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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 2961–2980 of 4,510, best-graded first.

B

72/100

Eden Home

New Braunfels, TX · Comal County

CMS 3/5 122 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
39%
Serious cites
0

Eden Home runs a 122-bed for-profit operation in New Braunfels, and the staffing numbers are its strongest suit: 3.98 nurse hours per resident day, a bit above the national average, with turnover at 38.8%, noticeably better than the 45.8% norm. The catch is that weekends run about 13% leaner than weekdays, so coverage thins out exactly when families tend to visit. What pulls the record down is the inspection side: 28 deficiencies on file, including two at the harm level and two abuse-related, plus a $22,205 fine, with the most recent inspection in March 2026. A two-star health inspection rating against a four-star staffing rating tells you the care hours are there, but the compliance history isn't clean.

B

72/100

Wake Robin-Linden Nursing Home

Shelburne, VT · Chittenden County

CMS 4/5 33 beds Non-profit
Nurse hours
— /day
Staff turnover
59%
Serious cites
0

Wake Robin-Linden runs 33 beds as a nonprofit, and its inspection record is genuinely clean, a five-star health inspection rating, just two deficiencies on the books, none of them causing harm or involving abuse, and a survey completed in January 2026. The staffing side tells a different story. CMS gives it one star there, and annual turnover sits at 58.5 percent against a national average of 45.8 percent, meaning well over half the staff left within the year. Quality measures land at four stars. So you're looking at a small home that passes outside review comfortably but may struggle to keep consistent caregivers at the bedside, worth asking directly how they hold shifts together.

B

72/100

St. Barbara's Memorial Nursing Home

Monongah, WV · Marion County

CMS 4/5 57 beds Non-profit Medicaid
Nurse hours
3.85 /day
Staff turnover
58%
Serious cites
0

St. Barbara's sits at 3.85 nurse hours per resident day, essentially matching the national figure of 3.86, but that average hides a catch: weekend staffing drops roughly 10% below the home's own weekday coverage. Staff turnover runs 57.6% against a national 45.8%, so nearly six in ten workers left over the year. The inspection record shows 22 deficiencies, none at the harm or jeopardy level, with one abuse-related citation. Federal ratings split sharply here, four stars each for health inspections and quality measures, only two for staffing. The most recent inspection was August 2025.

B

72/100

Sundale Nursing Home

Morgantown, WV · Monongalia County

CMS 5/5 100 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
35%
Serious cites
0

Sundale Nursing Home runs a tight ship on staffing relative to most places, 3.82 nurse hours per resident day, just a hair under the national average, and a turnover rate of 35.1% that sits well below the typical 45.8%. Weekend coverage dips about 10% below weekday levels, worth knowing if your visits fall on Saturdays or Sundays. The inspection record shows 31 deficiencies, none at the harm level, though three are abuse-related, which deserves a direct question to the administrator. That January 2025 inspection is recent enough to trust. Where this home gives ground is quality measures, scoring 2 out of 5, so ask how they're tracking things like falls and infections.

B

72/100

Lafayette Manor

Darlington, WI · Lafayette County

CMS 2/5 50 beds Government Medicaid
Nurse hours
4.21 /day
Staff turnover
45%
Serious cites
0

Lafayette Manor is county-owned, and its staffing is the strongest part of the picture: 4.21 nurse hours per resident day, about 9% above the national average, with weekend coverage dipping only slightly below weekdays and turnover at 45.1%, essentially in line with the national rate. The trouble sits in inspections. A two-out-of-five inspection rating comes with 53 deficiencies on the current record, six of them serious enough to put residents in harm's way and 14 tied to abuse. Two fines total $159,661. The most recent inspection, in March 2026, is recent enough that this is a current picture, not an old one.

B

72/100

Lindengrove Mukwonago

Mukwonago, WI · Waukesha County

CMS 2/5 47 beds Non-profit Medicaid
Nurse hours
4.15 /day
Staff turnover
49%
Serious cites
0

Lindengrove Mukwonago runs on more nursing hours than most homes, 4.15 per resident day against a national average of 3.86, and that staffing shows up in a four-star rating there. The catch is consistency: weekends dip about 5% below the home's own weekday coverage, and nearly half the nursing staff turns over each year, slightly worse than the national rate. On the quality measures side, the home scores one star, and its record carries 25 deficiencies, five tied to abuse, though none at the harm or jeopardy level. The most recent inspection came in December 2025, so the picture is current.

B

72/100

Cody Regional Health Long Term Care Center

Cody, WY · Park County

CMS 4/5 94 beds Government Medicaid
Nurse hours
3.91 /day
Staff turnover
58%
Serious cites
0

Cody Regional Health Long Term Care Center runs on a hospital district's budget and holds a 4-star health inspection rating from CMS, with its most recent survey in April 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing stability: 57.9% annual turnover against a national average of 45.8%, and weekend coverage that drops roughly 15% below what the home staffs on weekdays. Total nurse hours sit at 3.91 per resident day, barely above the national 3.86. Thirteen deficiencies are on record, one tied to abuse. The quality measure score of 2 stars suggests clinical outcomes aren't keeping pace with the inspection findings.

