4,510 Independent Nursing Homes in the United States

Nurse hours

3.99 /day

Staff turnover

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Serious cites

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Forest Hill Manor runs about 3.99 nurse hours per resident per day, a bit above the national average of 3.86, but weekend coverage drops roughly 16% below what it provides on weekdays. The nonprofit home has 45 certified beds and a recent inspection on record as of March 2026, with 28 deficiencies logged, including one at the harm level and two tied to abuse. One fine totaling $13,627 has been assessed. Its inspection rating sits at 4 out of 5 stars, though the quality measure score is 2 out of 5 and staffing lands at 3. The mix matters here: a clean-ish inspection history alongside weaker clinical quality numbers and thinner weekend staffing is what pulls the overall picture down.

Nurse hours

4.15 /day

Staff turnover

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Serious cites

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Seven Hills Pediatric Center runs a nonprofit home in Groton with 83 certified beds, and its nurse staffing averages 4.15 hours per resident day, about 8 percent above the national average of 3.86. That raw number looks good until you notice weekends drop roughly 16 percent below the home's own weekday staffing, and CMS scores staffing at just 1 out of 5, the agency weighs consistency, not just the headline average. The health inspection record shows 11 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $12,735 and a last inspection on November 25, 2025. Quality measures score 5 out of 5, but that strong showing sits alongside inspection and staffing concerns, and for a pediatric center, weekend coverage gaps and an abuse-related finding are the things I'd ask about directly.

Nurse hours

4.58 /day

Staff turnover

74%

Serious cites

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Belgrade Nursing Home runs a lean 34 beds under nonprofit ownership, and the direct-care hours show it: 4.58 per resident day against a national average of 3.86. That's real coverage, though weekends dip roughly 5% below the home's own weekday baseline, so ask how that plays out on a Sunday. The bigger issue is turnover, 73.5% annually, well above the 45.8% national figure. High churn can undercut consistent care even when raw staffing hours look strong, and it lines up with a quality measure rating of 2 out of 5. Inspections are recent and clean at the serious end: 10 deficiencies on record, none involving harm or abuse.

Nurse hours

1.95 /day

Staff turnover

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Serious cites

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Andrew Residence runs on 1.95 nurse staffing hours per resident day, roughly half the national average, and the weekend gap is real: about 23% less coverage than weekdays. That staffing level earned a 1 out of 5 from CMS, and it's the clearest number on the page. The 19 deficiencies on record, including one at harm or jeopardy level and three tied to abuse, with a 2 out of 5 inspection rating, tell you what the surveyors found when they looked. The 5 out of 5 quality measure score stands out against all that, but those measures are self-reported, and a 212-bed for-profit home with thin staffing has less margin to catch problems before they escalate.

Nurse hours

4.60 /day

Staff turnover

56%

Serious cites

0

Brendan House runs a nonprofit home with 110 certified beds in Kalispell, and its staffing is the strongest thing it has going: 4.60 nurse hours per resident day, roughly 19% above the national average of 3.86. That cushion thins on weekends, which run about 9% below the home's own weekday level, and turnover sits at 56.1% against a national 45.8%, meaning many of the people providing that care are still new. The current record carries 31 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus two fines totaling $92,755. The most recent inspection was July 17, 2025.

Nurse hours

— /day

Staff turnover

50%

Serious cites

0

Imperial Manor is city-and-county owned, which is unusual in a state where most homes are run by chains or nonprofits, and its staffing reflects that public backing: 4.30 nurse hours per resident day, roughly 11% above the national average. Weekends thin out by about 18% against its own weekday numbers, though, and turnover sits at 50%, a bit above the 45.8% national figure, which matters more in a 58-bed building where you notice every new face. The current inspection record carries 23 deficiencies, none at the harm level, one tied to abuse, plus a single $7,903 fine. The last inspection was November 2025. Federal inspectors rated staffing 4 out of 5 and quality measures 3, but health inspections 2, that gap tells you the care numbers look better on paper than the surveyors found in practice.

