4,510 Independent Nursing Homes in the United States

Nurse hours

3.71 /day

Staff turnover

40%

Serious cites

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Livingston County Center For Nursing And Rehab runs 266 beds as a county-owned home, and its staffing sits just under the national mark at 3.71 nurse hours per resident day. Weekends drop roughly 16% below its own weekday coverage, which is worth asking about if your family visits Saturday or Sunday. Turnover lands at 40.2%, a bit better than the 45.8% national figure, though the inspection record is thinner: 16 deficiencies, one serious enough to reach harm or jeopardy level, plus a $12,735 fine. The last full inspection was November 2023. County ownership brings some stability, but ask directly how that weekend gap gets covered.

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Staff turnover

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Menorah Home & Hospital is a 436-bed nonprofit in Brooklyn, and its numbers pull in two directions. On paper, the quality measures look strong, but that sits next to staffing and health inspection ratings at the bottom of the scale, which is an unusual split worth asking about directly. The current record shows 23 deficiencies, four of them serious enough to involve harm or jeopardy, and three tied to abuse. That combination, thin staffing alongside harm-level findings, is the part that matters more than the quality scores. The last inspection was October 2024, so the record is recent. One fine totaling $8,018 rounds out the picture. Worth visiting unannounced and asking how they've addressed the abuse-related findings.

Nurse hours

3.63 /day

Staff turnover

41%

Serious cites

0

Valley Health Services is a 160-bed nonprofit in Herkimer, and the numbers tell a mixed story. Staffing sits at 3.63 hours per resident day, about 6% under the national average, and weekends run roughly 15% thinner than weekdays, so if you're visiting on a Saturday, expect less coverage than midweek. Turnover at 40.9% is actually better than the national 45.8%, which matters for whether your parent sees the same aides month to month. The bigger concern is the record: 25 deficiencies, one serious enough to reach harm or jeopardy level, and a January 2026 inspection. No abuse citations, at least.

Nurse hours

4.24 /day

Staff turnover

25%

Serious cites

0

Adira At Riverside runs 4.24 nurse hours per resident day, roughly 10% above the national average, and its staff turnover of 25% is well below the 45.8% norm, a sign people tend to stay. The catch is the inspection record. Twenty-four deficiencies, two of them serious enough to put residents at risk of harm, drew a single $66,859 fine and a one-star health inspection rating. Quality measures score 5/5, but weekend staffing drops about 16% below weekdays, so care thins out exactly when families visit. Good staffing and low turnover, real trouble on inspections, worth asking what those two harm-level citations involved before deciding.

Nurse hours

3.47 /day

Staff turnover

42%

Serious cites

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Mountain Ridge runs on 3.47 nurse staffing hours per resident day, roughly 10% under the national average, and weekends drop about 16% below what the home staffs on weekdays. The inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 1 tied to abuse, with two fines totaling $16,152; the most recent inspection was May 30, 2025. Staff turnover sits at 42%, a bit better than the 45.8% national figure, and the quality measure rating is strong at 4 out of 5. But a 1-out-of-5 inspection rating and 2-out-of-5 staffing rating carry more weight when you're choosing care.

Nurse hours

3.96 /day

Staff turnover

46%

Serious cites

0

Fleshers Fairview Health Care runs 106 certified beds in Buncombe County under corporate for-profit ownership, and the staffing numbers look strong on paper, 3.96 nurse hours per resident day, slightly above the national average. But weekends drop about 15% below the home's own weekday coverage, and staff turnover sits at 46.2%, essentially matching the national rate. The real concern is the inspection record: 38 deficiencies, six of them serious enough to put residents in harm's way, plus two abuse-related findings and $61,321 in fines. The most recent inspection was in September 2025, so the record is current, not stale. Strong staffing and a difficult regulatory history are both true here.

