4,510 Independent Nursing Homes in the United States

Nurse hours

3.48 /day

Staff turnover

25%

Serious cites

0

Perry County Nursing Home runs leaner than average on nursing hours, about 3.48 per resident day against a national figure near 3.86, and weekends get thinner still, dropping roughly 14% below the home's own weekday coverage. That staffing picture, plus 22 deficiencies on the current record including one at the harm level and three tied to abuse, is the main reason its federal quality and staffing ratings sit low even though inspectors gave the place 4 out of 5 stars and the last visit was in April 2026. The one real bright spot is turnover: 25% against a national average of 45.8%, meaning the aides and nurses who are there tend to stay. One fine on record, $15,593.

Nurse hours

2.71 /day

Staff turnover

43%

Serious cites

0

Plainview Healthcare Center is a 93-bed hospital-district home, and the numbers that stand out most are on the staffing side. At 2.71 nurse hours per resident day, it runs roughly 30% below the national average of 3.86, and weekends dip about 7% below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.2%, slightly better than the national 45.8%, so the problem isn't retention so much as raw hours on the floor. The inspection record shows 30 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $19,190. Clinical quality measures score well, but the two-star inspection and staffing ratings tell you where the gaps are.

Nurse hours

3.71 /day

Staff turnover

41%

Serious cites

0

Schulenburg Regency runs 146 beds under corporate ownership, and its state inspection record is the strongest part of the picture, a recent survey, a four-star health inspection rating, and modest fines totaling under $9,000. The trouble sits in the day-to-day staffing. At 3.71 nurse hours per resident day, it falls short of the national average, weekend coverage drops about 14% below its own weekday levels, and the two-star staffing rating reflects that gap. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse. Turnover, at least, runs below the national figure.

Nurse hours

3.16 /day

Staff turnover

33%

Serious cites

0

San Jose Nursing Center runs lean on bedside staff, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekday numbers. That thin coverage shows up in the staffing star rating, though the home holds onto workers better than most, with turnover at 33.3% compared to 45.8% nationally. The current inspection record lists 32 deficiencies, none at harm or jeopardy level, but three tied to abuse, and the last full inspection came in April 2025. Quality measures score well; the hands-on care hours are where this San Antonio for-profit falls short.

Nurse hours

3.15 /day

Staff turnover

42%

Serious cites

0

Three Rivers runs about 3.15 nurse hours per resident per day, roughly 19% under the national average, and weekends dip about 10% below its own weekday staffing. That thin coverage is the main reason the staffing rating sits at 1 out of 5 even though the quality measure score is 5 out of 5, the clinical outcomes look good, but there aren't many hands. The inspection record shows 36 deficiencies, two at harm or jeopardy level and one abuse-related, with $8,492 in fines and a March 2024 inspection. Turnover at 42% is slightly better than the 45.8% national figure, so retention isn't the problem; scheduling is. For-profit, limited liability ownership, 60 beds.

Nurse hours

3.72 /day

Staff turnover

45%

Serious cites

0

August Healthcare at Leewood runs 157 certified beds under for-profit LLC ownership, and its staffing sits about 4% under the national average at 3.72 nurse hours per resident day, with weekends roughly 11% leaner than its own weekdays. Turnover lands near the national mark at 44.7%. What stands out is the inspection record: 36 deficiencies, one at harm or jeopardy level and seven tied to abuse, with a single $25,488 fine and no inspection since March 2022. The five-star quality measure score contrasts with a one-star health inspection rating, so ask directly how those abuse-related findings were resolved and who is on duty on weekends.

Nurse hours

3.65 /day

Staff turnover

44%

Serious cites

0

Good Shepherd runs 192 beds in Wheeling as a church-affiliated nonprofit, and its staffing sits at 3.65 nurse hours per resident day, about 5% under the national average of 3.86, with weekends running roughly 9% thinner than its own weekdays. Staff turnover is 44.4%, essentially even with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 34 deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse, and a single fine of $27,378. A 5/5 on quality measures alongside a 2/5 on both inspections and staffing tells you the clinical tracking looks strong while the day-to-day oversight and floor coverage are where families should focus their questions.

