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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 2601–2620 of 4,510, best-graded first.

B

75/100

Penn Yan Manor Nursing Home Inc

Penn Yan, NY · Yates County

CMS 5/5 46 beds Non-profit Medicaid
Nurse hours
3.68 /day
Staff turnover
36%
Serious cites
0

Penn Yan Manor runs a tight ship on inspections, a five-star health inspection rating and 14 deficiencies on record with none rising to actual harm or jeopardy. That's a clean paper trail for a 46-bed nonprofit in Yates County, and the last survey was recent, April 2024. Where it slips is direct care time: 3.68 nurse hours per resident day, about 5% under the national average, and weekends drop roughly 9% below its own weekday staffing. Turnover at 36% beats the national 45.8%, so the crew is more stable than most. The quality measure score of 2 out of 5 is the piece worth asking about on a tour, since it reflects resident outcomes rather than paperwork.

B

75/100

Highland Care Center

Jamaica, NY · Queens County

CMS 4/5 320 beds For-profit Medicaid
Nurse hours
2.98 /day
Staff turnover
26%
Serious cites
0

Highland Care Center runs about 3 hours of nursing care per resident per day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 13% below its own weekday levels. That thin staffing is the main weak spot, and it's what drives the below-average staffing rating despite turnover of 25.9% actually beating the national 45.8%, a sign this corporation holds onto its workers better than most. The tradeoff shows up elsewhere: 19 deficiencies on record with none at harm or jeopardy level, though 2 are abuse-related, and a February 2024 inspection that's now well over a year old. Inspections and quality measures both rate well; daily hands on the floor are where the gaps are.

B

75/100

Rebekah Rehabilitation And Extended Care Center

Bronx, NY · Bronx County

CMS 4/5 213 beds Non-profit Medicaid
Nurse hours
2.88 /day
Staff turnover
44%
Serious cites
0

Rebekah Rehab runs about 2.88 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 9% below its own weekday staffing. That thin coverage likely explains the two-out-of-five staffing rating and a health inspection record of 22 deficiencies, four tied to abuse, with the last survey in December 2023. Turnover sits near the national mark at 44%. One real bright spot: five out of five on quality measures. So the clinical outcomes they track look strong even though the day-to-day staffing and inspection history read weaker. If your family member needs frequent hands-on help, ask specifically who covers weekends and how many aides are on the floor then.

B

75/100

Manhattanville Health Care Center

Bronx, NY · Bronx County

CMS 4/5 200 beds For-profit Medicaid
Nurse hours
2.76 /day
Staff turnover
20%
Serious cites
0

Manhattanville Health Care Center runs on noticeably less nursing time than most homes, 2.76 hours per resident day against a national average of 3.86, with weekends about 10% thinner than weekdays. That gap is the main reason staffing lands at two stars even though inspections and quality measures each hit four. The good news: 16 deficiencies on record, none at harm or jeopardy level and none abuse-related, with a fresh June 2025 inspection behind it. Turnover sits at 20.2%, well under the 45.8% national figure, so the aides and nurses you'd see week to week are more likely to stick around than elsewhere. Limited liability company ownership, 200 beds, Bronx.

B

75/100

Townhouse Center For Rehabilitation & Nursing

Uniondale, NY · Nassau County

CMS 3/5 280 beds For-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
23%
Serious cites
0

Townhouse Center runs lean on nurse staffing, 3.37 hours per resident day against a national average of 3.86, with weekends roughly 8% thinner than weekdays. That gap is what pulls its staffing rating down, even though the people who do work here tend to stay: turnover sits at 22.9%, about half the national rate, which suggests a stable crew spread across a fairly heavy 280-bed census. The January 2025 inspection turned up 13 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth asking about directly. Quality measures look stronger than the day-to-day coverage picture, and with individual for-profit ownership, you'll want to ask how staffing hours actually land on evenings and weekends.

B

75/100

White Oak Manor - Tryon

Tryon, NC · Polk County

CMS 2/5 70 beds For-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
62%
Serious cites
0

White Oak Manor - Tryon runs 70 certified beds under corporate for-profit ownership, and its staffing numbers are genuinely better than most: 4.11 nurse hours per resident day against a national average of 3.86. The catch is who's delivering that care and how long they stay. Annual turnover sits at 62.4%, well above the 45.8% national figure, and weekend coverage dips below the home's own weekday levels. Inspections tell the harder story, 11 deficiencies on the current record, including one at the harm level and two tied to abuse, plus a $16,153 fine. The most recent inspection was July 2025, so the record is current. Good hours on paper, real instability underneath.