Nurse hours

4.27 /day

Staff turnover

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Serious cites

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Crown Center At Laurel Lake runs 4.27 total nurse hours per resident day, roughly 11% above the national average, though weekends drop about 9% below its own weekday staffing. That helps explain the middle-of-the-road marks from CMS on staffing and health inspections, and the 17 deficiencies on the current record, one at the harm level, five tied to abuse, are worth reading closely rather than skimming. The $131,378 in fines across 23 penalties adds up. Last full inspection was August 2023, so the picture is based on data that's a little over a year old. Nonprofit ownership doesn't erase any of that.

Nurse hours

3.55 /day

Staff turnover

—

Serious cites

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A family member calling about Normandy Manor of Rocky River would hear this: the place has 150 certified beds and is run by a for-profit limited liability company. The staffing is thin, 3.55 nurse hours per resident day, about 8% under the national average, and weekends run roughly 10% lighter than weekdays. Its inspection record shows 35 deficiencies, including one at the harm or jeopardy level and five tied to abuse. The health inspection rating sits at 2 out of 5, and staffing at 1 out of 5, while quality measures come in at 5 out of 5. The last inspection was July 11, 2024. A strong quality score and a weak inspection and staffing pattern usually mean the daily experience depends heavily on how thinly the floor is stretched.

Nurse hours

4.59 /day

Staff turnover

—

Serious cites

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Bartlesville Health and Rehabilitation Community runs a 119-bed for-profit operation where the raw staffing number looks better than it actually plays out. At 4.59 nurse hours per resident day, the home sits about 19% above the national average of 3.86, but that cushion narrows on weekends, when coverage drops roughly 11% below its own weekday level. The inspection record is where the picture darkens: 25 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $75,816. Its most recent inspection was December 4, 2024, and the federal ratings land at one star for health inspections, two for quality measures, and two for staffing. If you're weighing this one, ask directly how those abuse-related citations were resolved and who covers the floor on Saturdays and Sundays.

Nurse hours

3.76 /day

Staff turnover

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Serious cites

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Myerstown Nursing and Rehab runs 152 certified beds under nonprofit ownership, and its staffing sits at 3.76 nurse hours per resident day, about 3% under the national average of 3.86. That gap is small, and weekends dip only about 1% below weekdays, so coverage here looks fairly steady rather than stretched thin. The inspection record shows 16 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent survey completed in August 2025. Quality measures score well above the staffing rating, which tells you residents' clinical outcomes are holding up even though the nurse hours aren't generous. For a family weighing a move, the care numbers look better than the labor numbers.

Nurse hours

3.95 /day

Staff turnover

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Serious cites

0

Lifequest Nursing Center runs 140 certified beds in Quakertown under nonprofit ownership, and its nurse staffing sits at 3.95 hours per resident day, slightly above the national average of 3.86. Weekend coverage dips about 4% below weekday levels, worth knowing if your family visits or calls on Saturdays and Sundays. The health inspection record is the strongest part of the picture: a 4-out-of-5 rating, 13 deficiencies on file but none at the harm or jeopardy level and none abuse-related, with the most recent inspection dated May 2026. Quality measures are the weak spot at 2 out of 5, so ask what specifically drives that score before you decide.

Nurse hours

2.32 /day

Staff turnover

35%

Serious cites

0

Harris Health Care Center North runs 32 beds in Central Falls, and its nurse staffing comes in at 2.32 hours per resident day, roughly 40 percent under the national average of 3.86. Weekends drop about 17 percent below what the home staffs on weekdays, so coverage thins out right when families tend to visit. The inspection record is where the real weight sits: 37 deficiencies, including two tied to abuse and one at the harm level, with a single fine of $10,033 and a survey as recent as December 2025. Turnover at 34.6 percent is actually better than the 45.8 percent national figure, which suggests the problem isn't retention so much as how few hours each resident gets.

Nurse hours

3.29 /day

Staff turnover

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Serious cites

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Aurora Brule Nursing Home runs about 15% below the national average for nurse staffing, at 3.29 hours per resident day, and weekends drop roughly another 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current record shows 16 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $17,928 fine. A recent inspection closed in July 2025. Quality measures score well, but that staffing number and those deficiencies sit on the other side of the ledger.

