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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 2801–2820 of 4,510, best-graded first.

B

73/100

Harborview Health Systems Jesup

Jesup, GA · Wayne County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
36%
Serious cites
0

Harborview Health Systems Jesup runs 90 certified beds under for-profit LLC ownership, and the numbers here are steadier than most. Nurse staffing sits at 3.91 hours per resident day, just above the national average, though weekends drop roughly 12% below what the home staffs on weekdays, worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover of 36.1% beats the national rate of 45.8%, which matters more than it sounds, since consistent caregivers know your parent's routines. The inspection record is clean where it counts: three deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent inspection in May 2026.

B

73/100

D Scott Hudgens Center For Skilled Nursing, The

Suwanee, GA · Gwinnett County

CMS 3/5 32 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
33%
Serious cites
0

The D Scott Hudgens Center runs 32 certified beds in Suwanee under nonprofit ownership, and its staffing is the headline: 4.45 nurse hours per resident day, roughly 15 percent above the national average. Turnover sits at 33.3 percent against a national 45.8 percent, so the people caring for residents tend to stick around, though weekend coverage drops about 9 percent below weekday levels. Inspections found 10 deficiencies, none at the harm or jeopardy level and none abuse-related, with one fine of $4,017 and a recent survey in September 2025. The weaker spot is the 2/5 quality measure rating; staffing and inspection results are stronger.

B

73/100

Alpine Fireside Health Center

Rockford, IL · Winnebago County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
49%
Serious cites
0

Alpine Fireside runs a for-profit corporation home of 66 beds in Rockford, and the staffing numbers are its clearest strength, 4.73 nurse hours per resident day, roughly 22% above the national average, with weekends dipping only about 5% below weekdays. Turnover still sits at 49%, a bit above the 45.8% national figure, so the hours are there even if the faces change. The trouble shows up in care quality and oversight: a 1-out-of-5 quality measure rating, 22 deficiencies on record including 3 at harm or jeopardy level and 2 tied to abuse, plus an $85,050 fine. The most recent inspection was December 10, 2025.

B

73/100

Thrive Of Fox Valley

Aurora, IL · Du Page County

CMS 4/5 68 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
52%
Serious cites
0

Thrive Of Fox Valley sits in Aurora with 68 certified beds under corporate ownership. Nurse staffing comes in at 3.95 hours per resident day, a bit above the national average, though weekends run about 9 percent thinner than weekdays, worth knowing if your family visits or calls on Saturdays and Sundays. Annual turnover of 51.6 percent is higher than the national 45.8 percent, so expect some churn among the people providing care. The inspection record shows 26 deficiencies, none at harm or jeopardy level and none abuse-related. The last full inspection was July 2024, and federal ratings put health inspections and quality measures at 4 out of 5 stars, with staffing at 3.

B

73/100

Hutsonwood At Brazil

Brazil, IN · Clay County

CMS 1/5 86 beds Non-profit Medicaid
Nurse hours
3.16 /day
Staff turnover
50%
Serious cites
0

Hutsonwood At Brazil runs on thinner staffing than most homes you'd compare it to, 3.16 nurse hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday numbers, which is when families often notice less help available. The bigger flag is the inspection record: 30 deficiencies on file, one of them serious enough to reach harm or jeopardy level, and a one-star health inspection rating from CMS. Annual turnover sits at 50%, above the 45.8% national average, so caregivers are cycling through. The nonprofit corporate ownership doesn't offset any of that. Quality measures score better at three stars, but a January 2026 inspection means the record is current, not stale.

B

73/100

Helmwood Healthcare

Elizabethtown, KY · Hardin County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
49%
Serious cites
0

Helmwood Healthcare runs 60 certified beds in Elizabethtown under for-profit LLC ownership, and its inspection record is the strongest thing going for it, a five-star health inspection rating, six total deficiencies with none at the harm or jeopardy level and none abuse-related, and a recent survey from April 2025. Where it gives ground is staffing. At 3.66 total nurse hours per resident day, it sits about 5% under the national average, and weekends run roughly 13% thinner than its own weekdays, which matters when a family is deciding which days to visit. Annual turnover of 49.1% is also slightly above the national 45.8%. The quality measure rating lands at three stars, staffing at three.

B

73/100

Ridgewood Terrace Health And Rehabilitation Center

Madisonville, KY · Hopkins County

CMS 4/5 110 beds For-profit Medicaid
Nurse hours
4.36 /day
Staff turnover
51%
Serious cites
0

Ridgewood Terrace runs a 110-bed for-profit operation in Madisonville, and the numbers tell a mixed story. Nurse staffing sits at 4.36 hours per resident day, roughly 13% above the national average, though weekends run about 14% thinner than weekdays, worth asking about if your family tends to visit Saturday or Sunday. The inspection record is the strong point: a recent May 2025 survey, 14 deficiencies on file but none at harm or jeopardy level and nothing abuse-related. Staff turnover at 50.7% is higher than the 45.8% national figure, which matters for continuity of care. Quality measure scores come in low even as the staffing and inspection ratings hold up, that gap is the real question to press the administrator on.

