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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 261 to 280 of 4,510, best-graded first.

A

94/100

St Johns On Fountain Lake

Albert Lea, MN · Freeborn County

CMS 3/584 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
29%
Serious cites
0

St. Johns on Fountain Lake runs a church-affiliated nonprofit home with 84 certified beds, and its staffing is the clearest strength: 4.55 nurse hours per resident day, roughly 18% above the national average. Turnover sits at 29.4% against a national 45.8%, which means aides and nurses tend to stay. Weekends run about 12% leaner than weekdays, so ask how that gap gets covered. The tension is in the inspection record, 30 deficiencies, three at harm or jeopardy level, and one fine of $16,448, with the last inspection in December 2025. Quality measures score well; the survey history is what pulls the overall picture down.

A

94/100

Martha Coker Green House Home

Yazoo City, MS · Yazoo County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.63 /day
Staff turnover
27%
Serious cites
0

Martha Coker Green House Home in Yazoo City runs on unusually heavy staffing for a nursing home, 5.63 nurse hours per resident day against a national average of 3.86, and it holds a five-star CMS staffing rating. Weekend coverage does dip about 14% below its own weekday level, and turnover sits at 26.8%, well under the national 45.8%, so the people caring for residents tend to stay. The home is a nonprofit with 15 deficiencies on its current record, none at the harm level and none abuse-related, and its last inspection was in September 2024. For families weighing a move, the pattern here is steady hands and few serious problems.

A

94/100

Jnh-Jefferson Inn

Whitfield, MS · Rankin County

CMS 5/590 bedsGovernmentMedicaid
Nurse hours
4.92 /day
Staff turnover
44%
Serious cites
0

Jnh-Jefferson Inn runs on 4.92 nurse hours per resident day, roughly a quarter more staffing than the typical American nursing home. Weekends dip about 12% below its own weekday coverage, so ask how that gap gets covered. Turnover sits at 43.5%, slightly better than the national 45.8%, and the current record shows 15 deficiencies with none at harm or jeopardy level and nothing abuse-related. State-run ownership means public accountability, though the three-out-of-five inspection rating suggests room remains. The last inspection was October 2025, so the picture is current. Strong staffing and quality scores carry this home; the inspection history is where you'd want to ask questions.

A

94/100

Lutheran Home, The

Cape Girardeau, MO · Cape Girardeau County

CMS 5/5274 bedsNon-profitMedicaid
Nurse hours
4.54 /day
Staff turnover
35%
Serious cites
0

The Lutheran Home runs 4.54 nurse hours per resident day, roughly 17% above the national average, and weekends dip only about 8% below its own weekday level, a modest drop, not a cliff. Staff turnover sits at 34.9%, well under the 45.8% national figure, which matters for whether caregivers actually stick around long enough to know residents. Its last inspection was March 2025, with 8 deficiencies on record, none at the harm level and none abuse-related. A 274-bed nonprofit carrying 5/5 stars across health inspection, quality measures, and staffing is rare company. The numbers here are consistent, not lucky.

A

94/100

Douglas County Health Center

Omaha, NE · Douglas County

CMS 3/5254 bedsGovernmentMedicaid
Nurse hours
4.78 /day
Staff turnover
15%
Serious cites
0

Douglas County Health Center runs on a county-owned model, and its staffing shows it: 4.78 nurse hours per resident day, roughly a quarter more than the national average, with just 14.9% turnover against a national rate near 46%. Weekend coverage dips about 8% below weekday levels, but that's a modest gap compared with most homes. The tradeoff sits in its inspection record. Thirty-three deficiencies are on file, including four tied to abuse and one at the harm level, which pulled its health inspection rating down to 2 out of 5. Quality measures score 4 out of 5. The last survey was in May 2025, so the picture is current. Strong staffing, a shakier compliance history, that's the honest tension here.

A

94/100

Hillsborough County Nursing Home

Goffstown, NH · Hillsborough County

CMS 5/5300 bedsGovernmentMedicaid
Nurse hours
3.74 /day
Staff turnover
30%
Serious cites
0

Hillsborough County Nursing Home runs 300 beds as a county-owned home, and its record is unusually clean for a building that size: nine deficiencies total, none of them causing harm or jeopardy, and nothing abuse-related. The last inspection was recent, so that picture isn't stale. Staffing is the one spot worth watching, 3.74 nurse hours per resident day sits just under the national average, and weekends run roughly 11% thinner than weekdays, which is when families tend to visit and notice. What offsets that is retention: turnover of 30.1% is well below the national 45.8%, meaning the people caring for residents largely stay. For a family weighing a large county facility, the steady workforce and clean inspection history matter more than the slight staffing dip.