Nurse hours

4.42 /day

Staff turnover

59%

Serious cites

0

Pines Rehab & Health Center runs a 60-bed for-profit partnership in Lyndonville, and the numbers tell a mixed story. Nurse staffing sits at 4.42 hours per resident day, about 14% above the national average, but weekend coverage drops roughly 15% below the home's own weekday level, so care thins out when families tend to visit. Annual turnover of 58.8% is well above the 45.8% national figure, meaning the people at the bedside keep changing. On the plus side, the current record shows six deficiencies, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in February 2026. Quality measure scores are the weak spot.

Nurse hours

3.98 /day

Staff turnover

46%

Serious cites

0

Emerald Care is a nonprofit home in Wapato with 82 certified beds, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average of 3.86, but weekends run roughly 20% below its own weekday coverage, so the care you see on a Tuesday may not match a Sunday. The inspection record carries 23 deficiencies, including one at the harm level and four tied to abuse, plus a $12,735 fine; the last inspection was January 30, 2026. Annual turnover is 46.3%, slightly worse than the 45.8% national figure. Strong quality measure scores don't erase that inspection history.

Nurse hours

6.62 /day

Staff turnover

63%

Serious cites

0

The staffing numbers at Bear Valley are genuinely unusual, 6.62 nurse hours per resident per day is roughly 71% above what the typical American nursing home provides, and that shows up in the four-out-of-five staffing rating. But weekends drop about 18% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. There's a real tension in the rest of the record. The inspection rating is strong and the most recent visit was in May 2025, yet 29 deficiencies sit on the current record, one of them serious enough to involve harm or jeopardy. Staff turnover is 63%, well above the national 45.8%, with only 21 beds under hospital district ownership, that churn is worth asking about directly.

Nurse hours

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Staff turnover

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Childrens Hc Org No Ca is a small pediatric skilled nursing unit in Campbell, 27 beds, run by a for-profit limited liability company. Its last inspection, in July 2024, turned up 16 deficiencies, but none rose to the level of actual harm or jeopardy, and none involved abuse, the kind of paperwork and process findings that show up at plenty of otherwise solid homes. One fine on record, $3,145, is modest. Where this home separates itself is staffing and clinical measures, both of which score at the top of CMS's five-star scale. For a family weighing a pediatric placement, that combination, recent inspection, no harm-level findings, strong quality numbers, is worth a closer look than the deficiency count alone suggests.

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Staff turnover

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Southern California Hosp At Culver City D/P SNF runs just 21 certified beds as a for-profit LLC, and its staffing score sits at the bottom of the federal scale, families should expect thin coverage here. The inspection record backs that up: 33 deficiencies, three of them serious enough to cause harm, plus two tied to abuse. That's a lot for a home this small, and it suggests problems aren't isolated. The quality measure score looks strong on paper, but those numbers come from resident assessments, not from how the place is actually run day to day. A recent February 2026 inspection means the record is current, not stale.

Nurse hours

3.53 /day

Staff turnover

45%

Serious cites

0

The Healthcare Center At Buck Creek runs about 3.53 nurse hours per resident day, roughly 9% under the national average, and weekends dip another 8% below its own weekday staffing. Turnover sits at 44.6%, close to the national 45.8%, so retention isn't the standout problem here, coverage is. Its current record carries 13 deficiencies, including 2 at the harm or jeopardy level and 6 tied to abuse, with $16,801 in fines across two penalties. The last inspection was January 25, 2024. For-profit, LLC-owned, 198 beds. Ask about the abuse-related findings specifically, and how weekend coverage holds up.

Nurse hours

3.26 /day

Staff turnover

54%

Serious cites

0

Garden Crest runs thin on nursing hours, 3.26 per resident day against a national average of 3.86, and the weekend crew is even leaner, down about 3% from its own weekday staffing. That shortfall shows up in the federal staffing rating, which sits at the lowest mark, and in a turnover rate of 53.5% versus 45.8% nationally. Meanwhile the home carries 49 deficiencies on its current record, including 2 at the harm level and 5 tied to abuse, though the most recent inspection was in December 2025. Quality measures score well, but good numbers on paper don't change who's actually on the floor each shift.