Nurse hours

4.38 /day

Staff turnover

—

Serious cites

0

Majestic Care of Manchin runs 41 beds in Fairmont under state government ownership, and its inspection history is the strongest part of the picture, a recent April 2025 survey and 35 deficiencies on record with none rising to harm or jeopardy level. Staffing is where it falls apart: the federal staffing rating sits at 1 out of 5, meaning nurse hours per resident come in well below what CMS considers adequate. Quality measures land at 2 out of 5, and there's one abuse-related deficiency and a $5,244 fine on the books. A clean inspection record matters, but thin staffing shapes daily life more than anything else here.

Nurse hours

3.60 /day

Staff turnover

51%

Serious cites

0

Amethyst Health Of Algoma runs 50 certified beds in Kewaunee County, and its staffing sits about 7% under the national average at 3.60 nurse hours per resident day. Weekends are thinner still, roughly 13% below what the home staffs on weekdays, and annual turnover runs 51.3% against a national 45.8%, meaning more than half the nursing staff turns over each year. The inspection record is the bigger concern: 17 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, and $151,354 in fines across two penalties. A January 2025 inspection at least means the record is current, but the quality measure score doesn't offset what inspectors found.

Nurse hours

3.90 /day

Staff turnover

22%

Serious cites

0

Saint Vincent Healthcare runs 78 beds in Pasadena under for-profit limited liability ownership, and its nurse staffing sits just barely above the national average, 3.90 hours per resident day against 3.86. That thin margin narrows further on weekends, when coverage drops about 8% below the home's own weekday levels. What stands out is retention: 22.4% annual turnover is less than half the national rate of 45.8%, which suggests a steadier crew than most places manage. The tradeoff shows up in quality measures, which score near the bottom, and a record of 50 deficiencies, none at harm or jeopardy level, none abuse-related. The most recent inspection was in November 2025.

Nurse hours

3.77 /day

Staff turnover

19%

Serious cites

0

Milpitas Care Center runs 35 beds under corporate ownership, and its nurse staffing sits at 3.77 hours per resident day, just under the national average, with weekends running about 7% thinner than weekdays. The standout number is turnover: 19.2% against a national average of 45.8%, which means the people caring for residents tend to stick around. That matters, and it's why the staffing rating holds at 3/5 and quality measures at 3/5. The inspection record is where the picture darkens. Fifty-two deficiencies on the current record, including one at the harm or jeopardy level and one abuse-related, plus three fines totaling $28,520. The most recent inspection was June 27, 2025. Stable staff, a thin weekend margin, and a long citation history, that's the tradeoff to weigh.

Nurse hours

3.35 /day

Staff turnover

27%

Serious cites

0

Azalea Trail runs lean on nursing hours, 3.35 per resident per day against a national average of 3.86, with weekends about 12% thinner than weekdays. That's the trade-off behind its numbers: staff stick around far longer than is typical in this industry, and its inspection record is about as clean as they come, one minor deficiency with nothing tied to harm or abuse and a visit from surveyors as recent as May 2025. The weak spot sits in the quality measures, where resident outcomes lag despite the strong oversight. For a 72-bed for-profit in Grand Saline, you're looking at a home that passes its tests but may not always have enough hands on deck.

Nurse hours

3.08 /day

Staff turnover

36%

Serious cites

0

Wheeler Nursing & Rehabilitation runs lean on direct care: 3.08 nurse hours per resident per day, roughly a fifth under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record shows 15 deficiencies, including two at the harm or jeopardy level and two tied to abuse. Turnover sits at 35.7%, better than the 45.8% national figure, which suggests less churn than many homes its size. The last inspection was in August 2025. The quality measures look strong, but those come from resident assessments the home reports, while staffing and inspections are observed independently. Weigh those two against each other before deciding.

