4,510 Independent Nursing Homes in the United States

Nurse hours

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Staff turnover

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Serious cites

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Harmonee House is a 35-bed for-profit home in Amherst with a decent inspection history and a serious staffing problem. The health inspection rating sits at 3 out of 5, and the 20 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, which matters, because it means the problems found were mostly paperwork and process, not residents getting hurt. But the staffing rating is 1 out of 5, and that's the number a family should sit with. Quality measures come in at 4 out of 5, which suggests the care itself is tracking well when it happens. The last inspection was in September 2024, so the record is recent. A B grade here reflects a home that inspects fine but may not have enough hands on deck.

Nurse hours

3.28 /day

Staff turnover

52%

Serious cites

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Elite Nursing and Rehabilitation Care Center runs 143 certified beds in Birmingham under for-profit LLC ownership. Nurse staffing sits at 3.28 hours per resident day, roughly 15% under the national average, and weekends drop about 9% below what the home itself staffs on weekdays. Annual turnover of 52.4% tops the national rate of 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 22 deficiencies, including one abuse-related citation, though none reached harm or jeopardy level, and CMS has fined the home $6,682 across a single penalty. Its last inspection was March 29, 2024. Quality and staffing measures both land at 3 out of 5 stars, while health inspections sit at 1.

Nurse hours

3.49 /day

Staff turnover

51%

Serious cites

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Montgomery Children's Specialty Center runs 54 certified beds under for-profit partnership ownership, and its staffing sits about 10% under the national average at 3.49 nurse hours per resident day. Weekends drop roughly 15% below its own weekday levels, and turnover runs 50.8% against a national 45.8%, so the people caring for residents change often and thin out on Saturdays and Sundays. Inspections tell a mixed story: 12 deficiencies on record, none at harm or jeopardy level, though three are abuse-related, with the last visit in May 2023. Quality measures score well, but staffing and health inspection ratings both sit at 2 out of 5.

Nurse hours

3.99 /day

Staff turnover

43%

Serious cites

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Shafter Nursing Care runs 99 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.99 hours per resident day, roughly 3% above the national average of 3.86. That edge thins on weekends, when coverage drops about 9% below the home's own weekday level. Annual turnover is 43.1%, a touch better than the 45.8% national figure. The part worth slowing down on is the inspection record: 38 deficiencies, including 2 at the harm or jeopardy level and 7 tied to abuse, with two fines totaling $27,439 and a last inspection dated April 2026. CMS gives it three stars each for health inspections, quality measures, and staffing.

Nurse hours

3.93 /day

Staff turnover

39%

Serious cites

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West Shore Post Acute runs 151 beds in Alameda under for-profit LLC ownership. Staffing sits at 3.93 nurse hours per resident day, barely above the national average of 3.86, and weekends run about 8% thinner than weekdays, a meaningful gap if your family member needs care on a Saturday. Turnover is 38.7%, better than the 45.8% national figure, so the same aides are more likely to stick around. What drags this one down is the inspection record: 57 deficiencies, including four tied to abuse and one serious enough to put a resident in harm's way. That's a lot of citations for a single building. The last inspection was May 2025, so the record is current.

Nurse hours

3.57 /day

Staff turnover

45%

Serious cites

0

North Shore Health & Rehab runs 120 beds in Loveland under for-profit LLC ownership. Its most recent inspection, in May 2024, ended with 19 deficiencies on record, none at the harm or jeopardy level, though two were abuse-related, which is worth asking about directly. Nurse staffing sits at 3.57 hours per resident day, roughly 8% under the national average, and weekends run about 10% thinner than weekdays, so coverage dips when families tend to visit. Staff turnover of 45.4% lands essentially even with the national rate, meaning the workforce churns about as much as anywhere else. The health and quality measure ratings both came in strong; staffing is the softer spot.

Nurse hours

4.03 /day

Staff turnover

93%

Serious cites

0

Lemay Avenue Health and Rehab runs about 4.03 nurse hours per resident each day, a bit above the national average of 3.86, though weekend coverage dips roughly 9% below its own weekday level. The bigger concern sits in staffing stability: annual turnover hits 92.6%, more than double the national rate of 45.8%, meaning the people caring for residents are, on average, new to the building. The inspection record itself is strong, with a 5/5 health inspection rating, seven deficiencies on file, one serious enough to involve harm, and $7,443 in fines from a single penalty. The most recent inspection was September 11, 2025. A for-profit corporate owner, 130 certified beds.

