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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 2581–2600 of 4,510, best-graded first.

B

75/100

Redbanks

Henderson, KY · Henderson County

CMS 3/5 222 beds For-profit Medicaid
Nurse hours
4.56 /day
Staff turnover
40%
Serious cites
0

Redbanks runs on a corporate for-profit model with 222 certified beds in Henderson, and the staffing numbers are its strongest feature, 4.56 nurse hours per resident day, roughly 18% above the national average, with a 4-out-of-5 staffing rating to match. Turnover sits at 40.2%, a bit better than the 45.8% national figure, though weekend coverage dips about 5% below weekday levels. The softer spots are quality measures at 2 out of 5 and a 3-out-of-5 inspection rating, with 13 deficiencies on record, none at harm or jeopardy level, none abuse-related, and a June 2025 inspection that's still recent.

B

75/100

Fayette Health And Rehabilitation Center

Baltimore, MD · Baltimore City County

CMS 1/5 156 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
28%
Serious cites
0

Fayette Health and Rehabilitation Center runs 156 certified beds in Baltimore under corporate for-profit ownership, and its staffing sits around 3.29 nurse hours per resident day, roughly 15 percent under the national average of 3.86. Weekends run about 11 percent thinner than weekdays, though turnover at 27.7 percent is actually well below the national 45.8 percent, so the people who stay tend to stay. The trouble is the inspection record: 72 deficiencies, three at harm or jeopardy level, five tied to abuse, and a single $162,159 fine, with the most recent inspection in December 2025. Quality and staffing measures score well; the survey history is where families should focus their questions.

B

75/100

Baker-Katz Skilled Nursing And Rehabilitation Ctr

Haverhill, MA · Essex County

CMS 4/5 77 beds For-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
43%
Serious cites
0

Baker-Katz runs about 7% leaner on nursing hours than the national average, and weekends dip roughly 5% below its own weekday staffing, modest gaps, but worth asking about if your family member needs help at predictable times. The inspection record is the strongest part of the picture: 17 deficiencies on file, none at harm or jeopardy level and none abuse-related, with a fresh survey in May 2025. Turnover sits at 42.6%, slightly better than the national 45.8%, which suggests the aide who answers your mother's call light may have been there a while. It's a for-profit LLC with 77 beds, so ask who owns it and how long the director of nursing has stayed.

B

75/100

Maple Manor Rehab Center

Wayne, MI · Wayne County

CMS 3/5 59 beds For-profit Medicaid
Nurse hours
5.34 /day
Staff turnover
67%
Serious cites
0

Maple Manor runs a 59-bed for-profit home in Wayne, and the staffing numbers stand out: 5.34 nurse hours per resident per day, roughly 38% above the national average, with weekends holding within about 4% of weekday coverage. The catch is retention, 66.7% annual turnover against a national average near 46%, meaning a lot of the people providing that care are new. Its last inspection was July 2025 and the current record shows 20 deficiencies, though none at the harm level and none abuse-related. Quality measure scores sit at 2 out of 5. Plenty of hands on deck, but a constantly changing crew.

B

75/100

Birchwood Care Home

Minneapolis, MN · Hennepin County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
1.94 /day
Staff turnover
38%
Serious cites
0

Birchwood Care Home runs on 1.94 nursing hours per resident per day, roughly half the national average of 3.86, and weekends dip about 15% below its own weekday staffing. That thin coverage shows up on the record: 31 deficiencies, including one at the harm or jeopardy level and two tied to abuse, alongside a 3/5 inspection rating and a 2026-05-19 survey. Turnover runs 37.5%, better than the 45.8% national figure, and the 5/5 quality measure rating reflects clinical outcomes rather than day-to-day presence. For a 60-bed for-profit home, the staffing number is the one to weigh hardest against the quality score.

B

75/100

Bolivar Medical Center Ltc

Cleveland, MS · Bolivar County

CMS 3/5 35 beds For-profit Medicaid
Nurse hours
4.43 /day
Staff turnover
54%
Serious cites
0

Bolivar Medical Center Ltc runs 35 certified beds in Cleveland under corporate for-profit ownership, and its strongest numbers show up in staffing and inspections. Nurse coverage sits at 4.43 hours per resident day, roughly 15% above the national average of 3.86, though weekends run about 13% leaner than weekdays. Staff turnover is a real weak spot at 53.8% against a national 45.8%, which matters when residents rely on familiar faces. The health inspection record is solid, four stars, five deficiencies and none involving harm, jeopardy, or abuse, last reviewed in July 2025. Quality measures tell a different story at one star, so care outcomes don't track with the staffing picture. Worth asking about retention and what those quality numbers reflect.

