4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

46%

Serious cites

0

Okemah Care Center runs 76 certified beds under for-profit LLC ownership, and its staffing sits at 3.65 nurse hours per resident day, roughly 5% under the national average of 3.86. Weekends dip about 3% below the home's own weekday coverage, so the leanest shifts are the ones families tend to visit. Turnover lands at 45.5%, essentially matching the national 45.8%, which means this isn't a retention outlier either way. What stands out is the inspection record: 33 deficiencies on file, but none at the harm or jeopardy level and none abuse-related. The most recent inspection was February 27, 2026. CMS gives it 3 of 5 stars for health inspections, 4 for quality measures, and 4 for staffing, a home with real paperwork problems but no resident-safety findings.

Nurse hours

4.67 /day

Staff turnover

53%

Serious cites

0

Fairview Fellowship Home runs a nonprofit shop with 100 beds, and its nurse staffing sits at 4.67 hours per resident day, roughly a fifth more than the national average of 3.86. That's real coverage, though weekends dip about 6% below the home's own weekday level, and annual turnover of 52.9% tops the national 45.8%, so the faces around a resident change fairly often. The inspection record is the harder read: 22 deficiencies, one at harm or jeopardy level, two tied to abuse, and a single $18,415 fine, with the most recent survey in December 2025. Quality measure scores land near the bottom.

Nurse hours

3.61 /day

Staff turnover

62%

Serious cites

0

Higher Call Nursing Center runs on thin margins where it counts. Nurse staffing sits at 3.61 hours per resident day, about 7% under the national average, and weekends dip another 6% below what the home itself manages Monday through Friday, so the thinnest coverage lands when families tend to visit. Turnover tells a related story: 62.3% of staff leave each year, well above the 45.8% national figure, which means less continuity for residents who need consistent hands. The inspection record carries 28 deficiencies, six of them at harm or jeopardy level and three tied to abuse, plus an $18,113 fine. The most recent inspection was January 2026, so the picture is current.

Nurse hours

4.27 /day

Staff turnover

37%

Serious cites

0

Barnes-Kasson County Hospital runs a 58-bed nonprofit unit in Susquehanna, and its nurse staffing comes in around 4.27 hours per resident day, roughly 11% above the national average, with weekend coverage about 12% below its own weekday level. Staff turnover sits at 37%, better than the 45.8% national figure, which matters for consistency of care. The tradeoffs show up elsewhere: 22 deficiencies on the current record, including one at the harm level and one abuse-related, a 3/5 inspection rating, and a 1/5 on quality measures despite the 4/5 staffing score. The last inspection was January 16, 2025, so the record is recent.

Nurse hours

3.67 /day

Staff turnover

47%

Serious cites

0

Westmoreland Manor runs 408 certified beds as a county-owned home, and its staffing sits about 5% under the national average at 3.67 nurse hours per resident day, with weekends dropping roughly 8% below its own weekday levels, so coverage thins exactly when families tend to visit. Turnover is 46.5%, essentially matching the national 45.8%, meaning roughly half the nursing staff cycles through in a year. The inspection record is the heavier concern: 32 deficiencies, four at harm or jeopardy level and two abuse-related, with the most recent inspection dated April 2026. County ownership can mean stable public funding, but it hasn't translated into a clean survey history here.

Nurse hours

3.26 /day

Staff turnover

55%

Serious cites

0

Brookmont runs on thinner staffing than most homes its size, 3.26 nurse hours per resident day against a national average of 3.86, and weekends dip about 14% below what the home itself staffs on weekdays. That gap matters because aides and nurses are the people who catch a fall or a change in condition. Turnover sits at 55%, well above the 45.8% national figure, so the crew caring for your relative is likely to keep changing. The good news: 29 deficiencies on record, none at harm or jeopardy level and none abuse-related, with a December 2025 inspection behind them. State surveyors rated health inspections 3 out of 5 and quality measures 5 out of 5, even as staffing drew a 2.