Nurse hours

2.63 /day

Staff turnover

23%

Serious cites

0

Whitney Center runs 59 certified beds as a nonprofit, and its inspection record shows 30 deficiencies, five of them abuse-related, though none at the harm or jeopardy level. The most recent inspection was in December 2024. Staffing is where the numbers get thin: 2.63 nurse hours per resident day, roughly a third below the national average, with weekends running about 10% under its own weekday level. What stands out in the other direction is turnover, 22.6%, about half the national rate, which suggests a stable core of caregivers even if there aren't enough of them on the clock.

Nurse hours

3.44 /day

Staff turnover

44%

Serious cites

0

Birchwood runs on thinner staffing than most Florida nursing homes: 3.44 nurse hours per resident day against a national average of 3.86, with weekends about 9 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. Turnover sits at 43.8 percent, a touch better than the national 45.8 percent, so aides do stick around slightly longer than average. The bigger concern is the inspection record: 17 deficiencies, one serious enough to reach harm or jeopardy level, and a $49,680 fine. Its last inspection was August 2025, so the record is recent rather than stale. Corporate-owned and for-profit, with 87 beds. Ask about weekend aide coverage and what that harm-level deficiency involved.

Nurse hours

3.85 /day

Staff turnover

34%

Serious cites

0

Balanced Healthcare runs 299 certified beds in Saint Petersburg under for-profit LLC ownership, and its staffing numbers are actually its strongest feature, 3.85 nurse hours per resident day sits right at the national average of 3.86, and weekend coverage only dips about 6% below weekdays. Turnover at 34.3% also beats the national 45.8%, meaning fewer caregivers cycling out the door. The trouble shows up everywhere else. Inspectors have cited 28 deficiencies, including 3 at harm or jeopardy level and 2 tied to abuse, with $114,133 in fines across two penalties. Both the health inspection and quality measure ratings sit at 1 out of 5, and the most recent inspection was November 2024.

Nurse hours

3.82 /day

Staff turnover

57%

Serious cites

0

Resorts At Pooler runs 122 certified beds under for-profit LLC ownership, and its staffing sits just under the national mark, 3.82 nurse hours per resident day against 3.86 nationally, with weekends about 4% thinner than weekdays. The bigger number is turnover: 56.6% annually, well above the 45.8% national average, meaning roughly half the nursing staff cycles out each year. Eighteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, with a single $4,017 fine. Inspectors last visited in December 2025. The 2/5 inspection rating reflects those findings, while the 4/5 quality measure score shows the clinical data itself holds up.

Nurse hours

3.83 /day

Staff turnover

35%

Serious cites

0

Miona Geriatric & Dementia Center runs 88 certified beds in Ideal under for-profit LLC ownership, with a clean inspection record, zero deficiencies of any kind, including none at the harm level or abuse-related. That's a real strength, backed by a five-star health inspection rating and a recent survey. Staffing tells a more mixed story: 3.83 nurse hours per resident day sits just under the national average, and weekends dip roughly 14% below weekdays, so coverage thins when families often visit. Turnover of 35.2% is better than the 45.8% national figure, which matters for dementia residents who rely on familiar faces. Quality measures land at three stars. Solid, not flawless.

Nurse hours

5.66 /day

Staff turnover

98%

Serious cites

0

Countryside Care runs on county money in a small Idaho town, and the staffing number is the headline: 5.66 nurse hours per resident day, well above the national average, with a four-star CMS staffing rating to back it. Look closer and the picture muddies. Nearly every employee turned over last year, 97.9% against a national 45.8%, and weekend coverage drops about 11% below weekdays, so the people delivering that care keep changing. Nineteen deficiencies sit on the current record, including one tied to abuse, though none reached the harm level, and the most recent inspection came in September 2025. Quality measures rate two stars, which doesn't square neatly with the staffing advantage.