B

75/100

Bethesda Dilworth

Saint Louis, MO · St. Louis County

CMS 3/5 350 beds Non-profit Medicaid
Nurse hours
5.00 /day
Staff turnover
44%
Serious cites
0

Bethesda Dilworth is a 350-bed nonprofit home in St. Louis County, and its staffing is the strongest part of the picture: 5.00 nurse hours per resident day, roughly 29% above the national average, with a four-star staffing rating to match. Turnover sits at 43.5%, a bit better than the national 45.8%, though weekend coverage drops about 11% below weekday levels. The concerns are elsewhere. Inspections turned up 24 deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $88,946. The most recent inspection was July 2025, so the record is current. Strong daily staffing, but the inspection history is what's holding this one back.

B

75/100

Pearl's Ii Eden For Elders

Princeton, MO · Mercer County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
42%
Serious cites
0

Pearl's Ii Eden For Elders runs 60 beds in Princeton under for-profit LLC ownership, and its inspection record is the strongest part of the picture: a four-star health inspection rating with no deficiencies at the harm or jeopardy level. There are 38 deficiencies on the current record, though, including three tied to abuse, and the quality measure rating sits at two stars. Nurse staffing works out to 3.64 hours per resident day, about 6% under the national average of 3.86, and weekends run roughly 7% thinner than weekdays. Annual turnover of 41.5% is slightly better than the 45.8% national figure. The last inspection was August 7, 2025, so the record is recent.

B

75/100

Genoa Community Hospital/Ltc

Genoa, NE · Nance County

CMS 2/5 43 beds Government Medicaid
Nurse hours
3.48 /day
Staff turnover
23%
Serious cites
0

Genoa Community Hospital's long-term care unit runs on a city-owned, 43-bed model, and the numbers tell a mixed story. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national average, and weekends drop about 12% below its own weekday coverage, a gap families should ask about directly. What stands out in the other direction is turnover: 22.9% against a national average near 46%, meaning the aides and nurses here tend to stay. Ten deficiencies appear on the current record, three tied to abuse, though none reached harm or jeopardy level, and the last inspection was in May 2025. Quality measure scores lag at 1 star while staffing holds at 4.

B

75/100

Alta Skilled Nursing And Rehabilitation Center

Reno, NV · Washoe County

CMS 2/5 180 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
45%
Serious cites
0

Alta Skilled Nursing runs 180 beds in Reno under for-profit LLC ownership, and its nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with weekends about 13% thinner than its own weekdays. Turnover is 44.5%, essentially matching the national 45.8%, so retention isn't the standout issue; coverage is. The inspection record shows 56 deficiencies, including one at the harm level and eight tied to abuse, plus a $39,166 fine, though the most recent inspection came in May 2025. Quality measures score 2 out of 5. Families should ask directly how weekend coverage is handled.

B

75/100

Sullivan County Health Care

Unity, NH · Sullivan County

CMS 4/5 156 beds Government Medicaid
Nurse hours
5.56 /day
Staff turnover
48%
Serious cites
0

Sullivan County Health Care is county-owned and carries 156 certified beds, and the county has clearly put money into nursing staff, 5.56 hours per resident day runs about 44% above the national average, with weekends dipping only slightly below weekdays. Inspections back that up: a four-star health inspection rating and a visit as recent as December 2025. The weaker signals sit elsewhere. Ten deficiencies are on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. Annual turnover of 48.1% edges past the national 45.8%, and the two-star quality measure rating suggests resident outcomes aren't matching the staffing investment.

B

75/100

Heath Village

Hackettstown, NJ · Morris County

CMS 4/5 108 beds Non-profit Medicaid
Nurse hours
4.72 /day
Staff turnover
97%
Serious cites
0

Heath Village runs a solid non-profit home in Hackettstown. The numbers that stand out most are the ones that don't match: nurse staffing sits at 4.72 hours per resident day, roughly 22% above the national average, yet annual turnover hits 97.2% against a national norm near 46%. That means the care hours are there, but the people delivering them are cycling through fast, weekend coverage also dips about 8% below weekday levels. On paper, inspections look clean: 11 deficiencies, none at harm or jeopardy level, none abuse-related, and the most recent survey was in March 2026. The quality measure rating sits at 3 out of 5, softer than staffing and inspection scores. If consistency of caregivers matters to your family, ask how they hold onto aides.

B

75/100

Forest Manor Hcc

Blairstown, NJ · Warren County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.34 /day
Staff turnover
39%
Serious cites
0

Forest Manor Hcc runs lean on nurse staffing, 3.34 hours per resident day, roughly 14% under the national average, and weekends get thinner still, down about 6% from its own weekday levels. That matters most on Saturdays and Sundays when families tend to visit and problems surface. The 18 deficiencies on record include one at the harm level and one abuse-related, plus a single fine of $10,868, though the most recent inspection was in March 2025, so the picture is current. Staff turnover sits at 38.6%, better than the 45.8% national figure, which suggests some stability in the workforce. Owned by an individual for-profit operator across 120 beds. Quality measures score well; the inspection and staffing numbers are where the concerns sit.

