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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 2561–2580 of 4,510, best-graded first.

B

75/100

Bell Convalescent Hospital

Bell, CA · Los Angeles County

CMS 1/5 99 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
34%
Serious cites
0

Bell Convalescent Hospital runs 99 certified beds as a for-profit corporation, and its staffing sits just above the national average at 3.89 nurse hours per resident day, though weekends drop about 6% below its own weekday level. Turnover is 33.7%, better than the 45.8% national figure, and the staffing and quality ratings both come in at 4 out of 5, which tells you aides and nurses are generally present and clinical measures look reasonable. The problem is the inspection record: 80 deficiencies, three at harm or jeopardy level, three tied to abuse, and $93,980 in fines across three penalties, with a 1/5 health inspection rating. Recent state review was January 2026, so the findings are current, not stale.

B

75/100

Avery Nursing Home/Noble Building

Hartford, CT · Capitol County

CMS 1/5 194 beds Non-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
25%
Serious cites
0

Avery Nursing Home runs on a church-affiliated nonprofit model with 194 certified beds, and its staff actually stick around, 24.6% turnover against a national average of 45.8% is a real strength, and the federal staffing rating reflects it. But the inspection record tells a different story: 43 deficiencies on file, five of them at harm or jeopardy level and two tied to abuse, with $87,416 in fines across four penalties. The most recent inspection was May 2025. Daily nurse staffing sits at 3.40 hours per resident, roughly 12% under the national figure, and weekends dip about 5% below the home's own weekday coverage. The quality measure rating lands mid-range.

B

75/100

Amberwoods Of Farmington

Farmington, CT · Capitol County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.35 /day
Staff turnover
44%
Serious cites
0

Amberwoods of Farmington runs on thinner nurse coverage than most homes in the country, about 3.35 hours per resident day against a national average of 3.86, and weekends drop further below its own weekday level. That shows up in the staffing star rating, which sits at 2 out of 5. The inspection record carries 38 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with $20,872 in fines across two penalties; the last inspection was in August 2025. Ownership is a for-profit limited liability company, and annual turnover of 43.5% is slightly better than the national figure. Quality measures score well, but the direct-care hours and the harm-level findings are what a family should weigh.

B

75/100

Pinecrest Center For Rehabilitation And Healing

North Miami, FL · Miami-Dade County

CMS 5/5 100 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
19%
Serious cites
0

Pinecrest Center runs about 100 certified beds in North Miami, and its strongest number is one families rarely see: staff turnover of 18.6 percent, well under the national average of roughly 46 percent. That kind of retention matters, because aides who stay know the residents. The tradeoff shows up in daily coverage, 3.45 nurse hours per resident, about 11 percent below the national figure, and weekends run thinner than weekdays. On paper the care record looks steady: a 2025 inspection, 19 deficiencies with none at the harm level, one abuse-related finding, and a single fine of $27,593. A for-profit corporation owns it. The takeaway is a home with unusually stable staff but leaner shifts; ask how weekend coverage actually works.

B

75/100

Blue Palms Health And Rehabilitation Center At Fle

Tampa, FL · Hillsborough County

CMS 3/5 163 beds Non-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
52%
Serious cites
0

Blue Palms runs 3.49 nurse hours per resident day, roughly 9% under the national figure, and weekends dip about 8% below its own weekday levels, so coverage thins out exactly when families tend to visit. Staff turnover sits at 51.9%, well above the national 45.8%, which means the people caring for your relative are often new. Inspections tell a harder story: 37 deficiencies on the current record, including one at the harm level and two tied to abuse, plus $16,801 in fines. The five-star quality measure score reflects good clinical numbers on paper, but with a two-star inspection history and a 2024 inspection date, ask direct questions about who's on the floor nights and weekends.

B

75/100

Healthcare And Rehab Of Sanford

Sanford, FL · Seminole County

CMS 3/5 114 beds Non-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
44%
Serious cites
0

Healthcare And Rehab Of Sanford is a 114-bed nonprofit home in Seminole County, and the numbers tell a fairly steady story rather than an alarming one. Nurse staffing sits at 3.23 hours per resident day, roughly 16% under the national average of 3.86, which is the main weak spot here, weekend coverage dips only about 3% below weekdays, so the shortfall is consistent rather than a weekend problem. Staff turnover of 43.8% is actually slightly better than the national 45.8%. Fifteen deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2025. Nothing here suggests danger; the tradeoff is thinner daily nursing hours than most homes.

B

75/100

Aviata At The Gardens - Tallahassee

Tallahassee, FL · Leon County

CMS 2/5 109 beds For-profit Medicaid
Nurse hours
3.22 /day
Staff turnover
57%
Serious cites
0

Aviata At The Gardens runs 109 certified beds in Tallahassee under corporate for-profit ownership, and its nurses deliver 3.22 hours of care per resident per day, roughly 17% under the national average of 3.86. That shortfall gets worse on weekends, when staffing drops about 9% below the home's own weekday level, and more than half the staff turns over each year (57.3%, against 45.8% nationally). The health inspection record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated April 2026. Quality measures score well, but the staffing pattern and turnover tell you where the strain sits.

