4,510 Independent Nursing Homes in the United States

Nurse hours

3.79 /day

Staff turnover

—

Serious cites

0

Caraday of Houston runs 150 certified beds under for-profit LLC ownership, and its inspection record is genuinely strong, a recent March 2025 survey and 15 deficiencies with none at the harm or jeopardy level. The staffing side tells a different story. At 3.79 total nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 5% below its own weekday coverage, which is where gaps tend to show up. One abuse-related deficiency and three fines totaling $53,518 round out the record. Strong surveys, thinner staffing, that tension is what separates the 5-star inspection rating from the 2-star staffing rating.

Nurse hours

3.77 /day

Staff turnover

—

Serious cites

0

Midtowne Meadows runs a tight ship on inspections, a 5-star health inspection rating with just two deficiencies on record, neither of them causing harm or involving abuse. That's a genuinely clean survey history, and the most recent inspection came in September 2025, so the picture is current. The staffing side tells a different story. At 3.77 nurse hours per resident per day, this home sits slightly under the national average, and its own weekend coverage drops about 7% below weekdays, when families tend to visit and residents need attention. CMS rates staffing 1 out of 5 stars. Ownership changed hands within the past year, and five fines totaling $20,131 have accumulated. New operators sometimes mean reinvestment, sometimes disruption, worth asking about directly.

Nurse hours

4.05 /day

Staff turnover

54%

Serious cites

0

Coosa Valley Health and Rehab runs 124 certified beds in Glencoe, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. That cushion shrinks on weekends, when coverage drops about 10% below the home's own weekday level, and staff turnover is 53.6%, well above the national 45.8%. The current record shows 23 deficiencies, none at the harm or jeopardy level and none abuse-related, which matters more than the raw count suggests. The last inspection was April 29, 2022, so the picture regulators have is getting old. For-profit corporate ownership rounds out the profile.

Nurse hours

— /day

Staff turnover

36%

Serious cites

0

Kirkwood By The River runs on 4.69 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and its staff tends to stick around, turnover of 35.8% is well below the 45.8% national figure. Weekends dip about 11% under weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record shows eight deficiencies with none tied to harm, jeopardy, or abuse, though the last full inspection was in October 2021, so that picture is getting old. Quality measure scores sit at 2 out of 5 even as staffing and inspections rate 4, a split worth understanding before you decide.

Nurse hours

— /day

Staff turnover

53%

Serious cites

0

White Point Care Center runs 99 certified beds in San Pedro under corporate for-profit ownership, and the numbers tell a mixed story. The quality measure rating sits at 4 out of 5, which reflects how well the home performs on clinical benchmarks like pressure ulcers and infections. But staffing is rated 1 out of 5, and annual turnover of 53.3% is well above the national average of 45.8%, meaning the people caring for residents are cycling through fast. On inspections, the home has 67 deficiencies on its current record, including three tied to abuse and one at the harm level, with a $6,351 fine. Inspectors last visited in May 2025.

Nurse hours

3.92 /day

Staff turnover

50%

Serious cites

0

St. Anthony Care Center is a 30-bed for-profit home in Hayward, and its inspection record is genuinely strong, a perfect health inspection rating, with all 21 deficiencies on file falling below the harm or jeopardy level and none tied to abuse. Staffing is where it gets shakier: 3.92 nurse hours per resident day sits just above the national average of 3.86, but the staffing rating is only 2 out of 5, weekend coverage dips below weekday levels, and turnover runs 50 percent against a national 45.8. One fine totaling $51,355 is on record. The last inspection was October 2024. Small homes can be uneven this way, so ask directly about weekend nurse coverage and how long the current director of nursing has been there.

Nurse hours

5.04 /day

Staff turnover

37%

Serious cites

0

Gladstone Sub-Acute runs nurse staffing at 5.04 hours per resident day, roughly a third more than the national average, and weekend coverage only dips about 5% below weekdays, that consistency matters. Turnover sits at 37.3%, better than the 45.8% national figure, so the people caring for your relative are more likely to still be there next year. The trouble is the inspection record: 93 deficiencies, including one at the harm level and four tied to abuse, with the most recent inspection in June 2025. For-profit LLC ownership. If you're considering this home, walk the unit and ask specifically how those abuse-related citations were resolved.