Nurse hours

3.07 /day

Staff turnover

29%

Serious cites

0

West Shore Health Center runs on thin nurse staffing for a 145-bed building, 3.07 hours per resident day, roughly 20 percent under the national average, and weekends drop another 11 percent below its own weekday levels. That's the number I'd ask about first, because it's the one residents feel. The good news sits in retention: 29.4 percent turnover is well below the 45.8 percent national figure, so the aides and nurses who are there tend to stay. Its last inspection was June 2025 and turned up 13 deficiencies, none at the harm level, though one was abuse-related. Corporate-owned and for-profit, with steady survey results but staffing that never quite reaches average.

Nurse hours

3.73 /day

Staff turnover

45%

Serious cites

0

Golden Crest runs 3.73 nurse hours per resident day against a national average of 3.86, and weekends dip roughly 8% below its own weekday coverage, worth asking about if your relative needs help on Saturdays and Sundays. Turnover sits at 45.2%, almost exactly the national figure, so continuity of caregivers isn't unusually bad here. What pulls the record down is the inspection history: 27 deficiencies, two of them at harm or jeopardy level and one abuse-related, plus two fines totaling $70,868. The most recent inspection was December 2025, so the picture is current. A 152-bed for-profit corporate home with solid star ratings but real harm-level findings on the books.

Nurse hours

4.23 /day

Staff turnover

42%

Serious cites

0

Lakelands runs on county money, and the staffing numbers show it: 4.23 nurse hours per resident day, roughly 9% above the national average, with turnover at 41.8%, better than the 45.8% typical elsewhere. Weekend coverage dips about 9% below its own weekday pace, worth asking about if you're planning visits then. The inspection record is clean: two deficiencies total, none at harm or jeopardy level, none abuse-related, and the most recent look was April 2026. What pulls the quality measure rating down to 1 out of 5 is the piece families feel day to day, weight loss, falls, pain, infections, so ask to see that data before deciding.

Nurse hours

3.86 /day

Staff turnover

41%

Serious cites

0

L.m.c.- Extended Care runs 352 certified beds in Lexington, and its nurse staffing sits right at the national average of 3.86 hours per resident day, not below it, but with weekend coverage running about 12 percent lighter than weekdays, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 41.4 percent is lower than the national 45.8 percent, so the workforce is somewhat more stable than most. Against that, the current record carries 14 deficiencies, including one at the harm or jeopardy level and three tied to abuse, along with two fines totaling $30,021; the most recent inspection was in July 2025.

Nurse hours

2.73 /day

Staff turnover

34%

Serious cites

0

Lone Star Rehabilitation & Wellness Center runs about 2.73 nurse hours per resident per day, roughly 29% under the national average of 3.86, and weekends dip another 14% below its own weekday level. That staffing pattern matters more than the 13 deficiencies on record, none of which involved harm or jeopardy, though one was abuse-related. Turnover sits at 33.8%, better than the national 45.8%, and the last inspection was recent, in September 2025. With 122 certified beds under for-profit LLC ownership, the inspection record looks solid enough, it's the daily nurse coverage, especially on weekends, that families should ask about directly.

Nurse hours

4.38 /day

Staff turnover

—

Serious cites

0

Mayo Healthcare in Northfield runs a tight ship on the basics: its last health inspection came back with zero deficiencies at the harm or jeopardy level, and none related to abuse, which is the floor every family should care about first. Nurse staffing sits at 4.38 hours per resident per day, roughly 13% above the national average, though weekends drop about 15% below the home's own weekday coverage, worth asking about if your relative needs more hands-on help on Saturdays and Sundays. The gap to watch is quality measures, which score near the bottom. Ten total deficiencies on record, none serious, but the clinical outcomes data is where this home looks weakest.

Nurse hours

4.89 /day

Staff turnover

46%

Serious cites

0

Tacoma Nursing and Rehabilitation Center runs 150 beds under for-profit LLC ownership, and its nurse staffing sits at 4.89 hours per resident day, roughly 27% above the national average of 3.86. That's a real margin, though weekend coverage dips about 11% below its own weekday levels, so the weekday numbers carry the average. Turnover lands at 45.9%, essentially identical to the national 45.8%. The inspection record is where things get complicated: 19 deficiencies, including one at the harm or jeopardy level and five tied to abuse, plus a $36,446 fine. The most recent inspection was June 2026, so the picture is current rather than stale. Strong staffing paired with a serious deficiency history is the tension worth weighing.