B

75/100

Magnolia Ridge Health And Rehabilitation Center

Gainesville, FL · Alachua County

CMS 4/5 223 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
71%
Serious cites
0

Magnolia Ridge runs 223 beds in Gainesville under for-profit LLC ownership, and its numbers point to a building that's generally safe but stretched thin on people. Nurse staffing sits at 3.59 hours per resident day, about 7% under the national average, and weekends drop roughly 6% below its own weekday coverage, the exact stretch when families often can't visit. The bigger signal is turnover: 71.2% annually against a national average of 45.8%, meaning most of the staff caring for residents today likely won't be there next year. Twenty-eight deficiencies are on record, none at harm or jeopardy level, and one fine of $5,678. The last inspection was May 2026, so the picture is current. Quality measures score well; consistency of caregiving is the open question.

B

75/100

Sandtown Health And Rehabilitation

Marietta, GA · Cobb County

CMS 4/5 109 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
23%
Serious cites
0

Autumn Breeze runs lean on nursing hours, 3.34 per resident day, roughly 14% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage shows up in a 2-star staffing rating, even though the home keeps its people: 23.2% turnover against a 45.8% national average, meaning fewer unfamiliar faces than most places. The inspection record is mixed. Twelve deficiencies sit on file, five of them at harm or jeopardy level and one abuse-related, but the most recent inspection was March 2026 and the health and quality ratings both come in at 4 stars. Corporate-owned and licensed for 109 beds, this is a home where consistency and care measures look better than raw staffing depth.

B

75/100

Seminole Manor Nursing Home

Donalsonville, GA · Seminole County

CMS 2/5 75 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
22%
Serious cites
0

Seminole Manor runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekend coverage slips roughly 5% below its own weekday numbers. The tradeoff is a workforce that mostly stays put: turnover of 22.2% is less than half the national rate, which matters in a rural county where replacements are hard to find. Its last inspection was recent, and the 21 cited deficiencies include nothing at the harm level and nothing abuse-related. The uneven part is quality measures, where the home scores near the bottom, even as staffing holds up comparatively well.

B

75/100

Presbyterian Village - Athens

Athens, GA · Oconee County

CMS 2/5 40 beds Non-profit
Nurse hours
4.74 /day
Staff turnover
76%
Serious cites
0

Presbyterian Village - Athens runs a nonprofit home with 40 certified beds, and the direct-care hours are real: 4.74 per resident day, roughly 23% above the national average of 3.86. That staffing level is the strongest argument in its favor, and CMS agrees with a 4-out-of-5 staffing star. The catch is consistency and inspection history. Weekend hours drop about 14% below weekdays, annual turnover sits at 75.7% against a 45.8% national average, and the current record carries 29 deficiencies, three at harm or jeopardy level and two abuse-related, plus $18,545 in fines across three events. The most recent inspection was November 2025, so that picture is current, not stale.

B

75/100

Majestic Care Of Bloomington

Bloomington, IN · Monroe County

CMS 3/5 158 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
35%
Serious cites
0

Majestic Care of Bloomington runs 158 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.63 hours per resident day, roughly 6% under the national average of 3.86. Weekends drop about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 34.8%, which is actually better than the 45.8% national figure, meaning fewer caregivers cycling out than at a typical home. Inspections in September 2025 turned up 8 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Quality measures score well at 4 stars, staffing only 2.

B

75/100

Majestic Care Of Fort Wayne

Fort Wayne, IN · Allen County

CMS 5/5 70 beds For-profit Medicaid
Nurse hours
3.09 /day
Staff turnover
39%
Serious cites
0

Majestic Care of Fort Wayne runs on 3.09 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 11% below its own weekday staffing. That thin coverage is the main thing pulling its profile down, even though its last inspection closed in December 2025 and CMS gives it top marks for health inspections and quality measures. Six deficiencies sit on the current record, including one at the harm level and two tied to abuse, and annual turnover runs 39.2%, better than the 45.8% national figure, but still meaning roughly two in five staff leaving each year. For-profit corporate ownership.

B

75/100

Majestic Care Of Mccordsville

Mccordsville, IN · Hancock County

CMS 4/5 48 beds Government Medicaid
Nurse hours
3.55 /day
Staff turnover
37%
Serious cites
0

Majestic Care of Mccordsville runs 48 beds under county ownership, and its last health inspection in June 2025 came back strong, four out of five stars, with 18 deficiencies on record but none rising to actual harm or jeopardy. The catch is staffing: 3.55 nurse hours per resident day sits about 8% under the national average, weekends dip roughly 10% below its own weekday level, and that gets a one-star staffing rating. Turnover is 37%, better than the 45.8% national figure, which matters for consistency of care. Quality measures score five stars, so the clinical outcomes look good on paper, the question is whether thin weekend coverage catches up with that.

