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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 2781–2800 of 4,510, best-graded first.

B

73.5/100

Avera Bormann Manor

Parkston, SD · Hutchinson County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
43%
Serious cites
0

Avera Bormann Manor runs a five-star staffing rating, and its 42.6% turnover is actually a bit better than the national average. But the 3.63 nurse hours per resident day sit about 6% under the national figure, and weekends drop roughly 18% below the home's own weekday coverage, so the hands on deck thin out right when families tend to visit. The inspection record is where the concern sharpens: 15 deficiencies, four at harm or jeopardy level and two tied to abuse, plus four fines totaling $47,187. A one-star quality measure rating alongside a three-star inspection rating suggests the clinical picture doesn't match the staffing grade.

B

73.5/100

Lewis Park Post Acute

Hohenwald, TN · Lewis County

CMS 1/5 131 beds For-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
35%
Serious cites
0

Lewis Park Post Acute runs 131 certified beds in Hohenwald under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average, with weekends about 16% thinner than weekdays. Turnover is 34.6%, which is actually better than the 45.8% national figure, so the problem isn't retention; it's how few hours reach the floor. The inspection record is the harder read: 28 deficiencies, 9 at harm or jeopardy level, 5 involving abuse, and a 1-out-of-5 health inspection rating despite a 4-out-of-5 on quality measures. The most recent inspection was August 2025, so the record is current.

B

73.5/100

Island Home Park Health And Rehab

Knoxville, TN · Knox County

CMS 4/5 95 beds Non-profit Medicaid
Nurse hours
3.37 /day
Staff turnover
39%
Serious cites
0

Island Home Park runs 3.37 nurse hours per resident day, roughly 13 percent under the national average, and weekends drop about 15 percent below its own weekday staffing. That thin coverage shows up in its staffing star rating, which is the weak spot on an otherwise solid record. Turnover sits at 39.1 percent, better than the national 45.8 percent, and its most recent inspection in May 2026 found eight deficiencies with none at the harm level. Two abuse-related citations are still worth asking about directly. As a nonprofit with 95 beds, the home has stable hands but not enough of them on any given shift.

B

73.5/100

Lomond Peak Nursing And Rehabilitation

Ogden, UT · Weber County

CMS 3/5 86 beds Government Medicaid
Nurse hours
2.50 /day
Staff turnover
42%
Serious cites
0

Lomond Peak is county-owned, and its clinical quality scores are genuinely strong, a five out of five on CMS quality measures. The problem is the people delivering that care. At 2.50 nurse hours per resident day, staffing sits about 35 percent below the national average, and weekends run roughly 18 percent thinner than weekdays. Turnover of 41.7 percent actually beats the national rate, so this isn't a churn problem; it's a budgeted-hours problem. Inspections tell a rougher story: 21 deficiencies on the current record, including one at the harm level and one abuse-related, with a two out of five inspection rating from a visit dated October 2025. Ask about weekend coverage and how the abuse citation was resolved before deciding.

B

73.5/100

Cedar Hill Health Care Center

Windsor, VT · Windsor County

CMS 3/5 39 beds For-profit Medicaid
Nurse hours
4.97 /day
Staff turnover
54%
Serious cites
0

Cedar Hill runs a lean ship on the clinical side: 4.97 nurse hours per resident day puts it well ahead of the national average, and its last inspection in June 2024 came back with no deficiencies at the harm or jeopardy level. The catch is consistency and stability. Weekend staffing drops about a fifth below its own weekday level, so coverage thins out exactly when families tend to visit and when residents may need the most attention. Staff turnover sits at 53.7%, noticeably above the national rate, which matters for a 39-bed home where residents and aides know each other by name. Thirteen deficiencies and one abuse-related finding are on record alongside a single $10,358 fine.

B

73.5/100

Soundview Rehabilitation And Health Care Inc

Anacortes, WA · Skagit County

CMS 2/5 44 beds For-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
50%
Serious cites
0

Soundview Rehabilitation runs 44 beds in Anacortes under corporate ownership, and its staffing sits right at the national average, 3.85 nurse hours per resident day. That number looks fine until you notice weekends drop about 21% below weekdays, which matters if your family member needs help on a Saturday. Turnover runs 50%, higher than the 45.8% national figure, so caregivers cycle through. The inspection record is the bigger concern: 72 deficiencies, including one at the harm level and 10 tied to abuse. The last inspection was March 2026, so the record is current. Quality and staffing each earned three stars from CMS, but two stars on health inspections tells you where the problems concentrate.