Nurse hours

3.98 /day

Staff turnover

24%

Serious cites

0

Alvarado Care Center runs on lean but consistent staffing, 3.98 nurse hours per resident day, a bit above the national average, with weekend coverage dipping only about 7% from weekdays. Turnover sits at 24.2%, well below the national 45.8%, so the people caring for residents tend to stick around. The trouble is elsewhere: 63 deficiencies on the current record, including one at the harm level and two tied to abuse, plus $90,600 in fines. A 2/5 inspection rating against a 4/5 staffing rating tells you the problems aren't about how many hands are on deck. They're about what those hands are being directed to do.

Nurse hours

4.18 /day

Staff turnover

—

Serious cites

0

Curtis Home St Elizabeth Center runs 60 beds as a nonprofit, and its recent federal record is thin on good news. A March 2025 inspection turned up 29 deficiencies, including one that put a resident in immediate jeopardy and three tied to abuse, the kind of findings that draw scrutiny no matter who owns the building. Staffing sits well below what CMS expects, and resident outcome measures land in the bottom tier too, which often go together: when there aren't enough hands, daily care slips. One fine of $10,358 is modest against that pattern, but the inspection findings are the real signal here.

Nurse hours

— /day

Staff turnover

50%

Serious cites

0

Ingleside at Rock Creek runs a small, 34-bed nonprofit home in DC, and its nurse staffing stands out: 6.10 hours per resident day, roughly 58% above the national average, with weekend coverage dipping only modestly below weekdays. That staffing strength shows in its five-star ratings for staffing and quality measures. The concerns sit elsewhere. State inspectors have cited 42 deficiencies on the current record, including one at the harm level and four tied to abuse, and fined the home twice for a combined $39,419. Annual turnover of 50% tops the national average, meaning a lot of the people providing that strong staffing are relatively new.

Nurse hours

3.73 /day

Staff turnover

52%

Serious cites

0

Palms At Sebring runs 120 beds under individual for-profit ownership, and its inspection record is the weakest part of the picture, 32 deficiencies on file and a one-star health inspection rating, though none of those deficiencies rose to harm or jeopardy level and none involved abuse. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and it thins out further on weekends, dropping about 11% below the home's own weekday coverage. Staff turnover is 52.1%, well above the national 45.8%, which matters for whether residents see the same faces. The quality measure rating of four stars suggests the clinical numbers they report look better than the inspection and staffing story. Last inspection: February 2025.

Nurse hours

3.30 /day

Staff turnover

72%

Serious cites

0

Blue Palms runs on 3.30 nurse hours per resident per day, about 15% under the national average of 3.86, and weekends dip roughly 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 72.2% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is comparatively steady: 8 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was April 2026. For-profit, LLC-owned, 100 beds.

Nurse hours

— /day

Staff turnover

37%

Serious cites

0

The Place At Deans Bridge runs 100 certified beds in Augusta under for-profit LLC ownership, and its inspection record is the strong point: seven deficiencies on file, none reaching harm or jeopardy level, and no abuse findings. That’s a clean survey history by any reasonable standard, and a July 2025 inspection means the picture is current. The staffing numbers pull the other way. A one-star CMS staffing rating sits well below what you'd want, and the 37.3% annual turnover, better than the national 45.8% average, still means more than a third of the direct-care workforce changed over in a year. Two fines totaling $7,456 are modest. Ask specifically who's on the floor overnight and how long the current director of nursing has been in the role.

