below weekday levels, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. Staff turnover at 44% is average, which means aides and nurses cycle through at about the same rate as everywhere else. Twenty-nine deficiencies sit on the current record, two tied to abuse, and quality measures score low even as inspections score high.

B

75.5/100

The Gardens At Cedarwood

Franklin, MA · Norfolk County

CMS 2/5 82 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
—
Serious cites
0

The Gardens At Cedarwood runs 82 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.74 hours per resident day, just under the national average of 3.86, with weekends running about 8% thinner than weekdays. That modest shortfall shows up in the staffing star rating, which lands at 2 out of 5, and in a health inspection rating that's also 2 out of 5. The current record carries 42 deficiencies, none at harm or jeopardy level but two tied to abuse, plus three fines totaling $7,596. What lifts the picture is a 4 out of 5 on quality measures, and a state inspection as recent as June 2025 means the record is current, not stale.

B

75.5/100

Healthsource Saginaw, Inc

Saginaw, MI · Saginaw County

CMS 3/5 213 beds Government Medicaid
Nurse hours
4.32 /day
Staff turnover
49%
Serious cites
0

Healthsource Saginaw is county-owned and staffed better than most: 4.32 nurse hours per resident day against a national average of 3.86. That staffing edge is real, and it's the main reason the quality measure rating comes in at 4 out of 5. But the inspection record is where this home gets into trouble, 57 deficiencies on file, six of them serious enough to put residents in harm's way and three tied to abuse. Five fines add up to just under $270,000. Staff turnover sits at 48.8%, a bit worse than the national 45.8%, and weekend coverage drops about 18% below weekday levels, so the weekday numbers overstate what families actually see on Saturdays. The most recent inspection was July 2025.

B

75.5/100

Iron River Care Center

Iron River, MI · Iron County

CMS 1/5 69 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
29%
Serious cites
0

Iron River Care Center runs on 2.97 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip about 15% below its own weekday staffing. Turnover sits at 29.3%, better than the 45.8% national figure, so the people who stay tend to stay. The problem is what inspectors found: 43 deficiencies on the current record, four involving harm or jeopardy and five tied to abuse, plus a $42,575 fine. The last inspection was August 2025, so the record is recent. Corporate-owned, 69 beds. Low staffing plus that many serious citations is the story here.

B

75.5/100

Choctaw Residential Center

Choctaw, MS · Neshoba County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
41%
Serious cites
0

Choctaw Residential Center runs 120 beds as a nonprofit, and its staffing sits a bit under the national average, 3.67 nurse hours per resident day against 3.86, with weekends dropping roughly 15% below its own weekday coverage. Turnover at 41.4% is actually better than the 45.8% national figure, which matters for consistency of care. The tradeoff shows up in oversight: 23 deficiencies on the current record, one tied to abuse, and a single fine of $21,165, with the last inspection in March 2025. No deficiency reached harm or jeopardy level, so nothing here reads as dangerous, but the inspection and quality ratings both land at 2 out of 5, which is where the concern sits.

B

75.5/100

Monroe City Manor Care Center

Monroe City, MO · Marion County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
37%
Serious cites
0

Monroe City Manor runs 4.22 nurse hours per resident day, roughly 9% above the national average, and its staff turnover of 36.8% sits well below the national 45.8%, people tend to stay here. Weekends thin out, though, dropping about 16% below weekday coverage, and the quality measure rating comes in at just 1 out of 5, which is the number worth asking about. Inspections in August 2025 turned up 10 deficiencies, one serious enough to involve harm or jeopardy, plus a $24,408 fine. The staffing is genuinely solid; the clinical outcomes and that one harm-level finding are where the concerns live.

B

75.5/100

University Health Lakewood Medical Center

Kansas City, MO · Jackson County

CMS 3/5 188 beds Non-profit Medicaid
Nurse hours
4.05 /day
Staff turnover
39%
Serious cites
0

University Health Lakewood runs 188 certified beds as a nonprofit, and its nurse staffing sits at 4.05 hours per resident day, about 5% above the national average. Weekends drop roughly 16% below its own weekday coverage, so care can thin out when families visit. Staff turnover is 38.7%, better than the 45.8% national figure, which matters because stable caregivers know residents. Inspections in August 2025 produced a 4-star health inspection rating, though the record carries 25 deficiencies, including one at the harm level and three tied to abuse. Quality measures score 2 out of 5, and one fine totaling $14,901 is on file.