B

73/100

West Carroll Care Center, Inc

Oak Grove, LA · West Carroll County

CMS 2/5 80 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
28%
Serious cites
0

West Carroll Care Center runs 80 certified beds in Oak Grove under corporate ownership, and its nurse staffing sits at 3.51 hours per resident day, about 9% under the national average. Weekends drop roughly 14% below its own weekday coverage, so the thinnest shifts land when families are most likely to visit. Staff turnover is 28.1%, well under the national 45.8%, which suggests a relatively stable workforce even if raw hours run light. What pulls the record down is inspection history: 21 deficiencies, four at harm or jeopardy level and two tied to abuse, plus four fines totaling $54,806. The most recent inspection was August 2025. Ask about those harm-level findings and how weekend coverage is actually staffed before deciding.

B

73/100

Holden Rehabilitation & Nursing Center

Holden, MA · Worcester County

CMS 4/5 123 beds For-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
36%
Serious cites
0

Holden Rehabilitation & Nursing Center runs on 4.69 nurse hours per resident day, roughly 22% more than the national average, though weekend coverage dips about 8% below its own weekday level. Staff turnover sits at 35.8%, well under the 45.8% national figure, which matters for consistent care. The home's 13 deficiencies include one abuse-related citation, but none rose to harm or jeopardy, and its last inspection was in February 2025. With 123 certified beds under corporate for-profit ownership, this is a solidly average home on paper, good staffing, a clean harm record, and a recent survey, but not one where the numbers suggest anything exceptional.

B

73/100

St Joseph Rehab & Nursing Care Center

Dorchester, MA · Suffolk County

CMS 2/5 123 beds For-profit Medicaid
Nurse hours
3.72 /day
Staff turnover
38%
Serious cites
0

St. Joseph Rehab & Nursing Care Center runs 123 certified beds in Dorchester under for-profit LLC ownership. Nurse staffing sits at 3.72 hours per resident day, roughly 4% under the national average, and weekends drop about 10% below the home's own weekday coverage, the pattern families often notice when visiting on a Saturday. Turnover of 37.7% is actually better than the 45.8% national figure, so retention isn't the weak spot here. The inspection record is: 44 deficiencies, four of them at harm or jeopardy level and one abuse-related, with two fines totaling $82,612. The most recent inspection was February 2026. Weigh the harm-level citations and the $82,612 in fines against that decent turnover number.

B

73/100

Chicopee Rehabilitation And Nursing

Chicopee, MA · Hampden County

CMS 3/5 68 beds For-profit Medicaid
Nurse hours
3.55 /day
Staff turnover
32%
Serious cites
0

Chicopee Rehabilitation and Nursing runs 68 beds under a for-profit LLC, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends dip roughly 5% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the bright spot: 32.1% against a national 45.8%. The tradeoff shows up in its record, 27 deficiencies, two serious enough to involve harm or jeopardy, and one $7,901 fine, with the most recent inspection in February 2025. Quality measures score well; staffing is where this home is weakest.

B

73/100

Sidney Health Center Extended Care

Sidney, MT · Richland County

CMS 1/5 93 beds Non-profit Medicaid
Nurse hours
4.26 /day
Staff turnover
55%
Serious cites
0

Sidney Health Center Extended Care has the staff, but not the track record. At 4.26 nurse hours per resident day, it runs about 10% above the national average, and its staffing star reflects that, though weekend coverage dips roughly 8% below its own weekday level, and 55% annual turnover means many of those hours belong to people who won't be there next year. The inspection side is where it falls apart: 22 deficiencies on the current record, including 2 at harm or jeopardy level and 4 tied to abuse, plus a $60,401 fine and a December 2025 inspection that produced a one-star health rating and a matching one-star quality score.

B

73/100

Sarah Ann Hester Memorial Home

Benkelman, NE · Dundy County

CMS 2/5 56 beds Non-profit Medicaid
Nurse hours
4.20 /day
Staff turnover
54%
Serious cites
0

Sarah Ann Hester Memorial Home runs 4.20 nurse hours per resident day, about 9% above the national figure, and the weekend gap is modest at roughly 13% below its own weekdays. Turnover is the harder number: 54.2% of staff leave annually against a national 45.8%, which means new faces on the floor fairly often. The 17 deficiencies on record include none flagged at harm or jeopardy, though three are abuse-related, and the most recent inspection closed in April 2026. Quality measures sit at the low end even while staffing scores well, so the picture isn't uniform, good coverage, uneven clinical results, and a workforce that doesn't stay long.