Nurse hours

3.54 /day

Staff turnover

37%

Serious cites

0

Union County Nursing Home runs a tight ship on the things families worry about most. Its 14 deficiencies on record include none at the harm or jeopardy level and none tied to abuse, and a fresh October 2025 inspection means the picture is current. Staff turnover sits at 37.3%, better than the national 45.8%, which suggests people stick around. The tradeoff is coverage: 3.54 nurse hours per resident day lands about 8% under the national average, and weekends run roughly 29% below the home's own weekday staffing. So a weekday visit may feel well attended while a Sunday might not. Quality measure scores come in soft, though the health inspection record is strong.

Nurse hours

3.56 /day

Staff turnover

46%

Serious cites

0

Franklin Grove Living and Rehab runs 132 certified beds under for-profit LLC ownership in Lee County, and the numbers split in two directions. Its last inspection in April 2026 supports a strong four-star health inspection rating and a five-star quality measure rating, with 20 deficiencies on record and none at the harm or jeopardy level. Staffing is the weak spot: 3.56 nurse hours per resident day sits about 8% under the national average, weekends fall roughly 15% below the home's own weekday coverage, and annual turnover of 45.5% roughly matches the national rate. Two abuse-related deficiencies appear on the current record, which families should ask about directly.

Nurse hours

2.94 /day

Staff turnover

21%

Serious cites

0

Flanagan Rehabilitation runs 43 beds under corporate ownership, and its nurse staffing sits at 2.94 hours per resident day, roughly a quarter below the national average, with weekends dipping about 11% below its own weekday level. That thin coverage matters more when you look at the inspection record: 52 deficiencies, including 8 at harm or jeopardy level and 3 tied to abuse, plus two fines totaling $80,703. The last inspection was May 2024. Staff turnover is 20.8%, well under the national 45.8%, so the people who are there tend to stay. The quality measure rating is 4 out of 5, but that measures clinical outcomes on paper, not whether enough hands are present on a Saturday.

Nurse hours

3.85 /day

Staff turnover

47%

Serious cites

0

Willows Of Shelbyville runs 121 certified beds under city or county ownership, and its nurse staffing sits at 3.85 hours per resident day, essentially even with the national average of 3.86. That average hides a gap: weekends run about 8% below the home's own weekday level, and CMS gives staffing just 1 out of 5 stars. Annual turnover is 46.8%, a touch above the national 45.8%. The health inspection record shows 30 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. The last inspection was in December 2025. Quality measures score 5 out of 5, but that strong showing sits alongside a much weaker inspection picture.

Nurse hours

3.43 /day

Staff turnover

39%

Serious cites

0

Pilgrim Manor is county-owned, which usually buys a little patience from families, and the staffing numbers here are the reason it needs some. At 3.43 nurse hours per resident day, it runs about 11% under the national average, and weekends dip roughly another 10% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Turnover at 39.1% is actually better than the 45.8% national figure, which tells you the people who stay tend to stay. What offsets that is the inspection record: 31 deficiencies, including five tied to abuse and two at the harm level, plus a $45,580 fine. The last survey was February 2026, so the record is current, not stale.

Nurse hours

3.20 /day

Staff turnover

43%

Serious cites

0

Lakeland Rehab and Healthcare Center runs 75 certified beds in Angola under nonprofit corporate ownership, and its nursing hours come in around 3.20 per resident day, roughly 17 percent under the national average. Weekend coverage dips about 7 percent below the home's own weekday level, so the thinnest shifts land when families tend to visit. Annual turnover sits at 43.3 percent, slightly better than the 45.8 percent national figure, which suggests some stability in the workforce even with leaner hours. The current inspection record shows 14 deficiencies, none at the harm or jeopardy level, though one is abuse-related; the most recent inspection was June 1, 2026. Staffing and health inspection ratings both come in at 2 out of 5 stars, while the quality measure rating is 4 out of 5.

Nurse hours

3.27 /day

Staff turnover

47%

Serious cites

0

Pulaski Health Care Center runs 58 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 46.5%, close to the 45.8% national figure, meaning the staff you meet may not be there in a year. The health inspection record shows 21 deficiencies, one abuse-related, with the most recent inspection in August 2025; none rose to harm or jeopardy level. Quality measures score well, but staffing and inspection results sit at two stars each.