B

75.5/100

Mother Hull Home

Kearney, NE · Buffalo County

CMS 2/5 58 beds Non-profit Medicaid
Nurse hours
4.85 /day
Staff turnover
97%
Serious cites
0

Mother Hull Home runs a nonprofit shop in Kearney with 58 beds, and the staffing hours are genuinely above average, 4.85 per resident day against a national 3.86. That cushion matters less when you see turnover at 97.2%, roughly double the national rate. Weekends also run about 16% leaner than weekdays, so the coverage isn't as steady as the yearly number suggests. The inspection record is the softer spot: 17 deficiencies, one tied to abuse, and a 2-star health inspection rating. None reached the harm or jeopardy level, and a February 2026 inspection is recent, so the picture is current. Quality measures score well at 4 stars.

B

75.5/100

Wedgwood Gardens Care Center

Freehold, NJ · Monmouth County

CMS 4/5 151 beds For-profit Medicaid
Nurse hours
2.99 /day
Staff turnover
36%
Serious cites
0

Wedgwood Gardens runs lean on nursing hours, 2.99 per resident day against a national average of 3.86, roughly a fifth below what Medicare considers typical. Weekends thin out further, dropping about 18% from the home's own weekday staffing, so a Saturday shift looks noticeably different from a Tuesday one. Retention is a genuine bright spot: 35.8% turnover beats the 45.8% national figure, meaning caregivers here tend to stay longer than at the average home. The tradeoff shows up on the health inspection side, where 11 deficiencies include one serious enough to trigger a harm or jeopardy finding. That single citation carries more weight than the count suggests, and it's worth asking management directly what happened and what changed since the March 2025 survey.

B

75.5/100

Roscoe Regional Rehab & Residential H C F

Roscoe, NY · Sullivan County

CMS 2/5 85 beds For-profit Medicaid
Nurse hours
3.36 /day
Staff turnover
56%
Serious cites
0

Roscoe Regional Rehab runs 85 certified beds under for-profit LLC ownership, and its staffing tells the clearest story here. At 3.36 nurse hours per resident day, it sits about 13% under the national average of 3.86, and weekends drop roughly 23% below what the home staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 55.7% is well above the 45.8% national figure, meaning the aides and nurses caring for residents are often new to the building. The inspection record shows 16 deficiencies with none at harm or jeopardy level and none abuse-related, and the last survey was recent, in August 2025.

B

75.5/100

Chasehealth Rehab And Residential Care

New Berlin, NY · Chenango County

CMS 3/5 80 beds Non-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
—
Serious cites
0

Chasehealth Rehab And Residential Care runs 80 certified beds in New Berlin under nonprofit ownership, and its two most recent CMS ratings pull in opposite directions: five stars for quality measures, one star for staffing. Total nurse staffing sits at 3.33 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 6 percent thinner than weekdays. The inspection history shows 20 deficiencies on the current record, though none at the harm or jeopardy level and none abuse-related, with the last inspection in February 2025. So the clinical picture looks steady while the daily coverage looks light, worth asking how nurse hours are actually distributed across shifts.

B

75.5/100

Chemung County Health Center - Nursing Facility

Elmira, NY · Chemung County

CMS 5/5 200 beds Government Medicaid
Nurse hours
5.18 /day
Staff turnover
56%
Serious cites
0

Chemung County Health Center runs on public money, and the staffing reflects it: 5.18 nurse hours per resident day, roughly a third more than the national average. Weekends dip about 21% below its own weekday coverage, though, and 55.7% of staff turned over last year, well above the 45.8% national figure. The inspection record is the strongest part of the picture: a 5/5 health inspection rating, 11 deficiencies on file with none rising to harm or jeopardy and nothing abuse-related, last surveyed in September 2023. Quality measures sit at 2/5, which is where the score gets pulled down. Solid hands on deck and a clean survey history, but keep an eye on weekend coverage and whether they can hold onto staff.

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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