B

72/100

Timberidge Nursing And Rehabilitation Center

Jasper, TX · Jasper County

CMS 5/5 114 beds For-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
46%
Serious cites
0

Timberidge runs a solid ship on the basics. It's a 114-bed for-profit corporate home, and its last inspection in August 2025 came back clean on the things that matter most, ten deficiencies on record, but none at the harm level and none related to abuse, which is a genuinely good sign. Nurse staffing sits at 3.95 hours per resident day, slightly above the national average, though weekends run about 15 percent thinner than weekdays. Turnover lands at 46.3 percent, basically in line with the national rate of 45.8, not a red flag, but not a place that's holding onto its people especially well either. The weaker spot is the quality measure rating, which tells you the day-to-day clinical picture isn't as strong as the inspection record.

B

72/100

Stonecreek Nursing & Rehabilitation

San Augustine, TX · San Augustine County

CMS 3/5 90 beds For-profit Medicaid
Nurse hours
3.65 /day
Staff turnover
36%
Serious cites
0

Stonecreek runs a bit lean on nursing hours, 3.65 per resident day against a national average of 3.86, and weekends are thinner still, roughly 14% below its own weekday coverage. Turnover sits at 35.6%, which is actually better than the 45.8% national figure, so the staff who are there tend to stay. The inspection record is recent and shows 20 deficiencies, none rising to harm or jeopardy, though two involve abuse. Ownership is corporate, for-profit. What stands out is the split between a strong inspection history and a low quality-measure score, which suggests the day-to-day care process isn't matching how well the building performs when surveyors visit.

B

72/100

Immanuel's Healthcare

Fort Worth, TX · Tarrant County

CMS 3/5 84 beds For-profit Medicaid
Nurse hours
2.83 /day
Staff turnover
54%
Serious cites
0

Immanuel's Healthcare runs 84 certified beds in Fort Worth under for-profit LLC ownership, and the staffing numbers are the first thing to look at. At 2.83 nurse hours per resident day, it sits roughly 27% under the national average of 3.86, weekend coverage drops another 10% below its own weekday level, and turnover hits 53.8% against a national 45.8%. The inspection record shows 16 deficiencies, none at harm or jeopardy level, though three are abuse-related, with the most recent inspection in June 2025. Its quality measure score is perfect and inspections land middle of the pack, but one star on staffing tells you where the strain is. Ask about actual aide coverage on weekends before deciding.

B

72/100

Town Hall Estates - Arlington, Inc.

Arlington, TX · Tarrant County

CMS 2/5 116 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
46%
Serious cites
0

Town Hall Estates Arlington is a 116-bed nonprofit home run by a church group, and its record is a study in mixed signals. The clinical quality measures look strong, but staffing sits at 3.84 nurse hours per resident day, just under the national average, and drops about 7% on weekends, with 46% annual turnover. The bigger concern is the inspection history: 31 deficiencies on the current record, three at harm or jeopardy level, one abuse-related, and two fines totaling $231,933, with the most recent inspection in July 2025. For a family weighing this one, ask hard questions about weekend coverage and how those harm-level findings were resolved.

B

71.5/100

Caregivers Of Pleasant Grove, Inc

Pleasant Grove, AL · Jefferson County

CMS 1/5 64 beds For-profit Medicaid
Nurse hours
3.94 /day
Staff turnover
53%
Serious cites
0

Caregivers of Pleasant Grove runs 64 beds in Jefferson County under corporate ownership, and its nurse staffing sits just above the national average, 3.94 hours per resident day versus 3.86. That margin is thin, and weekends run about 17% lighter than weekdays, so coverage depends on when you visit. Staff turnover is worth asking about: 52.6% a year against a national 45.8%, meaning more than half the nursing staff leaves annually. The health inspection rating is 2 out of 5, with nine deficiencies on record, none at harm or jeopardy level, none abuse-related. Quality measures rate 1 out of 5. The last inspection was March 2021, so the record you're reading is several years old.

B

71.5/100

Elba Nursing And Rehabilitation Center, Llc

Elba, AL · Coffee County

CMS 1/5 111 beds For-profit Medicaid
Nurse hours
3.71 /day
Staff turnover
47%
Serious cites
0

Elba Nursing and Rehabilitation Center runs 111 certified beds under corporate ownership, and its staffing sits at 3.71 nurse hours per resident day, about 4% under the national average of 3.86. That gap widens on weekends, when coverage drops roughly 21% below the home's own weekday level, a pattern worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover is 47.1%, slightly above the 45.8% national figure, so continuity of caregivers is a fair concern. The inspection record shows 11 deficiencies, none at the harm or jeopardy level and none abuse-related, but the last inspection was May 2022, which is a long stretch without a fresh look.