Nurse hours

4.85 /day

Staff turnover

53%

Serious cites

0

Nurse staffing here runs about 4.85 hours per resident per day, roughly a quarter above the national average of 3.86, and weekend coverage holds nearly level with weekdays. That helps explain the four out of five stars on health inspections from the last visit, which was recent. The concerns sit elsewhere: staff turnover is 52.8% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The record shows 25 deficiencies, including one at the level that caused actual harm and three tied to abuse, plus a fine near $20,000. Individual for-profit ownership. Strong numbers at the bedside; a harder record to look past.

Nurse hours

4.82 /day

Staff turnover

51%

Serious cites

0

Manawa Com Nur Ctr runs 4.82 nurse hours per resident day, roughly a quarter above the national average, which sounds like plenty until you notice the state inspection history gives it only 2 stars and the staffing measure itself lands at 1 star, a sign the hours aren't distributed the way residents need them, with weekends running about 12% thinner than weekdays. Thirty deficiencies sit on the current record, including two at the harm or jeopardy level and eight tied to abuse, and the $17,716 fine reflects that pattern. Turnover of 51.3% sits above the national rate, so the people providing those hours keep changing. Last inspection: April 2025.

Nurse hours

5.75 /day

Staff turnover

67%

Serious cites

0

Eden Rehab Suites runs a 50-bed nonprofit home in Oshkosh where the day-to-day staffing is genuinely strong, 5.75 nurse hours per resident, roughly half again the national average, but that number thins out on weekends, dropping about 11% below its own weekday coverage. The harder problem is who's there to deliver it: turnover sits at 66.7%, well past the 45.8% national figure, and a 2-out-of-5 inspection rating with 16 deficiencies, one serious enough to reach harm level, points to care that isn't reliably delivered even when bodies are on the clock. One fine of $13,886 and a May 2025 inspection round out the picture. Good ratios, unsettled execution.

Nurse hours

3.72 /day

Staff turnover

52%

Serious cites

0

Rancho Mesa Care Center runs 59 beds in Alta Loma under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.72 hours per resident day, about 4% under the national average, and weekends drop roughly 9% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. Annual turnover of 51.5% tops the national 45.8% mark, meaning more than half the nursing staff leaves each year. The good news: state inspectors were last in on September 18, 2025, the home holds 30 deficiencies with none at harm or jeopardy level and none abuse-related, and both inspection and quality measure ratings land at 4 of 5 stars. The staffing rating, however, sits at 2.

Nurse hours

4.87 /day

Staff turnover

33%

Serious cites

0

Vista Del Sol Care Center sits in Los Angeles with 50 certified beds under for-profit LLC ownership. The staffing numbers are the strongest part of the picture: 4.87 nurse hours per resident day, roughly a quarter above the national average, and a 33.3% turnover rate that's meaningfully better than the 45.8% norm. Where it gets harder is the inspection record, 61 deficiencies, including 2 at harm or jeopardy level and 8 tied to abuse, plus two fines totaling $116,475. A recent May 2026 inspection means the record is current. Strong daily staffing, but the compliance history is the thing to ask about directly.

Nurse hours

3.76 /day

Staff turnover

84%

Serious cites

0

Mabee Health Care Center runs 44 beds in Midland as a nonprofit, and its quality measure score is genuinely strong, 5 out of 5. The trouble sits on the staffing side. At 3.76 nurse hours per resident day, it's slightly under the national average, and weekend coverage actually holds above weekday levels, which is unusual and worth something. What stands out more is turnover: 83.8% annually, nearly double the national 45.8%. Fourteen deficiencies sit on the current record, none at harm level, one abuse-related, and the last inspection was February 2026, so the picture is fairly fresh. Clinical outcomes look good; keeping caregivers is the open question.

Nurse hours

4.95 /day

Staff turnover

—

Serious cites

0

Wesley Place On Honeysuckle runs 4.95 nurse hours per resident day, roughly 28% above the national average of 3.86, and weekend staffing holds within about 4% of weekdays. That's a real strength. But the inspection record is where this home gets tripped up: 15 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus 12 fines totaling $48,689. The most recent inspection was in March 2024, so the record is current, not stale. Ownership is nonprofit, which sometimes signals steadier resources, but it hasn't translated into a clean survey history here. Good staffing, uneven compliance. If you tour, ask directly what those two harm-level deficiencies involved and what changed since.