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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 2921–2940 of 4,510, best-graded first.

B

72/100

Dunbar Village Terrace

Bay Saint Louis, MS · Hancock County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.89 /day
Staff turnover
62%
Serious cites
0

Dunbar Village Terrace sits right around the national average for nurse staffing, 3.89 hours per resident day against 3.86 nationally, so there's no real cushion there, and weekends run about 13% thinner than weekdays. The bigger number to sit with is turnover: 61.7% annually, well above the 45.8% national average, which means the people caring for residents are changing over faster than at a typical home. Inspections look solid on paper, a 4 out of 5 star rating with the most recent visit in July 2025, but the record shows 10 deficiencies including one at the harm level, plus an $8,021 fine. This is a for-profit partnership, 60 beds.

B

72/100

Clark County Nursing Home

Kahoka, MO · Clark County

CMS 2/5 99 beds Government Medicaid
Nurse hours
3.41 /day
Staff turnover
45%
Serious cites
0

Clark County Nursing Home runs on a county-owned model with 99 certified beds in Kahoka, and its staffing sits at 3.41 nurse hours per resident day, roughly 12 percent under the national average of 3.86. Weekends dip about 9 percent below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 44.6 percent, essentially tracking the national rate of 45.8 percent, which means the workforce churns about as fast as most places. The current record shows 27 deficiencies with none at harm or jeopardy level, though one is abuse-related. Its last inspection was in January 2025, and quality measures score poorly even as staffing scores well.

B

72/100

Oak Knoll Skilled Nursing & Rehabilitation Center

Ferguson, MO · St. Louis County

CMS 2/5 79 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
41%
Serious cites
0

Oak Knoll runs about 3.04 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip another 6% under its own weekday levels. Turnover sits at 41.1%, actually a bit better than the 45.8% national figure, so the issue here looks more like thin coverage than a churning workforce. The current record carries 33 deficiencies, none flagged at harm or jeopardy level, but four are abuse-related, worth asking about directly. That last inspection was May 2024, so the picture is reasonably current. A for-profit corporation operates its 79 beds, and quality measures score 1 out of 5.

B

72/100

Arbor Care Center-Valhaven, Llc

Valley, NE · Douglas County

CMS 3/5 66 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
74%
Serious cites
0

Arbor Care Center-Valhaven runs 66 beds in Valley under for-profit LLC ownership, and its numbers tell a mixed story. Nurses provide 3.33 hours per resident per day, roughly 14% under the national average of 3.86, and weekends dip about 8% below the home's own weekday staffing. Turnover sits at 74.1% against a national 45.8%, which matters because residents see a rotating cast of caregivers. The current record shows 18 deficiencies, including one at the harm level and three tied to abuse. CMS gave it 3 of 5 stars for inspections, 2 for staffing, but 4 for quality measures. Inspectors last visited in August 2025.

B

72/100

Somerset Woods Rehabilitation & Nursing Center

Somerset, NJ · Somerset County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
4.19 /day
Staff turnover
62%
Serious cites
0

Somerset Woods runs a for-profit LLC with 148 certified beds, and its nurse staffing sits at 4.19 hours per resident day, about 8% above the national average, but weekends drop roughly 10% below its own weekday levels, so coverage thins out when families tend to visit most. The bigger concern is the inspection record: 30 deficiencies, 4 at harm or jeopardy level, 3 tied to abuse, and a single $104,680 fine. Staff turnover of 62.4% is well above the 45.8% national average, which means caregivers are cycling through faster than residents can build familiarity. The last inspection was January 31, 2025. Quality measures score well; the health inspection side is where this home struggles.

B

72/100

Beach Terrace Care Center

Long Beach, NY · Nassau County

CMS 3/5 182 beds For-profit Medicaid
Nurse hours
2.97 /day
Staff turnover
19%
Serious cites
0

Beach Terrace runs 2.97 nurse staffing hours per resident day, about a quarter below the national average of 3.86, and weekends drop roughly another 14% under its own weekday level, so coverage is thinnest exactly when families tend to visit. Turnover is the bright spot: 19.3% against a national 45.8% means aides and nurses largely stay, which matters for consistency of care. The inspection record shows 17 deficiencies, none at harm or jeopardy level, though three are abuse-related and worth asking about directly. State surveyors were last in on January 28, 2026, so the picture is current. For-profit corporate ownership, 182 beds.

B

72/100

Silver Lake Specialized Rehabilitation And Care Ce

Staten Island, NY · Richmond County

CMS 1/5 278 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
26%
Serious cites
0

Silver Lake runs on a for-profit LLC structure with 278 beds, and its nurse staffing sits at 4.09 hours per resident day, roughly 6% above the national average. Turnover is where it separates from the pack: 25.8% against a national 45.8%, meaning far fewer caregivers are walking out the door each year, though weekend coverage dips about 8% below its own weekday levels. The trouble shows up in its record. Seventeen deficiencies, including one at the harm level and three tied to abuse, with a 2/5 on health inspections and 2/5 on quality measures. The last inspection was December 2023. Good retention and decent hours don't cancel out what inspectors found.