B

71.5/100

Northwest Florida Community Hospital (Snu)

Chipley, FL · Washington County

CMS 4/5 34 beds For-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Northwest Florida Community Hospital's skilled nursing unit in Chipley runs just 34 certified beds, so it's a small operation by any measure. The inspection record looks strong on paper, a five-star health inspection rating, with six deficiencies total and none rising to harm or jeopardy level, and no abuse citations at all. Staffing is where the picture changes: a one-star rating there means nurse coverage falls well short of what CMS expects relative to other homes nationally. That's the tension worth weighing, since inspections capture a moment in time while staffing affects daily life. The most recent inspection was July 2, 2025, so the record is current. Quality measures land at three stars, middling rather than poor.

B

71.5/100

Avenues At Quad Cities

Silvis, IL · Rock Island County

CMS 1/5 63 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Avenues At Quad Cities runs 63 certified beds in Silvis under corporate for-profit ownership, and staffing is where it struggles most, the federal staffing star sits at the lowest tier, meaning direct-care hours per resident fall well below what CMS expects. The inspection record backs that up: 27 deficiencies, four of them serious enough to cause actual harm or put residents in jeopardy, though none involved abuse. Quality measures land mid-range at 3 stars, and the most recent inspection came in September 2024, so the findings are fairly current rather than stale. If you're weighing this one, ask specifically how nurse aide coverage looks on evenings and weekends, since thin staffing is usually where the harm-level citations originate.

B

71.5/100

Southwest Medical Center Snf

Liberal, KS · Seward County

CMS 3/5 18 beds Government
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Southwest Medical Center's skilled nursing unit is small, 18 certified beds, and it's run by Seward County rather than a for-profit chain, which tends to matter for how a place is staffed and maintained. State inspectors were last in on April 22, 2026, and the record shows 15 deficiencies, but none rose to the level of actual harm or immediate jeopardy, and there's no abuse history on file. That's a meaningful distinction: paperwork and process problems, not residents getting hurt. Both the health inspection and quality measure ratings sit at three out of five stars. For a county-run home this size in southwest Kansas, the picture is a steady one, not spotless on compliance, but not dangerous either. Ask about the specific deficiencies and how they've been corrected.

B

71.5/100

Brighton Place North

Topeka, KS · Shawnee County

CMS 4/5 34 beds For-profit Medicaid
Nurse hours
2.04 /day
Staff turnover
44%
Serious cites
0

Brighton Place North runs 2.04 nurse staffing hours per resident day, roughly 47% under the national average of 3.86, and weekends drop about a quarter below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5, even as the home's quality measure score hits 5 out of 5, a gap worth noticing, since quality scores reflect resident outcomes while staffing reflects daily presence. The inspection record shows 19 deficiencies, none at harm level but one abuse-related, plus three fines totaling $9,408; the last inspection was October 2025. Turnover at 43.8% is close to the national 45.8%. With 34 beds and corporate for-profit ownership, this is a small home where staffing is the real question.

B

71.5/100

Home Of The Innocents

Louisville, KY · Jefferson County

CMS 2/5 76 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Home Of The Innocents is a 76-bed nonprofit in Louisville with a recent inspection, September 13, 2025, so the record is current. What that record shows is mixed: ten deficiencies, including two at the harm or jeopardy level and four tied to abuse. Its inspection star rating sits at 2 out of 5, while quality measures come in at 3. Roughly one in five of those deficiencies involves actual harm or abuse concerns, which is the kind of thing worth asking the administrator about directly. The nonprofit structure and fresher inspection help, but the harm-level findings are the part I would not gloss over when you call.

B

71.5/100

Cal Turner Rehab And Specialty Care

Scottsville, KY · Allen County

CMS 5/5 110 beds Non-profit Medicaid
Nurse hours
3.57 /day
Staff turnover
35%
Serious cites
0

Cal Turner Rehab runs a tight ship on the things that show up in writing: a five-star inspection record, nine total deficiencies with nothing abuse-related, and staff turnover at 34.7%, well under the 45.8% national average, which matters for whether you see the same faces month to month. A nonprofit's balance sheet shows up too, with just one fine on record for $5,519. The softer spots are real, though. Total nurse staffing sits at 3.57 hours per resident day, about 7% under the national average, and weekends drop roughly 18% below the home's own weekday levels, so ask what a Saturday actually looks like. The two-star quality measure rating is the other piece worth pressing on.

B

71.5/100

St Elizabeth Ft Thomas Snf

Fort Thomas, KY · Campbell County

CMS 4/5 20 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

St Elizabeth Ft Thomas runs a small 20-bed unit as a nonprofit, and its inspection record is genuinely clean, five stars, one deficiency on the books, none involving harm or abuse, and the last survey was in January 2025. The catch is staffing, which scores one star. That's the number to press on when you visit: ask what nurse and aide coverage looks like on nights and weekends, because a single deficiency total means little if there aren't enough hands on shift. Quality measures land mid-range at three stars. With this few beds, staffing can change fast, so ask for current numbers rather than trusting the rating alone.

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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