B

73.5/100

Princeton Health Care Center

Princeton, WV · Mercer County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.25 /day
Staff turnover
25%
Serious cites
0

Princeton Health Care Center runs on more nursing hours than most homes in the country, 4.25 per resident day against a national mark of 3.86, and its staff tends to stay, with turnover at 25.2% versus 45.8% nationally. That continuity matters. Weekend coverage does thin out, roughly 19% below weekday levels, so ask how that plays out on a Saturday. The tradeoff shows in the quality measure score and in 39 deficiencies on record, two tied to abuse; none reached harm or jeopardy, and the last inspection was recent. A nonprofit with steady hands and a long paper trail is worth a visit, with questions ready.

B

73.5/100

Aria At Mitchell Manor

West Allis, WI · Milwaukee County

CMS 2/5 50 beds For-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
43%
Serious cites
0

Aria At Mitchell Manor runs on thin staffing, the federal government gives it just one star out of five there, well below what you'd want to see for a 50-bed home. Inspectors cited 22 deficiencies on the current record, including three tied to abuse and one serious enough to put a resident in harm's way, which is a lot of findings for a building this size. Staff turnover sits at 43.4%, slightly better than the national average but still meaning nearly half the workforce leaves each year. Quality measures and the January 2025 inspection itself look more mid-range, but the staffing shortfall and abuse findings are the numbers I'd press on before deciding.

B

73.5/100

Ridgecrest Regional Transitional Care And Rehabili

Ridgecrest, CA · Kern County

CMS 3/5 124 beds Non-profit Medicaid
Nurse hours
4.41 /day
Staff turnover
45%
Serious cites
0

Ridgecrest Regional runs on better-than-average nurse coverage: 4.41 hours per resident day, roughly 14 percent above the national figure. But weekends drop about 17 percent below its own weekday staffing, so the care your family member gets on a Saturday may look different from a Tuesday. The inspection record is the bigger concern, 45 deficiencies, including one at the harm level and three tied to abuse, plus a $27,716 fine. Staff turnover at 45.4 percent is essentially the national rate, meaning nearly half the nursing workforce changes over each year. Ownership is nonprofit, and the last inspection was February 2026, so the record is current.

B

73.5/100

Anberry Post Acute

Merced, CA · Merced County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
41%
Serious cites
0

Anberry Post Acute runs 120 beds in Merced under for-profit partnership ownership, and its staffing number is the first thing worth noticing: 2.92 nurse hours per resident day, roughly a quarter below the national average. Weekends drop another 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover sits at 41.3%, a bit better than the national 45.8%, which suggests some stability in who's actually on the floor. The inspection record shows 27 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in December 2024. Quality measures score well; staffing and health inspections do not. If you're weighing this one, ask how the low weekday numbers feel on a Sunday.

B

73.5/100

Rambling Oaks Courtyard Extensive Care Community

Highland Village, TX · Denton County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
3.67 /day
Staff turnover
61%
Serious cites
0

Rambling Oaks Courtyard runs 70 certified beds in Highland Village, and the staffing numbers tell the clearest story: 3.67 nurse hours per resident day, about 5% under the national figure, with weekends running roughly 16% thinner than weekdays. That gap matters because weekends are when families often can't visit and problems go unnoticed. Annual turnover sits at 61.4% against a national average of 45.8%, meaning most of the people caring for your relative will likely be gone within a year. The current record shows 32 deficiencies, one serious enough to involve harm or jeopardy, and a $21,640 fine. Ownership is for-profit corporate. Quality measures score well; consistent hands-on care is the weaker part.

B

73/100

Plantation Manor Nursing Home

Mc Calla, AL · Jefferson County

CMS 3/5 103 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
36%
Serious cites
0

Plantation Manor runs about 3.49 nursing hours per resident day, roughly 10% under the national average of 3.86, and weekends dip another 7% below its own weekday pace. Turnover sits at 36.4%, which is actually better than the 45.8% national figure, so this isn't a home bleeding staff. The current record shows 8 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated February 2026. Quality measures score 2 out of 5, the weakest part of the picture, while staffing holds at 4 out of 5. Corporate for-profit ownership of 103 beds.

B

73/100

Dewitt Nursing Home

De Witt, AR · Arkansas County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
—
Serious cites
0

Dewitt Nursing Home runs 60 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.64 hours per resident day, roughly 6% under the national average of 3.86. Weekends are the bigger concern: staffing drops about 19% below the home's own weekday level, which is when families often notice less attention. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, but one is abuse-related, and the last inspection was recent, in February 2026. CMS rates staffing and quality measures at 2 out of 5 stars each, with inspections at 3. If you're considering this home, ask specifically how weekend coverage is handled and what that abuse-related deficiency involved.