B

75/100

White Oak Manor

Warren, OH · Trumbull County

CMS 2/5 52 beds For-profit Medicaid
Nurse hours
3.30 /day
Staff turnover
48%
Serious cites
0

White Oak Manor is a 52-bed for-profit home in Warren, and the numbers pull in two directions. Its quality measure rating is 5 out of 5, which sounds great until you notice the staffing rating sits at 1 out of 5, the people measuring resident outcomes and the people actually providing daily care are telling very different stories. Staff turnover runs 48.4%, above the 45.8% national average, and there are 18 deficiencies on record, including four tied to abuse and one serious enough to reach harm or jeopardy. A single $3,282 fine and a May 2025 inspection round out the picture. Ask about direct-care hours per resident and how they're addressing the abuse findings before you decide.

B

75/100

Woodland Country Manor Inc

Somerville, OH · Butler County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
38%
Serious cites
0

Woodland Country Manor runs 60 beds in Somerville under corporate ownership, and its strongest card is people: nurse staffing sits at 4.01 hours per resident day, about 4% above the national average, and only 37.9% of staff left last year against a national rate near 46%. Weekend coverage dips roughly 8% below weekday levels, so ask how that gap gets filled. Inspections look clean, five deficiencies on record, none causing harm and none abuse-related, with the most recent visit in December 2025. The softer spot is clinical quality measures, which score lower than the staffing and inspection results would suggest.

B

75/100

Gardens Of Mcgregor And Amasa Stone

East Cleveland, OH · Cuyahoga County

CMS 5/5 148 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
70%
Serious cites
0

Gardens of McGregor and Amasa Stone runs about 3.85 nurse hours per resident day, right at the national average of 3.86, but weekends dip roughly 8% below what the home staffs on weekdays, so coverage isn't evenly spread across the week. Turnover is the bigger issue: 70.1% of staff leave annually against a national average of 45.8%, which matters because unfamiliar caregivers struggle to learn residents' routines. On inspections, the home holds a 4/5 rating with 10 deficiencies, one serious enough to involve harm or jeopardy, and a single fine of $15,651. Quality measures score 5/5, and the last inspection was recent, in August 2025. The staffing picture is where the tension sits.

B

75/100

Ignite Medical Resort Edmond, Llc

Oklahoma City, OK · Oklahoma County

CMS 2/5 133 beds For-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
68%
Serious cites
0

Ignite Medical Resort Edmond runs 4.60 nurse hours per resident day, about 19% above the national average, but that staffing cushion comes with real churn: 68.4% annual turnover against a national 45.8%, and weekend coverage drops roughly 9% below its own weekday level. The inspection record is the harder problem, 36 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating and a survey as recent as November 2025. For-profit LLC ownership, 73 certified beds. Strong weekday numbers don't offset a citation history like that, and the recent survey suggests the issues aren't behind them.

B

75/100

Clatsop Care Center

Astoria, OR · Clatsop County

CMS 4/5 71 beds Government Medicaid
Nurse hours
5.04 /day
Staff turnover
68%
Serious cites
0

Clatsop Care Center is city/county-owned and runs on 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend staffing dips about 9% below its own weekday level, though. Staff turnover sits at 67.9% against a national 45.8%, which matters more than the raw hours suggest, people are cycling through. The inspection record shows 23 deficiencies, four serious enough to reach harm or jeopardy, none abuse-related, and the last inspection was January 30, 2026, so the picture is current. Government ownership tends to mean steadier funding but slower fixes; the staffing number is genuinely high, and the turnover number partly cancels it out.

B

75/100

Nightingale Nursing And Rehab Center

Erie, PA · Erie County

CMS 3/5 139 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
60%
Serious cites
0

Nightingale Nursing and Rehab Center runs 139 beds in Erie under for-profit LLC ownership, and its inspection record is genuinely solid, a 4/5 health inspection rating, with the most recent survey in February 2026 and no deficiencies at the harm or jeopardy level. The staffing picture is where it gets uneven. Total nurse hours come in around 3.61 per resident day against a national average of 3.86, weekend coverage drops roughly 11% below weekday levels, and annual turnover sits at 60.1% compared to 45.8% nationally. Two abuse-related deficiencies also appear on the current record. So you have a home that passes inspections cleanly but runs lean on the floor and cycles through staff quickly, worth asking about directly.

B

75/100

Wyomissing Health And Rehabilitation Center

Reading, PA · Berks County

CMS 4/5 103 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
56%
Serious cites
0

Wyomissing Health and Rehabilitation Center runs 103 certified beds under for-profit LLC ownership, and its inspection record is recent, the last visit was August 2025, with 16 deficiencies on file, none at the harm or jeopardy level. Two of those are abuse-related, which is worth asking about directly. The staffing picture is thinner than it looks: 3.57 nurse hours per resident day sits about 8% under the national average, weekends drop roughly another 10% below the home's own weekday coverage, and annual turnover hits 56.4% against a national 45.8%. High turnover plus weekend dips is the pattern that shows up as inconsistent care, even when inspections look fine.