B

72/100

Caton Park Rehabilitation And Nursing Center, Llc

Brooklyn, NY · Kings County

CMS 3/5 119 beds For-profit Medicaid
Nurse hours
2.71 /day
Staff turnover
19%
Serious cites
0

Caton Park runs lean on nursing hours, 2.71 per resident day against a national average of 3.86, roughly a third less hands-on care than the typical home. Weekends dip even further, about 10% below the home's own weekday coverage, so a Saturday afternoon is when your family member is most likely to wait. What partly offsets that is stability: turnover sits at 18.7%, well under the national 45.8%, meaning the aides and nurses who are there tend to stay. Inspections look solid, a 4-star health inspection rating, 15 deficiencies with none at harm level, though two abuse-related citations are worth asking about directly. Last inspected August 2024.

B

72/100

Mountainside Residential Care Center

Margaretville, NY · Delaware County

CMS 2/5 82 beds Non-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
91%
Serious cites
0

Mountainside Residential Care Center runs 82 beds as a nonprofit in Margaretville, and its nurse staffing sits at 3.70 hours per resident day, about 4% under the national average, with weekends roughly 5% thinner than weekdays. The bigger concern is turnover: 90.8% of staff left over the past year, double the national rate of 45.8%, which means the people caring for residents are, more often than not, new to the building. Its inspection record shows 14 deficiencies, including one at the harm level and three tied to abuse, plus a single fine of $8,512; the most recent inspection was July 2024. Quality measures score well, but stable staffing is what families should ask about directly.

B

72/100

The Pearl Nursing Center Of Rochester

Rochester, NY · Monroe County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.04 /day
Staff turnover
52%
Serious cites
0

The Pearl Nursing Center of Rochester runs on 3.04 nurse staffing hours per resident day, about a fifth below the national average of 3.86, and weekends drop roughly 11 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.5 percent against a 45.8 percent national figure, which means more than half the nursing staff turns over annually. Its record shows 40 deficiencies, including two tied to abuse, with the most recent inspection in June 2024; the low inspection and staffing ratings reflect that history, even though the quality measure rating is strong.

B

72/100

Concord Nursing And Rehabilitation Center

Brooklyn, NY · Kings County

CMS 2/5 140 beds Non-profit Medicaid
Nurse hours
3.29 /day
Staff turnover
38%
Serious cites
0

Concord runs a nonprofit shop in Brooklyn with 140 beds, and the numbers tell a mixed story. Nurse staffing sits at 3.29 hours per resident day, roughly 15 percent under the national average, and weekends drop about 9 percent below its own weekday coverage, that's the kind of gap families notice when a Saturday problem comes up. Turnover is 38.2 percent, actually better than the 45.8 percent national figure, so the people who stay tend to stay. But the inspection record carries 23 deficiencies, two tied to abuse, and the health inspection rating sits at 2 stars. The quality measures look stronger at 4 stars; the staffing and inspection side is where the concern lives.

B

72/100

Fairport Rehabilitation And Nursing Center

Fairport, NY · Monroe County

CMS 2/5 196 beds For-profit Medicaid
Nurse hours
3.64 /day
Staff turnover
66%
Serious cites
0

Fairport Rehabilitation and Nursing Center runs 196 beds under for-profit LLC ownership, and its staffing numbers are the first thing worth noticing. At 3.64 nurse hours per resident day, it sits about 6% under the national average, and weekends drop roughly 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.2% is well above the 45.8% national figure, which means caregivers cycle through quickly. The current inspection record shows 27 deficiencies, four of them abuse-related, though none rose to harm or jeopardy level. Inspectors were last in on May 13, 2025. Its quality measure score is strong; the staffing and inspection scores are not.

B

72/100

Peak Resources- Shelby

Grover, NC · Cleveland County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.77 /day
Staff turnover
42%
Serious cites
0

Peak Resources-Shelby runs 100 certified beds in Grover under corporate for-profit ownership, and its nurse staffing sits at 3.77 hours per resident day, roughly 2% under the national average of 3.86. Weekends dip about 12% below its own weekday coverage, so the leanest hours land when families tend to visit. Turnover is 42.2%, a bit better than the 45.8% national figure, which matters because consistent caregivers know residents. Ten deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated February 2026. The quality measure rating of 1 out of 5 is the number worth asking about on your tour.

B

72/100

Countryside

Stokesdale, NC · Guilford County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.92 /day
Staff turnover
47%
Serious cites
0

Countryside sits in Stokesdale with 60 certified beds, run by a for-profit limited liability company. Its nurse staffing comes in at 3.92 hours per resident day, slightly above the national average of 3.86, though weekend coverage drops about 8% from weekday levels, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover is 46.9%, a touch above the national 45.8%, so continuity of caregivers may be inconsistent. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in May 2025.