Nurse hours

3.10 /day

Staff turnover

28%

Serious cites

0

Lee Manor runs 262 beds in Des Plaines under for-profit LLC ownership, and the staffing numbers are the main thing to know. At 3.10 nurse hours per resident day, it sits roughly 20% below the national average of 3.86, and weekends drop about another 10% below its own weekday level. Turnover is the bright spot: 27.7% against a national average of 45.8%, which means the aides and nurses who are there tend to stay. The inspection record is current, last survey April 2025, but includes 15 deficiencies, three at harm or jeopardy level and one abuse-related, which is worth asking about directly. A recent four-star health inspection suggests the home corrects problems when cited.

Nurse hours

2.81 /day

Staff turnover

27%

Serious cites

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Thrive Of Lake County runs 2.81 nurse hours per resident day, roughly a quarter below the national average, and weekends drop about 15% below its own weekday staffing. Turnover sits at 26.8%, better than the 45.8% national figure, so the people who do stay tend to stick around. The inspection record is where the concern lies: 49 deficiencies on file, including 3 at harm or jeopardy level and 5 abuse-related, with two fines totaling $29,734. Its most recent inspection was in March 2025. Family ownership is for-profit and individual. If you're considering this home, ask how the abuse-related findings were resolved and what weekend coverage actually looks like on the floor.

Nurse hours

3.43 /day

Staff turnover

42%

Serious cites

0

Pleasant View Luther Home runs 3.43 nurse hours per resident day, about 11% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. The record shows 42 deficiencies, including 6 at harm or jeopardy level and 4 tied to abuse, with $87,819 in fines across three penalties. Turnover sits at 41.7%, a bit better than the 45.8% national figure, and the last inspection was February 2025. Quality measures score well, but the inspection and staffing picture is where the concern lives.

Nurse hours

4.24 /day

Staff turnover

58%

Serious cites

0

Saint Anne Home in Fort Wayne runs on a church-affiliated nonprofit model with 166 beds, and its nurse staffing sits about 10% above the national average at 4.24 hours per resident day. That's a real cushion, though weekends run roughly 15% leaner than weekdays, so coverage isn't uniform across the week. Staff turnover is the number worth pausing on: 58.1%, well above the 45.8% national figure, which matters for whether residents see the same faces. Six deficiencies appear on the current record with none at harm or jeopardy level, but two are abuse-related, and the last inspection was January 2026. Inspection history and quality measures both read solidly mid-range.

Nurse hours

4.79 /day

Staff turnover

61%

Serious cites

0

Grace Village is county-owned, and that shows in the staffing: 4.79 nurse hours per resident day, roughly a quarter above the national average. Weekend coverage dips about 14% below its own weekday level, which is worth asking about if your family tends to visit Saturdays or Sundays. The health inspection record is the strongest part of the picture, eight deficiencies, none at the harm level, none abuse-related, and a survey as recent as March 2025. The softer spots are staff turnover at 61% against a national 45.8%, and a quality measure rating of 2 out of 5, which reflects how residents are actually faring day to day rather than how the building looks on paper.

Nurse hours

5.38 /day

Staff turnover

97%

Serious cites

0

Arbor Springs runs 5.38 nurse hours per resident each day, well above the national average, but that number hides a problem: nearly every aide and nurse is new, with turnover at 96.8% against a national 45.8%. Weekend coverage also drops about 11% below weekday levels, so care depends on who happens to be on shift. Inspectors found 17 deficiencies on the current record, including two at the harm level and one tied to abuse, with the last visit in May 2025. The for-profit LLC behind it has clear strengths and real gaps, and the staffing score reflects that split honestly.

Nurse hours

4.03 /day

Staff turnover

54%

Serious cites

0

Heritage Grove Estates runs 80 beds in Topeka under corporate ownership, and the staffing numbers cut both ways. Nurses give residents 4.03 hours a day, a bit above the national average, but weekends drop roughly 12% below what the home itself staffs on weekdays, so the coverage your family member gets depends on which day you visit. Annual turnover sits at 53.5%, well past the national 45.8%, which means a lot of new faces coming through. Inspections from August 2024 produced 18 deficiencies, three serious enough to threaten resident harm, though none involved abuse. The $9,113 in fines is modest. Clinical quality scores hold up; consistency of care is the open question.