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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 2981–3000 of 4,510, best-graded first.

B

71.5/100

Willis-Knighton Extended Care Center

Shreveport, LA · Caddo County

CMS 4/5 24 beds Non-profit
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Willis-Knighton Extended Care Center is small, 24 certified beds, and it's run by a nonprofit corporation, which tends to mean the money goes back into the building rather than out to shareholders. Inspectors gave it a clean recent look, with two deficiencies on record and none involving harm or abuse, and the state visited in March 2025. The trouble sits in staffing: that star rating is 1 out of 5, and in a 24-bed home there's little cushion when someone calls in sick. Quality measures land in the middle. A strong inspection record with thin staffing isn't unusual, but it's worth asking how many aides are actually on the floor at night.

B

71.5/100

Hellenic Nursing & Rehabilitation Center

Canton, MA · Norfolk County

CMS 3/5 154 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Hellenic Nursing & Rehabilitation Center runs 154 beds as a nonprofit in Canton, and its inspection record is genuinely solid, a four-star health inspection rating and 34 total deficiencies with none at the harm or jeopardy level. The one abuse-related citation is worth asking about directly, since that category covers a wide range of incidents. What drags the picture down is staffing: one star, meaning resident care hours fall well below what CMS expects and well below the national average. A three-star quality measure rating suggests clinical outcomes aren't collapsing despite that, but thin staffing is the kind of thing families feel in daily response times. The most recent inspection was August 2025, so the record is current.

B

71.5/100

Cerenity Care Center On Humboldt

Saint Paul, MN · Ramsey County

CMS 2/5 93 beds Non-profit Medicaid
Nurse hours
3.84 /day
Staff turnover
53%
Serious cites
0

Cerenity Care Center on Humboldt runs a nonprofit home of 93 beds in Saint Paul, and its nursing hours land right at the national average, 3.84 per resident day against 3.86 nationally, close enough to call it even. The problem is consistency: weekends dip about 15% below its own weekday staffing, and 52.9% of staff turned over in a year, well above the 45.8% national rate. The inspection record is the heavier concern. Forty-two deficiencies sit on file, five of them at harm or jeopardy level and two tied to abuse, with $96,721 in fines across two penalties. The most recent inspection was March 5, 2026. Staffing looks adequate on paper; everything around it doesn't.

B

71.5/100

Sharkey-Issaquena Nursing Home

Rolling Fork, MS · Sharkey County

CMS 2/5 54 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Sharkey-Issaquena Nursing Home is county-owned and small, with 54 certified beds in Rolling Fork. Its ten deficiencies on the current record were all lower-level, none caused harm or jeopardy to a resident, and none were abuse-related, which matters more than the raw count. The last inspection was in October 2024, so the record is reasonably current. Federal ratings land at three stars for both health inspections and quality measures, putting this home squarely in the middle of the pack rather than at either extreme. For a family weighing a rural Mississippi county facility, the honest read is a place with no serious safety citations on file, average marks, and the accountability that comes with public ownership.

B

71.5/100

Sunshine Health Care, Inc

Pontotoc, MS · Pontotoc County

CMS 5/5 60 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Sunshine Health Care passed its most recent inspection in July 2025 with three deficiencies on record, none of which rose to harm or jeopardy, and no abuse citations at all. That's a clean inspection history, and the five-star health inspection rating reflects it. Where the home gives some ground is quality measures, which sit at three stars, the clinical side isn't quite keeping pace with the survey side. It's a 60-bed for-profit owned by an individual, so there's no corporate chain backing it; the operator is personally on the hook for how this place runs. For a family weighing a small rural home, the inspection record is the strongest signal here.

B

71.5/100

Sylvia G Thompson Residence Center, Inc

Sedalia, MO · Pettis County

CMS 1/5 120 beds Non-profit Medicaid
Nurse hours
3.58 /day
Staff turnover
49%
Serious cites
0

Sylvia G Thompson Residence Center runs 120 certified beds as a nonprofit corporation, and its staffing sits at 3.58 nurse hours per resident day, roughly 7% under the national average of 3.86. Weekends drop about 19% below its own weekday coverage, and turnover is 48.5%, a bit above the 45.8% national figure. The inspection record is where the real weight sits: 30 deficiencies, two of them at harm or jeopardy level and five abuse-related, with a 2/5 health inspection rating and a 1/5 quality measure rating. The most recent inspection was October 9, 2025. Staffing earned 3/5 stars, but the deficiency history is what a family should ask about directly.