B

75/100

Monticello Nursing & Rehab Center

Monticello, IA · Jones County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
3.17 /day
Staff turnover
50%
Serious cites
0

Monticello Nursing & Rehab runs 75 certified beds, and its nursing hours come in around 3.17 per resident day, roughly 18% under the national average of 3.86. Weekend coverage drops about 30% below what the home staffs on weekdays, which is worth asking about if your family tends to visit or need answers on Saturdays and Sundays. Annual turnover sits at 50%, a bit above the 45.8% national figure, so expect some unfamiliar faces. The inspection record is the stronger part: a 4-out-of-5 health inspection rating with 19 deficiencies on file, none at harm level, though two are abuse-related. One fine, $4,194, and a January 2026 inspection round out the picture.

B

75/100

Davenport Lutheran Home

Davenport, IA · Scott County

CMS 2/5 98 beds Non-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
36%
Serious cites
0

Davenport Lutheran Home is a church-affiliated nonprofit with 98 beds, and its staffing is the clearest strength: 4.19 nurse hours per resident day, about 8% above the national average, with a 4-out-of-5 CMS staffing rating. Turnover sits at 36%, below the 45.8% national figure, which matters for consistency of care. The concerns show up elsewhere. Inspectors cited 21 deficiencies on the current record, three at harm or jeopardy level and three abuse-related, with two fines totaling $43,310, and the most recent inspection was December 11, 2025. Weekend staffing drops roughly 14% below its own weekday level, so coverage thins when families tend to visit. Strong hands on staff, but a recent inspection record that warrants questions.

B

75/100

The New Homestead Care Center

Guthrie Center, IA · Guthrie County

CMS 3/5 58 beds Non-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
56%
Serious cites
0

The New Homestead Care Center runs on thinner staffing than most Iowa nursing homes. At 3.47 nurse hours per resident day, it sits about 10% under the national average, and weekends dip roughly 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 56.3% is well above the 45.8% national figure, meaning aides and nurses cycle through faster than residents can get used to them. The current record shows 24 deficiencies, none at harm or jeopardy level, but one abuse-related citation is worth asking about directly. A 4/5 quality measure score suggests the clinical tracking looks decent, though the 2/5 inspection rating and April 2025 survey date tell you oversight hasn't been spotless.

B

75/100

Chapman Valley Manor

Chapman, KS · Dickinson County

CMS 4/5 30 beds Non-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
62%
Serious cites
0

Chapman Valley Manor runs 30 certified beds as a nonprofit corporation, and its inspection record is recent, last survey September 2024, with a 4/5 health inspection rating. But 21 deficiencies are on the current record, including one at the harm or jeopardy level and one abuse-related. That's a lot of findings for a small home. Staffing sits at 3.74 nurse hours per resident day, about 3% under the national average of 3.86, and weekends drop roughly 15% below its own weekday level. Turnover is the bigger issue at 61.5% against a national 45.8%. A 4/5 quality measure score and nonprofit ownership help, but thin margins on staffing and that turnover rate are what families should ask about directly.

B

75/100

Avita Health And Rehab At Reeds Cove

Wichita, KS · Sedgwick County

CMS 3/5 76 beds For-profit Medicaid
Nurse hours
4.80 /day
Staff turnover
67%
Serious cites
0

Avita Health and Rehab at Reeds Cove runs 76 certified beds in Wichita under for-profit LLC ownership, and its nurse staffing sits at 4.80 hours per resident day, roughly 24% above the national average of 3.86. That's a real cushion, though weekends dip about 14% below the home's own weekday numbers, so coverage isn't even across the week. Turnover is the harder fact: 67.3% annually against a national 45.8%, meaning most of the people caring for your family member are relatively new. The inspection record shows 42 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $8,827. The most recent inspection was May 2026.

B

75/100

Countryside Health Center

Topeka, KS · Shawnee County

CMS 4/5 97 beds For-profit Medicaid
Nurse hours
1.86 /day
Staff turnover
39%
Serious cites
0

Countryside Health Center runs on 1.86 nurse staffing hours per resident day, which is roughly half the national figure of 3.86. Weekend coverage drops another 14% below what the home manages on weekdays, so the thinnest shifts come when families tend to visit. The 16 deficiencies on record include none tied to harm or abuse, and the most recent inspection closed out in April 2025, so oversight is fairly current. Staff turnover of 38.6% is actually better than the 45.8% national average, and the quality measure score sits at the top of the scale. It's the day-to-day staffing math, not inspection findings, that shapes what care looks like here.

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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