A

94/100

Skilled Nursing At Fellowship Village

Basking Ridge, NJ · Somerset County

CMS 4/567 bedsNon-profit
Nurse hours
5.56 /day
Staff turnover
39%
Serious cites
0

Skilled Nursing At Fellowship Village runs 5.56 nurse hours per resident per day, about 44% above the national average, and its weekend staffing barely dips, roughly 3% below weekdays. That consistency matters, because gaps usually show up on Saturdays and Sundays. Staff turnover sits at 38.9%, lower than the 45.8% national figure, so the people caring for residents tend to stay. The tradeoff is inspections: a 3-out-of-5 health inspection rating, with 10 deficiencies on record, one tied to abuse, though none rose to the harm or jeopardy level. Quality measures score 4 out of 5. This nonprofit's numbers point to a well-staffed building whose inspection record, not its bedside care, is the weaker half.

A

94/100

New Jersey Veterans Memorial Home Menlo

Edison, NJ · Middlesex County

CMS 5/5328 bedsGovernment
Nurse hours
6.02 /day
Staff turnover
17%
Serious cites
0

New Jersey Veterans Memorial Home Menlo runs 328 certified beds in Edison, and it's a state-run home, which shapes how it's staffed and inspected. Nurse coverage sits at 6.02 hours per resident day, roughly 56% above the national average, and weekend staffing barely dips, only about 4% under its own weekday level. Staff turnover is 17%, well below the 45.8% national figure, so the people caring for residents tend to stay. The trade-off shows up in its record: 21 deficiencies, 5 of them serious enough to involve harm or jeopardy, though none abuse-related, and the last inspection came in September 2025.

A

94/100

Roosevelt Care Center At Old Bridge

Old Bridge, NJ · Middlesex County

CMS 5/5180 bedsGovernmentMedicaid
Nurse hours
4.56 /day
Staff turnover
31%
Serious cites
0

Roosevelt Care Center At Old Bridge runs on county money and 180 certified beds, and the staffing numbers are the first thing worth noticing: 4.56 nurse hours per resident day, roughly 18% above the national average, with turnover at 31.4% against a national 45.8%. Weekend coverage dips about 6% from weekday levels, which is common but still worth asking about. The inspection record shows 16 deficiencies, none at the harm or jeopardy level, one tied to abuse, and the most recent visit was September 2025, so the record is current. A five-star inspection rating and five-star quality measures sit behind that. If you tour, ask how the abuse-related finding was resolved and what weekends actually look like on the floor.

A

94/100

Jewish Home Of Rochester

Rochester, NY · Monroe County

CMS 5/5362 bedsNon-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
33%
Serious cites
0

The Jewish Home of Rochester runs 362 certified beds as a nonprofit, and its nurse staffing sits at 4.80 hours per resident day, roughly a quarter above the national figure of 3.86. That said, weekends dip about 13% below its own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. Staff turnover is 32.8%, well under the national 45.8%, which means aides and nurses tend to stick around. On inspections, seven deficiencies appear on the current record, three tied to abuse and none reaching harm or jeopardy level. The most recent inspection closed in December 2025, so the picture is current.

A

94/100

Tupper Lake Center For Nursing And Rehabilitation

Tupper Lake, NY · Franklin County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
34%
Serious cites
0

Tupper Lake Center runs about 4.68 nurse hours per resident per day, roughly 21% above the national average, and its staff turnover of 34.4% is meaningfully lower than the 45.8% typical elsewhere, two signs of a stable, well-staffed building. That said, weekend staffing drops about 28% below its own weekday level, so coverage isn't perfectly even across the week. The 23 deficiencies on record include one abuse-related citation, though none rose to harm or jeopardy level, and the last inspection was January 2024. As a nonprofit with strong quality and staffing marks, the main things to ask about directly are weekend coverage and that abuse flag.

A

94/100

Mercy Hospital Skilled Nursing Facility

Lackawanna, NY · Erie County

CMS 5/584 bedsNon-profitMedicaid
Nurse hours
4.68 /day
Staff turnover
44%
Serious cites
0

Mercy Hospital Skilled Nursing Facility runs 4.68 nurse hours per resident per day, about 21% above the national average, and its quality measure rating is perfect at 5 out of 5. The catch is weekends: staffing drops roughly 14% below its own weekday levels, so the coverage your family member gets on a Saturday won't match a Tuesday. Staff turnover sits at 43.7%, slightly better than the national 45.8% but still meaning nearly half the nursing staff turns over annually. Four deficiencies sit on the current record, none at harm level, one abuse-related, with the last inspection in July 2025.

A

94/100

M.m. Ewing Continuing Care Center

Canandaigua, NY · Ontario County

CMS 5/5178 bedsNon-profitMedicaid
Nurse hours
4.11 /day
Staff turnover
33%
Serious cites
0

M.m. Ewing runs a tight ship on staffing. At 4.11 nurse hours per resident day, it sits about 6% above the national average, and its staff turnover of 33.1% is meaningfully lower than the 45.8% typical elsewhere, a sign people stick around. Weekend coverage dips roughly 12% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The inspection record is clean where it matters most: nine deficiencies on file, none at the harm or jeopardy level, none tied to abuse. The last full inspection was July 2023, so it's been a stretch since surveyors came through. Quality measure scores land at the top of the federal scale.