B

72/100

Windsor Point Continuing Care

Fuquay-Varina, NC · Harnett County

CMS 5/5 45 beds For-profit
Nurse hours
4.43 /day
Staff turnover
64%
Serious cites
0

Windsor Point runs 4.43 nurse hours per resident per day, roughly 15% above the national average, and its staffing rating reflects that. Inspections are a strength too, a 5/5 star health inspection rating, ten deficiencies on record with none at the harm level and none abuse-related, and the most recent visit just weeks ago. The concerns sit elsewhere: quality measures score 2/5, weekend staffing drops about 10% below its own weekday levels, and annual turnover hits 63.8% against a national average of 45.8%. For a 45-bed corporate-owned home, that churn is worth asking about directly, who's actually at the bedside on a Saturday, and how long they've been there.

B

72/100

Trinity Homes

Minot, ND · Ward County

CMS 1/5 141 beds Non-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
57%
Serious cites
0

Trinity Homes runs on 4.24 nurse hours per resident day, roughly 10% above the national average, and weekends dip only slightly from weekdays, the kind of staffing pattern that usually shows up in the 4/5 staffing rating. The trouble sits elsewhere. Inspectors have cited 34 deficiencies, six of them at the level where a resident was actually harmed or put in jeopardy, and five tied to abuse. Three fines total $75,611. Staff turnover is 57.3% against a national 45.8%, so a lot of that good coverage is delivered by people still learning the building. The state last inspected in August 2025, and the health inspection rating sits at 1 out of 5. Good staffing can't outweigh what those inspections found.

B

72/100

Wexner Heritage House

Columbus, OH · Franklin County

CMS 2/5 99 beds Non-profit Medicaid
Nurse hours
4.53 /day
Staff turnover
51%
Serious cites
0

Wexner Heritage House runs 4.53 nurse hours per resident day, about 17% above the national average, and its quality measure rating sits at the top of the scale. That's the good news. The inspection record is where it falls apart: 72 deficiencies on file, three at harm or jeopardy level and four abuse-related, with a 1-out-of-5 health inspection rating despite a very recent December 2025 survey. Staff turnover is 51.3%, worse than the 45.8% national average, and weekend staffing drops roughly 9% below weekday levels. Higher raw staffing hours haven't translated into a clean record here, and families should weigh that gap carefully.

B

72/100

Rae-Ann Westlake

Westlake, OH · Cuyahoga County

CMS 4/5 130 beds For-profit Medicaid
Nurse hours
3.42 /day
Staff turnover
43%
Serious cites
0

Rae-Ann Westlake sits in Cuyahoga County with 130 certified beds under corporate for-profit ownership, and the picture is mixed in a way that matters. Nurse staffing runs 3.42 hours per resident day, roughly 11% under the national average, and weekends dip another 11% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover at 42.6% is slightly better than the 45.8% national figure, which helps continuity but doesn't fix the raw hours. Inspections look stronger: a February 2024 survey, 17 deficiencies on record including one at the harm level and none tied to abuse. Solid quality and inspection marks, softer staffing.

B

72/100

Mount Washington Care Center

Cincinnati, OH · Hamilton County

CMS 3/5 129 beds For-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
52%
Serious cites
0

Mount Washington Care Center runs 129 certified beds under corporate for-profit ownership, and its nurse staffing sits just under the national average, 3.82 hours per resident day against 3.86. That small gap matters less than the pattern around it: weekend staffing drops about 9% below the home's own weekday levels, and annual turnover is 52.2%, well above the 45.8% national figure. Inspectors cited 37 deficiencies on the current record, one serious enough to reach harm or jeopardy level, with no abuse findings, and the last inspection was in March 2025. The staffing and inspection ratings both land at 2 out of 5 stars, even as quality measures score 5, a split worth asking about directly.

B

72/100

Continental Manor Nurs And Rehabilitation Center

Blanchester, OH · Clinton County

CMS 5/5 59 beds For-profit Medicaid
Nurse hours
3.25 /day
Staff turnover
53%
Serious cites
0

Continental Manor runs a lean nursing floor: 3.25 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 15% below its own weekday coverage. That thin schedule is the main reason its staffing rating lands at 2 out of 5, even though inspectors gave it 4 stars and its quality measures scored a full 5. Annual turnover of 52.8% adds churn on top of the low hours, which matters more when a building runs this close to the margin. The inspection record is decent but not spotless, 8 deficiencies, one serious enough to involve harm or jeopardy, none tied to abuse. The most recent state visit was August 2024, so the picture is fairly current. For-profit corporate ownership rounds out the profile. Worth a visit, and worth asking directly how they cover a weekend callout.

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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