B

71.5/100

Awe Kualawaache Care Center

Crow Agency, MT · Big Horn County

CMS 4/5 40 beds For-profit Medicaid
Nurse hours
4.08 /day
Staff turnover
62%
Serious cites
0

Awe Kualawaache Care Center runs 4.08 nurse hours per resident day, about 6% above the national average, and it holds a 5-star health inspection rating with a survey completed in May 2025. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and 61.5% of staff turn over each year against a national average of 45.8%. Eighteen deficiencies sit on the current record, none at the harm level, though two are abuse-related. The quality measure rating of 1 out of 5 is the other weak spot, and it's the piece that most clashes with the strong inspection history.

B

71.5/100

Chi Health St. Francis

Grand Island, NE · Hall County

CMS 3/5 36 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Chi Health St. Francis runs 36 certified beds as a nonprofit, and its last inspection in March 2025 turned up seven deficiencies, none of them serious enough to cause harm or jeopardy, and nothing abuse-related. That's a reasonably clean record, and the four-star health inspection rating backs it up. Where this home struggles is staffing, which scored one star out of five, well below what you'd want to see. Quality measures sit in the middle at three. So you're looking at a small nonprofit that keeps its inspections in order but runs thin on direct care, worth asking about nurse-to-resident ratios on evenings and weekends before you decide.

B

71.5/100

White Pine Care Center

Ely, NV · White Pine County

CMS 2/5 97 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

White Pine Care Center sits in Ely with 97 certified beds and a for-profit LLC owner. The staffing picture is where families should focus: CMS gives it just one star out of five for staffing, meaning nurse hours per resident fall well below what most homes provide. The inspection record shows 38 deficiencies, including one at the harm or jeopardy level and three tied to abuse. A May 2025 inspection is recent, so the record reflects current conditions rather than old problems. Quality measures land at three stars, middle of the pack. With a limited liability company at the helm and thin staffing, the numbers suggest asking direct questions about who's on the floor overnight.

B

71.5/100

Battle Mountain General Hospital

Battle Mountain, NV · Lander County

CMS 1/5 25 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Battle Mountain General Hospital runs a small 25-bed unit as a government hospital district, and its inspection record is the bright spot: a four-star health inspection rating and a survey from February 2025, so the findings are recent. The 31 deficiencies on file include none at the harm or jeopardy level, though one is abuse-related. Staffing is where this home falls short, a one-star rating means nurse hours per resident sit well below the national average, and in a 25-bed hospital-based unit that thin coverage leaves little margin. Quality measures land in the middle. Families should ask directly how many nurses are on the floor at night.

B

71.5/100

Ohio Eastern Star Hlth Care Ctr The

Mount Vernon, OH · Knox County

CMS 2/5 86 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Ohio Eastern Star in Mount Vernon runs 86 certified beds as a nonprofit, and its health inspections come in about average, three stars, with the state's most recent look on February 12, 2026. The record itself shows 17 deficiencies, including one involving actual harm or jeopardy and one abuse-related finding, so there's real substance behind the paperwork. Where this home stands apart is staffing: one star, the bottom of the federal scale, which means aide and nurse hours per resident fall well short of what most homes provide. Quality measures also land mid-range at three. For a family weighing a move here, the question worth pressing is how thin coverage gets on evenings and weekends.

B

71.5/100

The Enclave At Cambridge

Cambridge, OH · Guernsey County

CMS 1/5 78 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
—
Serious cites
0

The Enclave at Cambridge runs 3.63 nurse hours per resident day, about 6% under the national average, and weekend coverage dips roughly 7% below its own weekday level, so the thinnest shifts land when families tend to visit. Its inspection record is the harder problem: 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $194,587 in fines across two penalties. A 4/5 quality measure score reflects charted care indicators, not the inspection findings. This for-profit LLC-operated home was last inspected December 18, 2025. Ask the administrator directly how those abuse deficiencies were corrected and what weekend nurse coverage looks like now.

B

71.5/100

The Golden Rule Home

Shawnee, OK · Pottawatomie County

CMS 2/5 83 beds For-profit Medicaid
Nurse hours
2.91 /day
Staff turnover
—
Serious cites
0

The Golden Rule Home runs about 25% below the national average for nurse staffing, 2.91 hours per resident day against 3.86, and weekend coverage dips slightly further below its own weekday level. That thin margin matters most on weekends and nights, when families aren't around to notice. Its record shows 26 deficiencies, one serious enough to involve harm or jeopardy, plus a $10,246 fine. No abuse citations appear. Inspectors last visited in October 2024, and the quality measure score sits in the lower range. For-profit, LLC-owned. If you're considering this one, ask specifically how many nurses are on the floor on a Saturday evening.

