4,510 Independent Nursing Homes in the United States

Nurse hours

4.11 /day

Staff turnover

64%

Serious cites

0

Sullivan County runs this 146-bed home in Liberty, and the numbers split in two directions. Nurse staffing sits at 4.11 hours per resident day, about 6% above the national average, but weekends run roughly 9% thinner than weekdays, and annual turnover of 64.4% is well above the 45.8% national figure, so the coverage on paper isn't the same as consistency at the bedside. The inspection record is the heavier problem: 42 deficiencies, four at harm or jeopardy level, nine tied to abuse, with the last inspection in September 2024. A single $9,620 fine understates that pattern, since most deficiencies don't carry a penalty. Quality measures score well; the survey history is what pulls this home down.

Nurse hours

3.66 /day

Staff turnover

77%

Serious cites

0

Astoria Place Of Silverton runs 98 certified beds as a for-profit partnership, and its inspection record is the part that would worry me most: 69 deficiencies on file, including one at the harm level and eight tied to abuse. Its last health inspection was April 2023, so that record isn't fresh. Staffing sits at 3.66 nurse hours per resident day, about 5% under the national average, with weekends running roughly 12% thinner than weekdays. Turnover is the number that stands out, 76.5% against a national average near 46%, meaning most of the people caring for residents were hired within the past year. Strong quality scores don't offset that instability.

Nurse hours

3.10 /day

Staff turnover

37%

Serious cites

0

Cedarvale Commons runs about 3.10 nurse hours per resident day, roughly a fifth below the national average, and weekends dip another 5% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the bigger concern: 46 deficiencies, three tied to abuse, with the last inspection in July 2025. Turnover sits at 36.5%, better than the 45.8% national figure, which suggests some steadiness in who's actually on the floor. Quality measures score well, but staffing and inspection results are where the risk shows up.

Nurse hours

4.27 /day

Staff turnover

60%

Serious cites

0

Liberty Retirement Community of Lima runs 60 certified beds in Allen County under corporate for-profit ownership, and the staffing picture is mixed once you look past the headline number. Total nurse staffing sits at 4.27 hours per resident day, roughly 11% above the national average, but weekend coverage drops about 12% below its own weekday level, so the hours aren't spread evenly across the week. Staff turnover is the harder fact: 59.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new and still learning the building. The inspection record shows 51 deficiencies, one at harm or jeopardy level and one abuse-related, with a health inspection rating of 1 out of 5.

Nurse hours

3.83 /day

Staff turnover

57%

Serious cites

0

The numbers here pull in two directions. On paper, residents' clinical outcomes look strong, the quality measure rating is perfect, but staffing is where the trouble sits, with the lowest possible rating, a nurse-to-resident ratio just under the national average, and weekend coverage that drops about 11% below weekday levels. A 57.1% annual turnover rate means more than half the nursing staff leaves every year, well above the 45.8% national figure, which matters more than raw hours when care depends on knowing the residents. There are 25 deficiencies on record, including two tied to abuse, though none reached harm or jeopardy level, and the last inspection was October 2024.

Nurse hours

4.45 /day

Staff turnover

70%

Serious cites

0

Morris Nursing Home is small, 18 beds, and for-profit, corporate-owned. The nurse staffing number is genuinely good: 4.45 hours per resident day, about 15 percent above the national average, and that's what earns it four stars on CMS staffing. But the same staff is turning over at 70.4 percent a year, well above the 45.8 percent national rate, so the people giving that care keep changing. Inspections put it at three stars, with 12 deficiencies on record, none at harm or jeopardy level, but one abuse-related. The last inspection was in late December 2025, so the picture is current.

Nurse hours

3.58 /day

Staff turnover

52%

Serious cites

0

Steubenville Country Club Manor runs 54 beds as a for-profit corporation, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends dropping another 10% below its own weekday coverage. Turnover is 51.7% against a national 45.8%, so aides and nurses are cycling out faster than average. The inspection record is the harder part: 82 deficiencies, three at harm or jeopardy level, seven tied to abuse, and a 1-out-of-5 health inspection rating from CMS despite a February 2025 inspection. Quality and staffing measures each land at 3 stars, but the survey history is what families should weigh most.