Nurse hours

3.01 /day

Staff turnover

54%

Serious cites

0

Alpine Skilled Nursing runs 189 beds as a for-profit LLC, and its nurse staffing sits at 3.01 hours per resident per day, roughly 22% under the national average of 3.86. Weekends dip about 10% below its own weekday numbers, and annual turnover is 53.8%, higher than the 45.8% national figure. The current record shows 41 deficiencies, none flagged at harm or jeopardy level, but three tied to abuse. Its last inspection was April 2, 2026. The staffing and quality stars both land at 3 out of 5, and health inspection sits at 2. If you're weighing this one, ask specifically how they cover weekends and what those abuse-related citations involved.

Nurse hours

2.91 /day

Staff turnover

40%

Serious cites

0

Maple Leaf runs lean on nursing hours: 2.91 per resident day against a national average of 3.86, roughly a quarter below. Weekend coverage dips about 8% below its own weekday level, so the thinnest shifts come when families tend to visit. Turnover sits at 40.4%, a bit better than the 45.8% national figure. The inspection record is the strongest part of the picture, a recent March 2026 survey, seven deficiencies, none at harm or jeopardy level and none abuse-related. A for-profit LLC operates its 114 beds. What you'd want to weigh is whether that staffing level matches what your relative needs, especially on weekends.

Nurse hours

3.09 /day

Staff turnover

59%

Serious cites

0

Big Oak runs about 3.09 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekend staffing barely dips from weekday levels, so the coverage that exists is at least consistent. But 58.5% of staff left over the past year, well above the 45.8% national rate, and that churn matters more when the hours are already thin. The inspection record shows 30 deficiencies, including one abuse-related citation and none flagged at harm or jeopardy level, with the most recent survey completed March 26, 2026. Quality measures score well; staffing is where the weak spots sit.

Nurse hours

3.73 /day

Staff turnover

55%

Serious cites

0

Livingston Post Acute Care runs 124 beds under for-profit LLC ownership, and its staffing numbers sit slightly under the national mark, 3.73 nurse hours per resident day against 3.86 nationally, with weekends running about 5% thinner than weekdays. That gap matters more than it looks, because turnover is 55% against a national average of 45.8%, meaning the people covering those weekend shifts are often new. The inspection record shows 43 deficiencies, two tied to abuse, though none reached harm or jeopardy level, and the last survey was in January 2026. Quality measures score well, but staffing and inspections are where the trouble shows.

Nurse hours

3.61 /day

Staff turnover

45%

Serious cites

0

Princeton Health & Rehabilitation runs 369 certified beds under corporate ownership, and its staffing sits at 3.61 nurse hours per resident day, about 6% under the national average, with weekends roughly 10% thinner than weekdays. Turnover lands at 45.4%, essentially matching the national rate, so retention isn't the standout problem here. The inspection record is. Fifty-three deficiencies, including two at harm or jeopardy level and seven tied to abuse, plus two fines totaling $154,457, with the most recent inspection in July 2025. Quality and staffing measure stars look decent on paper, but the survey history is what a family should ask about directly before deciding.

Nurse hours

3.20 /day

Staff turnover

37%

Serious cites

0

Cedar Manor runs about 3.20 nurse hours per resident each day, and that's roughly 17% under the national average of 3.86, the kind of gap families notice most on weekends, when staffing dips another 8% below the home's own weekday levels. A 37% annual turnover rate actually sits below the national figure of 45.8%, so the staff who are there tend to stay. The state's most recent inspection, in April 2025, left 31 deficiencies on record, including three tied to abuse; none rose to actual harm or jeopardy. With a for-profit limited liability company at the helm, the numbers suggest a home that's adequately but thinly staffed.

Nurse hours

3.40 /day

Staff turnover

—

Serious cites

0

Fort Hudson runs about 3.40 nurse hours per resident per day, roughly 12% under the national average, and weekends drop another 16% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at 1 out of 5, even though its quality measures score 4 out of 5 and inspectors found no harm-level or abuse-related deficiencies among the 14 on record. The most recent inspection was December 2024, so the picture is current. This is a nonprofit with solid clinical outcomes but a real staffing gap, especially on weekends, worth asking how they cover callouts and whether weekend nurse coverage matches what you'd see on a Tuesday.