B

71.5/100

Bradbury Commons

Ponca City, OK · Kay County

CMS 4/5 68 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Bradbury Commons sits in Ponca City with 68 certified beds, run by a nonprofit corporation. Inspectors gave it top marks on health inspections, and the record shows no abuse deficiencies. But staffing is where the picture darkens, the federal staffing rating bottoms out at 1 out of 5, meaning nurse and aide hours fall well below what CMS expects. Seven deficiencies appear on the current record, one serious enough to reach harm or jeopardy level. The last inspection was July 2024, so the findings are recent. Strong survey results and a thin caregiving workforce can coexist, and that tension is worth weighing before you decide.

B

71.5/100

Blue Mountain Care Center

Prairie City, OR · Grant County

CMS 1/5 40 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Blue Mountain Care Center is small, 40 certified beds, and run by a nonprofit corporation, but its inspection record is the number that stands out: 39 deficiencies on the current record, two of them abuse-related, against a one-star health inspection rating from CMS. The good news is that none of those deficiencies rose to harm or jeopardy level, and the most recent inspection was in October 2025, so the picture is current rather than stale. Quality measures land at three stars, which is middling. For a family weighing this home, the question isn't whether problems were cited, they were, repeatedly, but whether the nonprofit's leadership has actually corrected them since that fall visit.

B

71.5/100

Edgehill Nursing And Rehab Cen

Glenside, PA · Montgomery County

CMS 3/5 60 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Edgehill runs 60 certified beds as a nonprofit corporation, and its most recent inspection came in August 2025, recent enough that the record reflects current conditions rather than old history. The staffing picture is where the concern sits: CMS rates it 1 out of 5 stars, well below what you'd typically want to see for a resident population this size, and that shortfall shows up in day-to-day care more than any other metric. Inspectors have logged 25 deficiencies on the current record, including one tied to abuse; none rose to the level of actual harm or jeopardy, which matters, but the volume still tells you the home struggles with consistency.

B

71.5/100

Grace Barker Nursing Center

Warren, RI · Bristol County

CMS 4/5 86 beds For-profit Medicaid
Nurse hours
3.87 /day
Staff turnover
38%
Serious cites
0

Grace Barker Nursing Center sits at 86 beds in Warren, run by a for-profit corporation. Its nurse staffing works out to 3.87 hours per resident day, which barely edges past the national average of 3.86, essentially a tie. Weekends run about 17 percent thinner than weekdays, so coverage depends on when you visit. Turnover is 37.9 percent, lower than the national 45.8 percent, meaning aides and nurses stick around longer than at many places. But the inspection record carries 14 deficiencies, four of them at harm or jeopardy level and two tied to abuse, plus a single $114,806 fine. Staffing looks steady; the care problems are documented.

B

71.5/100

Bethany Home Of Rhode Island

Providence, RI · Providence County

CMS 3/5 33 beds Non-profit Medicaid
Nurse hours
4.84 /day
Staff turnover
100%
Serious cites
0

Bethany Home of Rhode Island runs a 33-bed nonprofit operation in Providence, and the staffing numbers are genuinely better than most: 4.84 nurse hours per resident day, roughly a quarter above the national average. But two things undercut that. Weekend staffing drops about 16% below its own weekday level, so the care you'd get on a Saturday isn't the care described in the average. And turnover sits at 100%, every position turns over in a year, against a national rate near 46%. That churn, plus 19 deficiencies on the current record (one at harm level) and a $12,735 fine, explains why the inspection and quality ratings land mid-range despite the healthy staffing figure.

B

71.5/100

The Heritage At Lowman Rehab And Healthcare

White Rock, SC · Richland County

CMS 1/5 152 beds Non-profit Medicaid
Nurse hours
4.11 /day
Staff turnover
46%
Serious cites
0

The Heritage at Lowman has 152 certified beds and runs on a nonprofit corporate model, and its nurse staffing averages 4.11 hours per resident day, about 6% above the national average. That cushion thins on weekends, though, when coverage drops roughly 16% below the home's own weekday level. Staff turnover sits at 46.3%, basically even with the national rate, so continuity isn't the standout concern here. What is: a two-star health inspection rating and a one-star quality measure rating, with 24 deficiencies on the current record, one serious enough to involve harm or jeopardy. Two fines totaling $14,664 have been levied, and the most recent inspection came in December 2025.

B

71.5/100

Estelline Nursing And Care Center

Estelline, SD · Hamlin County

CMS 4/5 60 beds Government Medicaid
Nurse hours
2.04 /day
Staff turnover
29%
Serious cites
0

Estelline Nursing And Care Center is city-owned, which is unusual, and its 28.8% turnover is well below the 45.8% national average, staff tend to stay. The problem is how few of them there are: 2.04 nurse hours per resident day, roughly 47% under the national average of 3.86, and weekends run about 21% thinner than weekdays. One deficiency sits on the current record, and it's at the harm level, with a $16,826 fine attached. The last inspection was April 2025, so that finding is recent. Quality measures look decent at 4 stars, but low staffing is hard to offset when something goes wrong.

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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