Nurse hours

4.32 /day

Staff turnover

—

Serious cites

0

Sage Park San Antonio runs 46 certified beds under a for-profit partnership, and its nurse staffing sits at 4.32 hours per resident day, roughly 12% above the national average of 3.86. That headline number comes with a catch: weekend staffing drops about 17% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the harder part to swallow. Twenty-seven deficiencies, one of them serious enough to reach harm or jeopardy level, plus a single fine of $121,976. The most recent inspection was January 9, 2026. Quality measures score well, but a recent inspection with that many findings and a six-figure penalty tells you the day-to-day care has had real problems.

Nurse hours

1.98 /day

Staff turnover

26%

Serious cites

0

Houston County Nursing Home runs on about 1.98 nurse hours per resident per day, roughly half the national figure of 3.86, and weekend coverage slips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Staff turnover sits at 26.1%, well under the 45.8% national average, which means the people who are there tend to stay. Inspectors visited in June 2025 and found 15 deficiencies, none rising to harm or jeopardy, though two are abuse-related. The 5-star inspection and 4-star quality scores sit alongside a 1-star staffing rating, a split worth understanding before you decide.

Nurse hours

3.00 /day

Staff turnover

43%

Serious cites

0

Baywood Crossing runs 3.00 nurse hours per resident per day, about 22% under the national average of 3.86, and weekends dip roughly 9% below its own weekday level. That low staffing shows in the one-star staffing rating, though turnover at 43.3% is slightly better than the 45.8% national figure. The record is otherwise clean: a recent May 2025 inspection, 16 deficiencies with none at harm or jeopardy level and none abuse-related, plus four stars on health inspections and five on quality measures. If you're weighing this one, the question is whether the floor coverage on weekends works for your family member's needs.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Petersburg Medical Center's long-term care unit is a 15-bed, city-run home in a town you can only reach by boat or plane, which tends to mean staff stay put and know the residents. The inspection record backs that up: a 5-star health inspection score, six deficiencies on the current record with none causing harm and none tied to abuse, and a survey completed in August 2025. Turnover data wasn't part of what we reviewed, so treat that as an open question. What holds the grade back from the top tier is quality measures sitting at 4 stars. For a small rural home, the fundamentals look sound. Ask about staffing levels on evenings and weekends, when small facilities feel a callout most.

Nurse hours

4.13 /day

Staff turnover

60%

Serious cites

0

Hudson Memorial runs on county money, which tends to mean stable funding but not always deep pockets for staffing. Its 4.13 nurse hours per resident day sits about 7% above the national average, and the last inspection was recent, December 2024, with 15 deficiencies on record, none of them causing harm or involving abuse. That's a meaningful distinction. The concern is turnover: 59.7% of staff leaving annually against a 45.8% national rate, and weekend coverage drops roughly 20% below weekday levels. High churn plus thinner weekend shifts can wear on consistency of care even when the raw staffing number looks fine. Inspection history sits at 2 stars; quality measures and staffing each earn 3.

Nurse hours

4.18 /day

Staff turnover

46%

Serious cites

0

Trinity Village Medical Center runs a fairly typical nonprofit operation in Pine Bluff: 94 beds, no abuse citations, and nothing on its record that rose to the level of actual harm. Its 31 deficiencies are mostly the paperwork-and-protocol kind that inspectors write up at plenty of homes. Nurse staffing sits at 4.18 hours per resident day, about 8% above the national average, though weekends run roughly 15% thinner than weekdays, worth asking about if your family member needs help on Saturdays and Sundays. Staff turnover is 46.1%, basically the national rate, so don't expect unusual continuity. Inspectors were last in this July, and the quality measure score of 2 out of 5 is the weakest number here.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Bethesda Home in Hayward is a small church-affiliated nonprofit with 40 beds, and its inspection record is genuinely solid: 20 deficiencies on file, but none rose to harm or jeopardy, and none involved abuse. Quality measures hold at 4 out of 5 stars too, so residents' clinical outcomes look reasonable on paper. The staffing number is where the story turns. One star out of five means nurse and aide hours fall well below what CMS expects for a building this size, that's the single biggest drag on the score, and it matters most on nights and weekends when needs don't pause. Its last inspection was October 2024, so the record is current. Ask about actual daily aide coverage before you decide.