B

73/100

Gateway Vista

Lincoln, NE · Lancaster County

CMS 3/5 80 beds For-profit Medicaid
Nurse hours
4.69 /day
Staff turnover
64%
Serious cites
0

Gateway Vista runs 80 certified beds in Lincoln under corporate for-profit ownership, and the staffing numbers here are genuinely above average, about 4.69 nurse hours per resident day, roughly 22% more than the national figure. That matters, but it comes with a catch: weekend coverage drops about 13% below the home's own weekday level, and annual turnover sits at 64.3% against a national average of 45.8%. On the inspection side, the record shows nine deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $8,659. The last inspection was September 3, 2025. Good daily staffing, but a thin weekend margin and heavy churn mean care can depend on who's actually on the floor.

B

73/100

Hillcrest Shadow Lake Llc

Papillion, NE · Sarpy County

CMS 1/5 114 beds For-profit Medicaid
Nurse hours
3.51 /day
Staff turnover
62%
Serious cites
0

Nurse staffing at Hillcrest Shadow Lake runs about 9% under the national average, and weekends drop roughly another 8% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 62.2% sits well above the 45.8% national figure, meaning many of the aides and nurses you'd meet are relatively new. The current inspection record carries 34 deficiencies, including two at the harm or jeopardy level and two tied to abuse; the last survey was April 22, 2025. Resident care measures look notably better than that, but the staffing and inspection sides of the federal data are where the concerns concentrate.

B

73/100

Lefa Seran Snf

Hawthorne, NV · Mineral County

CMS 1/5 24 beds Government Medicaid
Nurse hours
5.57 /day
Staff turnover
79%
Serious cites
0

Lefa Seran SNF in Hawthorne runs on a government hospital district license with just 24 beds, and its staffing is genuinely unusual: 5.57 nurse hours per resident day, roughly 44% above the national average of 3.86. That's the strongest thing in its file, though weekends dip about 8% below its own weekday coverage, and turnover sits at 79.3% against a national 45.8%, meaning the people providing those hours change constantly. Inspections tell the harder story. Forty-seven deficiencies on the current record, including one abuse-related citation, with the last inspection in April 2025 and CMS scoring both health inspections and quality measures at one star out of five. The hours are there; the consistency and compliance aren't.

B

73/100

Cedar Healthcare Center

Portsmouth, NH · Rockingham County

CMS 5/5 102 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
45%
Serious cites
0

Cedar Healthcare Center runs 102 beds in Portsmouth under limited liability company ownership, and its inspection record is genuinely strong, a five-star health inspection rating with just seven deficiencies on file, none at the harm or jeopardy level and none tied to abuse. The catch sits in the staffing numbers. At 3.54 nurse hours per resident day, it runs about 8% under the national average of 3.86, and weekend coverage dips roughly 3% below its own weekday levels, which is the kind of gap families notice on Saturday afternoons. Annual turnover of 44.7% lands just under the national average, neither a red flag nor a strength. The most recent inspection was June 26, 2025.

B

73/100

Aster Creek Nursing And Rehabilitation Center

Tinton Falls, NJ · Monmouth County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
43%
Serious cites
0

Aster Creek runs on 3.29 nursing hours per resident day, roughly 15 percent under the national average, and weekends are about 9 percent thinner than weekdays. Turnover sits at 43.1 percent, slightly better than the national 45.8, so the shortfall isn't a churn problem, it's a scheduling one. The record shows 15 deficiencies, one serious enough to involve harm or jeopardy, and two fines totaling $263,006, which is real money and a real signal. Last inspection was October 2024, so nothing here is stale. For-profit, limited liability ownership. A C grade reflects a home that isn't failing but isn't staffing to the level its residents' needs likely require.

B

73/100

Schervier Nursing Care Center

Bronx, NY · Bronx County

CMS 4/5 366 beds For-profit Medicaid
Nurse hours
2.90 /day
Staff turnover
43%
Serious cites
0

Schervier runs 366 beds in the Bronx under for-profit LLC ownership, and the numbers pull in different directions. Nurse staffing sits at 2.90 hours per resident day, roughly a quarter below the national average of 3.86, with weekends about 8% thinner than weekdays. Quality measures score well, but the staffing rating and 33 deficiencies on the current record, four tied to abuse, say more about daily experience than the five-star quality score does. Turnover at 42.6% is slightly better than the national 45.8%, and none of those deficiencies hit harm or jeopardy level. The last inspection was March 2025, so the record is recent.

B

73/100

The Commons On St Anthony, A S N F & Short T R C

Auburn, NY · Cayuga County

CMS 3/5 297 beds Non-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
40%
Serious cites
0

The Commons on St. Anthony runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time than the typical home. That thin staffing shows up on weekends too, dropping another 8% below its own weekday level, and CMS rates staffing 2 out of 5. Turnover sits at 40.4%, a bit better than the national 45.8%, but the inspection record is the real weight here: 24 deficiencies, one serious enough to reach harm or jeopardy level, one tied to abuse, a $8,512 fine, and a 2/5 inspection rating from a visit in November 2024. The 5/5 quality measures look strong, but those come from self-reported data, the state surveyor findings tell a different story.

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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