B

75/100

Jewel Healthcare And Rehabilitation Center

Allentown, PA · Lehigh County

CMS 4/5 146 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
30%
Serious cites
0

Jewel Healthcare runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip about 14% below its own weekday coverage. Turnover is where it stands out: 30.1% of staff leaving annually sounds high until you compare it to the 45.8% national figure, meaning this building keeps its people longer than most. Six deficiencies on the current record, none involving harm or abuse, and a recent August 2025 inspection back that up. The tension is real: steady, stable staff paired with thin daily coverage and a 2-out-of-5 staffing rating, offset by 4s on inspections and quality measures. Ask how they fill weekend shifts before you decide.

B

75/100

Brookline Nursing And Rehab

Mifflintown, PA · Juniata County

CMS 4/5 85 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
37%
Serious cites
0

Brookline Nursing and Rehab runs 85 certified beds in Mifflintown under for-profit LLC ownership, and its nurse staffing sits about 6 percent under the national average, with weekends dipping roughly another 6 percent below its own weekday levels. That shortfall matches its two-out-of-five staffing rating. Turnover is 37.3 percent, which is actually better than the 45.8 percent national figure, so the home isn't losing nurses faster than most. The record shows 30 deficiencies, none causing harm but three tied to abuse, and the most recent inspection was February 27, 2026. Quality measures score five out of five while inspection results land at three, a home that looks strong on paper measures but thinner on daily coverage.

B

75/100

Abington Manor

Clarks Summit, PA · Lackawanna County

CMS 4/5 119 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
49%
Serious cites
0

Abington Manor runs on thinner staffing than most homes, 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop about 9% below its own weekday coverage. That gap matters most on Saturdays and Sundays, when families often can't visit. The inspection record shows 32 deficiencies, including one at the harm level and one abuse-related citation, though the last survey was recent (September 2025). Staff turnover sits at 49.2%, a bit above the national rate, which means caregivers are frequently new to the building. Its quality measure score is strong, but that reflects charted clinical outcomes, not the daily experience of having enough hands on the floor.

B

75/100

Watsontown Rehabilitation And Nursing Center

Watsontown, PA · Northumberlnd County

CMS 2/5 125 beds For-profit Medicaid
Nurse hours
3.47 /day
Staff turnover
40%
Serious cites
0

Watsontown Rehabilitation and Nursing Center runs 125 certified beds under corporate ownership, and the numbers tell two different stories. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends drop about 12 percent below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover at 40 percent actually beats the national rate of 45.8 percent, which matters for continuity of care. Where the record gets harder to ignore is inspections: a 1-out-of-5 health inspection rating, 61 deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, plus $21,765 in fines across two events. The last inspection was September 12, 2025. Quality measures score well at 4 out of 5, but that's the piece families should weigh against the enforcement history, not instead of it.

B

75/100

Elizabethtown Nursing And Rehabilitation

Elizabethtown, PA · Lancaster County

CMS 2/5 45 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
50%
Serious cites
0

Elizabethtown Nursing and Rehabilitation runs 45 beds under for-profit LLC ownership, and its staffing sits about 6% under the national average at 3.63 nurse hours per resident per day, with weekends dipping another 3% below its own weekday levels. Annual turnover is 50%, above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one tied to abuse, though none rose to the harm or jeopardy level; the last inspection was June 2025. CMS rates staffing and health inspections 2 out of 5, while quality measures score 4. The quality numbers look better than the day-to-day staffing and inspection picture.

B

75/100

Legacy Health And Rehab

Manchester, TN · Coffee County

CMS 2/5 72 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
35%
Serious cites
0

Legacy Health And Rehab runs 72 certified beds in Manchester under for-profit limited liability ownership, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 13% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record shows 24 deficiencies, none at the harm or jeopardy level but one abuse-related, with the most recent inspection in June 2025. Staff turnover at 35.4% is actually better than the 45.8% national figure, which matters for continuity of care, though CMS inspection and quality measure ratings both sit at 2 out of 5. Ask about weekend coverage and that abuse citation directly.

B

75/100

Abundant Christian Living Community Rehabilitation

Johnson City, TN · Washington County

CMS 5/5 103 beds For-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
42%
Serious cites
0

Abundant Christian Living in Johnson City runs a sharp split. Inspectors visited in July 2024 and found six deficiencies, none at the harm level, and its clinical quality measures score at the top of CMS's scale, that part of the record is genuinely clean. Staffing is where it thins out. At 3.16 nurse hours per resident day, this 103-bed for-profit home sits about 18 percent under the national average, and weekends drop roughly another 12 percent below its own weekday coverage. Turnover at 42.4 percent is slightly better than the 45.8 percent norm nationally, but with that many caregivers cycling through, consistent hands are hard to count on. Ask how weekends are actually covered before you decide.

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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