B

75/100

Laurel Bay Health & Rehabilitation Center

Keansburg, NJ · Monmouth County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
2.80 /day
Staff turnover
28%
Serious cites
0

Laurel Bay runs on thin staffing for its 123 beds, 2.80 nurse hours per resident day against a national average of 3.86, with weekends about 13% leaner than weekdays. Turnover sits at 28%, well below the 45.8% national figure, so the aides and nurses who are there tend to stay. The tradeoff shows up in oversight: a one-star health inspection rating, 22 deficiencies on the current record including one at the harm level, and a $15,873 fine, all from an inspection completed in January 2025. A for-profit corporation owns the place. Quality and staffing measures land mid-range, but the inspection record is where the problems cluster.

B

75/100

Cedar Ridge Inn

Farmington, NM · San Juan County

CMS 5/5 101 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
41%
Serious cites
0

Cedar Ridge Inn is a for-profit limited liability company in Farmington with 101 certified beds, and its recent inspection history is the strongest thing it has going. The last survey was in February 2025, and the health inspection rating comes in at 4 out of 5 stars. The catch is staffing: 3.14 nurse hours per resident day runs about 19% under the national average of 3.86, and weekends dip roughly 10% below the home's own weekday levels. Turnover at 40.9% is actually better than the 45.8% national figure, which suggests some stability. But 29 deficiencies sit on the current record, two of them serious enough to involve harm or jeopardy, and the two fines total $35,406.

B

75/100

Northern Manor Geriatric Center Inc

Nanuet, NY · Rockland County

CMS 2/5 231 beds Non-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
28%
Serious cites
0

Northern Manor runs 3.62 nurse hours per resident day, about 6% under the national figure, and weekends slip another 7% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. The inspection record is the heavier concern: 43 deficiencies, six of them abuse-related, though none rose to the harm or jeopardy level, and the most recent state visit was December 2024. Turnover cuts the other way, at 27.5% against a national 45.8%, which suggests a steadier workforce than most. A 4/5 on quality measures sits oddly beside a 1/5 on inspections; ask what's driving each before you decide.

B

75/100

Brooklyn Gardens Nursing & Rehabilitation Center

Brooklyn, NY · Kings County

CMS 3/5 240 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
28%
Serious cites
0

Brooklyn Gardens runs 240 beds under for-profit LLC ownership, and its nurse staffing sits at 3.30 hours per resident day, roughly 15 percent under the national average of 3.86, which is why CMS gives it only 2 of 5 stars on staffing. Weekends are thinner still, about 11 percent below the home's own weekday coverage. Turnover is the counterweight: 28.2 percent against a national 45.8, so the crew that is there tends to stay. Inspections in May 2025 turned up 21 deficiencies, four tied to abuse, though none rose to actual harm or jeopardy. Quality measures score 4 of 5; the inspection record holds at 3.

B

75/100

Berkshire Nursing & Rehabilitation Center

West Babylon, NY · Suffolk County

CMS 5/5 175 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Berkshire runs 175 beds in West Babylon under for-profit LLC ownership, and the numbers pull in different directions. The 3.81 nurse hours per resident day sits just under the national average, and weekends drop roughly 7% below the home's own weekday staffing, a gap families often feel on Saturday and Sunday. Turnover at 24.5% is genuinely low against a 45.8% national rate, which matters for whether your parent sees the same aides month to month. Against that, ten deficiencies are on record, two at harm or jeopardy level and two abuse-related, with $31,770 in fines. Inspections are current, and quality measures score well, but staffing depth and those harm-level findings are what hold the grade back.

B

75/100

Bronx Park Rehabilitation & Nursing Center

Bronx, NY · Bronx County

CMS 4/5 240 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
21%
Serious cites
0

Bronx Park Rehabilitation & Nursing Center runs 240 beds under corporate ownership, and its strongest numbers are on the clinical side: four out of five stars on health inspections and quality measures, with six deficiencies on the current record and none at the harm or jeopardy level. The catch is staffing, which earns two stars, 3.31 nurse hours per resident day sits about 14% under the national average, and weekends drop roughly 8% below the home's own weekday levels, so coverage thins out right when families tend to visit. Turnover is the bright spot at 20.5%, well under the national 45.8%, meaning the aides and nurses who are there tend to stay. The last inspection was September 2024.

B

75/100

Northern Riverview Health Care, Inc

Haverstraw, NY · Rockland County

CMS 2/5 182 beds Non-profit Medicaid
Nurse hours
3.01 /day
Staff turnover
36%
Serious cites
0

Northern Riverview runs lean on nursing hours: 3.01 per resident day, roughly a fifth below the national average, and weekends dip about 14% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover of 36.1% is better than the 45.8% national figure, which suggests the staff who are there tend to stay. The concerning part is the inspection record, 44 deficiencies, one at harm or jeopardy level and eight abuse-related, with the most recent inspection in March 2026. A five-star quality measure score sits alongside a one-star inspection and one-star staffing rating, and the gap between those numbers is the whole story 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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