Nurse hours

4.11 /day

Staff turnover

60%

Serious cites

0

Stigler Nursing & Rehab runs 80 beds under for-profit limited liability ownership, and its staffing is the thinnest part of the picture, a one-out-of-five rating on the federal staffing measure, with 60 percent of staff turning over each year against a national average near 46 percent. The inspection record is heavier than most: 23 deficiencies currently on file, four of them at the level where residents were harmed or put in jeopardy, two tied to abuse, and $66,206 in fines across two penalties. A 4/5 on quality measures doesn't offset that, since those measures partly reflect the care that steady, adequate staffing makes possible. The most recent inspection was February 12, 2026.

Nurse hours

4.70 /day

Staff turnover

59%

Serious cites

0

Heartway At Henryetta runs on a strong floor of direct care: 4.70 nurse hours per resident per day, roughly a fifth more than the national average, and the federal staffing rating sits at four stars. The catch is who's delivering it over time, turnover hits 59.1%, well above the 45.8% national figure, which means new faces cycle through the building faster than residents can get used to them. Inspections look good on paper: a five-star health inspection rating, recent as of May 2025, with 11 deficiencies on record and none at the harm level, though one is abuse-related. The quality measure score of one star is the piece that doesn't match the rest.

Nurse hours

— /day

Staff turnover

47%

Serious cites

0

Pickering Manor is a small nonprofit home in Newtown, just 47 beds, and its inspection record is genuinely clean: four deficiencies on file, none at the harm or jeopardy level, no abuse citations, and a survey completed in September 2025. Where it struggles is staffing. CMS gives it one star there, the lowest tier, and annual turnover runs 47.3 percent against a national average of 45.8 percent. That combination matters: a home can pass inspections and still leave residents waiting for help. Quality measures land mid-range at three stars. The low staffing score is the thing to ask about directly, how many aides are on the floor overnight, and how often shifts go uncovered.

Nurse hours

3.62 /day

Staff turnover

57%

Serious cites

0

Meadow View in Berlin runs 150 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86. Weekends are thinner still, about 7% below what the home staffs on weekdays, and annual turnover is 56.9% against a national 45.8%, so the people at the bedside keep changing. The inspection record is where the real weight sits: 46 deficiencies on file, including three at the harm or jeopardy level and three tied to abuse, with three fines totaling $54,570. A recent inspection in February 2026 gives you current information, though, and the quality measure rating suggests residents' clinical outcomes are being tracked well even while the staffing picture lags.

Nurse hours

3.41 /day

Staff turnover

51%

Serious cites

0

Cliveden runs 180 beds under for-profit limited liability ownership, and its staffing numbers sit closer to the bottom than the middle: 3.41 nurse hours per resident day against a national average of 3.86, with weekends about 4% thinner than weekdays. Annual turnover of 51.4% means roughly half the nursing staff leaves each year, which matters more when there's already less coverage per resident. The record shows 61 deficiencies, including three tied to abuse, though none at the harm or jeopardy level. Inspectors were last in on June 13, 2025, and the health inspection rating sits at 2 out of 5. Resident outcome measures score well, but those reflect a narrower slice of care than daily staffing and survey history do.

Nurse hours

3.35 /day

Staff turnover

29%

Serious cites

0

Village House runs on a thinner nursing staff than most places, about 3.35 hours per resident day against a national average near 3.86, and weekends get leaner still, roughly 8% below its own weekday coverage. What stands out in the other direction is retention: 28.6% turnover is well under the 45.8% national figure, so the aides and nurses you'd meet have tended to stay. The inspection record is recent and largely clean, with 12 deficiencies, one serious enough to reach harm level, and a single $8,018 fine. Quality measures are where this home slips, though; the clinical outcomes data is markedly weaker than its staffing and inspection results suggest.

Nurse hours

4.59 /day

Staff turnover

56%

Serious cites

0

St. Clare Home in Newport runs a nonprofit operation with 50 certified beds, and its nurse staffing sits at 4.59 hours per resident day, roughly 19% above the national average of 3.86. That's a real advantage, though weekend coverage drops about 12% below its own weekday levels, so care isn't perfectly even across the week. Staff turnover lands at 56.3%, well above the 45.8% national figure, which matters for consistency. The health inspection rating is strong at 4 out of 5, with the most recent inspection in April 2025, but 28 deficiencies are on record, including one at the harm level. The quality measure rating comes in at just 1 out of 5, a gap worth asking about directly.