A

94/100

Upstate University Hosp At Community General T C U

Syracuse, NY · Onondaga County

CMS 5/520 bedsGovernment
Nurse hours
8.21 /day
Staff turnover
54%
Serious cites
0

Upstate University Hospital's TCU is a 20-bed unit in Syracuse run by New York State, and the staffing numbers stand out right away: 8.21 nurse hours per resident day, more than double the national average. That kind of coverage shows up in the inspection record too, with four deficiencies on file and none involving harm or jeopardy to a resident. The tradeoff is retention. At 53.7% annual turnover, this unit replaces over half its nursing staff every year, well above the 45.8% national figure, so consistent care often depends on newer faces. Weekend hours dip only slightly, about 2% under weekdays. Its last inspection was July 2025.

A

94/100

Highland Farms

Black Mountain, NC · Buncombe County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
28%
Serious cites
0

Highland Farms runs on a nonprofit model with 60 certified beds in Black Mountain, and the staffing numbers are the first thing worth noticing. At 4.92 nurse hours per resident day, it sits roughly 27% above the national average, and weekend coverage only dips about 12% below its own weekday level, a smaller drop than many homes show. Staff turnover lands at 28.1%, well under the national 45.8%, which matters because consistent caregivers tend to know residents' routines. The inspection record backs this up: 14 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine totaling $4,271. State surveyors visited recently, in August 2025, so the picture is current.

A

94/100

Novant Health Presbyterian Medical Center-Snu

Charlotte, NC · Mecklenburg County

CMS 5/512 bedsNon-profitMedicaid
Nurse hours
6.47 /day
Staff turnover
53%
Serious cites
0

Novant Health Presbyterian's skilled unit is tiny, just 12 certified beds inside a Charlotte hospital, and it runs on an unusual amount of nursing attention: 6.47 hours per resident day, roughly 68% above the national figure. Weekend coverage barely dips, about 1% off weekday levels, which is rare. Inspectors visited recently, in August 2025, and the record shows five deficiencies with none causing harm or involving abuse. The tradeoff is staff retention: 53.3% annual turnover sits above the 45.8% national average, meaning the people delivering that care keep changing. Five-star ratings across inspection, quality, and staffing round out the picture. For a short-term rehab stay after a hospital procedure, this is about as well-covered as it gets.

A

94/100

Conover Nursing And Rehabilitation Center

Conover, NC · Catawba County

CMS 5/590 bedsFor-profitMedicaid
Nurse hours
4.79 /day
Staff turnover
27%
Serious cites
0

Conover Nursing and Rehabilitation runs about 4.79 nursing hours per resident each day, roughly a quarter above the national average, and its staff turnover of 27.4% sits well under the national 45.8%. Weekend coverage dips about 11% below weekday levels, so ask how that plays out on Saturdays and Sundays. The current inspection record shows four deficiencies, none causing harm or involving abuse, which is thin for a 90-bed home. Corporate-owned and for-profit, it was inspected in April 2026. The numbers point to steady staffing and a clean recent survey history rather than any single standout figure.

A

94/100

North Dakota Veterans Home

Lisbon, ND · Ransom County

CMS 5/552 bedsGovernmentMedicaid
Nurse hours
5.07 /day
Staff turnover
33%
Serious cites
0

The state-run veterans home in Lisbon runs nurse staffing at 5.07 hours per resident day, about 31 percent above the national average, and its staff turnover of 32.9 percent sits well under the 45.8 percent national figure. Weekend coverage dips roughly 10 percent below its own weekday level, so ask how that plays out on a Saturday. Nine deficiencies appear on the current record, two of them serious enough to reach harm or jeopardy level, with two fines totaling $32,128. Its last inspection was in August 2025.

A

94/100

Riverside Manor Nrsg & Rehab Ctr

Newcomerstown, OH · Tuscarawas County

CMS 3/580 bedsFor-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
22%
Serious cites
0

Riverside Manor runs a leaner ship than most on staffing: 4.55 nurse hours per resident day, roughly 18 percent above the national average, with weekend coverage dipping about 12 percent below its own weekday levels. Turnover sits at 21.8 percent, well under the national 45.8 percent, a sign of a stable crew, which matters for daily consistency. The tradeoff shows up in inspections: a 2-out-of-5 health inspection rating, 27 deficiencies on record including one at harm level and four abuse-related, last surveyed January 30, 2025. Quality measures score 5 out of 5, so the clinical numbers look strong even where the inspection history doesn't.

A

94/100

Apostolic Christian Home Inc

Rittman, OH · Wayne County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
31%
Serious cites
0

Apostolic Christian Home in Rittman, Ohio is a 75-bed nonprofit run by a church, and it holds a four-star health inspection rating from CMS. Staffing is its main strength: 4.45 nurse hours per resident day, roughly 15% above the national average, and turnover at 31.2% is well below the national 45.8%, meaning the people caring for your relative tend to stay. That consistency matters more than most families realize. The tradeoffs: weekend staffing drops about 13% from weekday levels, and the current record includes seven deficiencies, one at the harm or jeopardy level and one abuse-related. A February 2025 inspection is recent, so the record reflects the home as it operates now.

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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