B

73/100

Connecticut Baptist Homes, Inc

Meriden, CT · Lower Ct River Vly County

CMS 2/5 60 beds Non-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
39%
Serious cites
0

Connecticut Baptist Homes runs 60 beds in Meriden, and its nurse staffing sits right at the national average, 3.87 hours per resident day against 3.86. That's a decent baseline, though weekends run about 11% thinner than weekdays, and 38.5% annual turnover is better than the 45.8% norm but still means a lot of new faces. Where the record gets harder to ignore is inspections: 19 deficiencies on file, two of them serious enough to involve harm or jeopardy, two tied to abuse, and $83,947 in fines across two penalties. A March 2026 inspection is recent, so this reflects current conditions rather than old problems since fixed.

B

73/100

Sun Terrace Health Care Center

Sun City Center, FL · Hillsborough County

CMS 3/5 130 beds For-profit Medicaid
Nurse hours
3.74 /day
Staff turnover
49%
Serious cites
0

Sun Terrace runs about 130 certified beds in Sun City Center under for-profit partnership ownership. Its most recent state inspection, in June 2024, produced 11 deficiencies, none of them at the harm or jeopardy level, and none abuse-related, which matters more than the raw count for a home this size. Staffing sits at 3.74 nurse hours per resident day, just under the 3.86 national average, but weekends drop roughly 15% below the home's own weekday coverage, so a Saturday shift isn't the same as a Tuesday one. Annual turnover is 48.5%, a few points above the national 45.8%. Ask how they cover weekend callouts and how long the current director of nursing has been in place.

B

73/100

North Campus Rehabilitation And Nursing Center

Leesburg, FL · Lake County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
58%
Serious cites
0

North Campus Rehabilitation And Nursing Center is a 90-bed for-profit home in Leesburg, and its numbers pull in two directions at once. The clinical quality scores look strong, but nurse staffing sits at 3.66 hours per resident day, roughly 5% under the national average, with weekends running about 6% thinner than weekdays and annual turnover at 58.1%, well above the 45.8% national figure. Inspections turned up 21 deficiencies, though none involved actual harm or abuse, and the most recent visit was in April 2026. So the question worth asking isn't whether the care is bad, it's whether the staffing pattern stays steady enough to keep it that way.

B

73/100

Guardian Care Nursing & Rehabilitation Center

Orlando, FL · Orange County

CMS 2/5 120 beds Non-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
79%
Serious cites
0

Guardian Care runs 120 beds in Orlando under nonprofit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average, with weekends dipping about 4 percent below its own weekday levels. The bigger concern is turnover: 78.6 percent of staff leave annually, well above the 45.8 percent national figure, which matters because consistent caregivers know residents' routines. Inspections in March 2025 turned up 19 deficiencies, one serious enough to put a resident in harm's way, plus a $15,737 fine. Quality measures look relatively strong by comparison, but that staffing churn and inspection record are the things worth asking about directly.

B

73/100

De Luna Health And Rehabilitation Center

Pensacola, FL · Escambia County

CMS 5/5 90 beds For-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
49%
Serious cites
0

De Luna runs a tight ship on the clinical side. The home has one deficiency on its current record, nothing at the harm level and nothing abuse-related, and its last inspection came back in May 2025, that's a clean recent survey, and it's the strongest thing going for it. Nurse staffing sits around 4.83 hours per resident day, roughly a quarter above the national average, though weekends run about 12% thinner than weekdays, so care can feel different depending on when you visit. Annual turnover is 48.8%, a few points above the national rate, which means aides and nurses cycle through faster than average. For-profit, limited liability ownership, 90 beds.

B

73/100

Luxe At Jupiter Rehabilitation Center (The)

Jupiter, FL · Palm Beach County

CMS 1/5 129 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
50%
Serious cites
0

The Luxe At Jupiter runs on a for-profit partnership model, and the numbers don't line up neatly. Nurse staffing sits at 3.91 hours per resident day, barely above the national average and thinner on weekends, while half the staff turns over every year, worse than the 45.8% typical elsewhere. Those are manageable problems compared to the inspection record: 51 deficiencies, four serious enough to endanger residents, three tied to abuse, and five fines adding up to $201,434. The most recent state visit was April 2025, so the findings are current, not stale history. Good marks on quality measures don't offset a pattern like that. If you're considering this one, ask specifically what changed since that inspection.

B

73/100

New Horizons Habersham

Demorest, GA · Habersham County

CMS 4/5 84 beds Non-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
33%
Serious cites
0

New Horizons Habersham runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends drop about 12% below what the home staffs during the week. That gap matters most on Saturdays and Sundays, when families often visit and notice. Turnover is the brighter spot: 32.7% against a national 45.8%, which suggests people stick around longer here than at the typical home. The inspection record shows 19 deficiencies, none at the harm level and none abuse-related, with the most recent survey in December 2024. Quality measure scores sit at 2 stars, the weakest part of the profile.

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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