Nurse hours

3.67 /day

Staff turnover

54%

Serious cites

0

Jenkin's Living Center runs 110 beds as a nonprofit corporation, and its most recent inspection was in May 2026. The numbers worth your attention are on the direct-care side: 3.67 nurse staffing hours per resident day sits about 5% under the national average, weekends drop roughly 12% below the home's own weekday levels, and annual turnover of 54.1% runs well above the 45.8% national figure. On its record are 27 deficiencies, three of them serious enough to involve harm or jeopardy and two tied to abuse, plus two fines totaling $53,086. Federal ratings put staffing highest and inspections and quality measures in the middle. Ask about weekend coverage, turnover on your parent's specific unit, and what changed after those harm-level findings.

Nurse hours

3.67 /day

Staff turnover

46%

Serious cites

0

San Pedro Manor runs 3.67 nursing hours per resident day, about 5% under the national average, and weekends drop roughly 12% below its own weekday staffing. That thin weekend coverage matters more than the headline number, because 30 deficiencies sit on the current record, including two at the harm or jeopardy level and two tied to abuse. Staff turnover is 45.6%, essentially matching the national rate, so retention isn't the problem here, coverage is. The hospital district ownership hasn't kept the inspection record clean, and two fines totaling $24,285 are on file. The last inspection was August 2025. Quality measures look strong; the staffing and inspection side is where the risk lives.

Nurse hours

5.80 /day

Staff turnover

74%

Serious cites

0

Twin Oaks Manor is a 40-bed hospital-district home in Booker, and the staffing numbers are genuinely strong: 5.80 nurse hours per resident day, about half again the national average. Weekends dip roughly 13% below weekdays, which is worth asking about, since that's often when families visit. The bigger concern is turnover, 74.1% versus 45.8% nationally, meaning most of the people caring for residents this year likely won't be there next year. Inspections look solid (4 of 5 stars, 12 deficiencies, none at harm level, none abuse-related) and the most recent visit was April 2025. Quality measure scores sit at 1 of 5, so ask what specifically is driving those.

Nurse hours

3.62 /day

Staff turnover

49%

Serious cites

0

Shell Lake Health Care Center runs 50 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.62 hours per resident day, roughly 6% under the national average of 3.86, with weekends about 10% thinner than weekdays. Annual turnover lands at 48.9% against a national 45.8%, so a meaningful share of the people providing that care are still learning the building. The current record shows 18 deficiencies, none at the harm or jeopardy level but two tied to abuse, and the most recent inspection was September 2025. CMS gives it middling marks for health inspections and quality measures, with staffing the strongest of the three at 4 stars.

Nurse hours

5.92 /day

Staff turnover

—

Serious cites

0

Piners Nursing Home runs on unusually heavy staffing for a 49-bed for-profit, 5.92 nurse hours per resident day, about 53% above the national average, though weekends dip roughly 16% below its own weekday levels. That nurse coverage is the one clear strength in the numbers. The rest is harder to defend: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. Two out of five stars on health inspections and two on quality measures, with the most recent inspection in late August 2025. One fine, $13,065. Plenty of hands on deck, but the care those hands are delivering has repeatedly fallen short.

Nurse hours

4.02 /day

Staff turnover

31%

Serious cites

0

Herman Health Care Center sits in San Jose with 99 certified beds, run by a for-profit limited liability company. Staffing is the bright spot: 4.02 nurse hours per resident day, about 4% above the national average, with turnover at 31.4% compared to 45.8% nationally. Weekend coverage, though, runs roughly 10% thinner than weekdays. The inspection record is where the problems pile up. Seventy-two deficiencies on file, three serious enough to involve harm or jeopardy, and seven tied to abuse. Two fines totaling $39,819. The most recent inspection was August 25, 2025, and even with steady staffing, that citation history is what pulls the overall picture down to a D.