Nurse hours

3.83 /day

Staff turnover

50%

Serious cites

0

Nathan Littauer Hospital Nursing Home runs 84 certified beds as a nonprofit, and its staffing sits just a hair under the national average, 3.83 hours per resident day against 3.86. That's close enough to call even, but the weekend tells a different story: staffing drops about 14% below its own weekday level, so care on Saturdays and Sundays may not match what you see Monday through Friday. The bigger flag is the inspection record. Twenty-five deficiencies, including two tied to abuse, with a one-star health inspection rating from CMS. None of those rose to the harm or jeopardy level, and the most recent inspection was in February 2025, so the picture is current. Annual turnover of 50% runs above the national 45.8%, meaning the staff your relative sees may not be there next year.

Nurse hours

3.49 /day

Staff turnover

45%

Serious cites

0

Woodbury Heights is a 606-bed for-profit home in Nassau County, and the numbers families should weigh most are the inspection ones. Its current record carries 46 deficiencies, including four at the harm or immediate jeopardy level and four tied to abuse, and it's been fined twice, totaling $280,271. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, with weekends running about 5% lighter than weekdays. Turnover, at 44.7%, is essentially average. The quality measure score looks strong, but that's self-reported data, and it doesn't offset a 1-out-of-5 inspection rating from the most recent survey in October 2024.

Nurse hours

3.21 /day

Staff turnover

40%

Serious cites

0

Glen Island Center runs 183 certified beds in New Rochelle under corporate for-profit ownership, and its nurse staffing sits at 3.21 hours per resident day, about 17% under the national average of 3.86. Weekends dip roughly 6% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover of 40.1% is actually a bit better than the 45.8% national figure, which matters for continuity of care. Against that, the inspection record shows 19 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse, and one fine of $36,299. The most recent inspection was February 5, 2026.

Nurse hours

3.53 /day

Staff turnover

49%

Serious cites

0

Bethany Nursing Home in Horseheads runs about 3.53 nursing hours per resident day, roughly 8% under the national average, and weekends drop another 12% below its own weekday levels. Staff turnover sits at 48.7%, a few points above the national figure. The inspection record is the strong part: a five-star health inspection rating, seven deficiencies total, none at harm or jeopardy level and none abuse-related, with the most recent survey in March 2025. Where it slips is quality measures, which come in at one star. So you're looking at a home that passes its surveys cleanly and staffs thinner than average, with clinical quality metrics that raise more questions than the inspection history does.

Nurse hours

3.73 /day

Staff turnover

22%

Serious cites

0

White Oaks runs 200 beds in Woodbury under for-profit partnership ownership, and its staffing sits at 3.73 nurse hours per resident day, roughly 3% under the national average, with weekends dipping about 6% below its own weekdays. That thin weekend coverage matters more than the headline number. The record shows 24 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a single fine of $8,278; the most recent inspection was September 8, 2025. What stands out in the other direction is turnover: 22.4% against a national average of 45.8%, meaning far fewer workers are cycling through here than is typical.

Nurse hours

2.99 /day

Staff turnover

52%

Serious cites

0

St Luke runs 200 certified beds as a nonprofit corporation in Oswego, and its staffing is the first thing to notice: 2.99 nurse hours per resident day, roughly 23 percent under the national average of 3.86, with weekend coverage dropping another 13 percent below its own weekday levels. Turnover sits at 52.3 percent against a national 45.8 percent, so the people around your relative change often. Inspections are mixed, 21 deficiencies on the current record, three serious enough to involve harm or jeopardy, none abuse-related, with the last visit in April 2023. A nonprofit's mission doesn't automatically become bedside hours, and here the numbers say coverage runs thin.

Nurse hours

3.40 /day

Staff turnover

46%

Serious cites

0

Island Nursing and Rehab runs 120 beds in Holtsville as a nonprofit, and its inspection record is genuinely clean, 13 deficiencies on the books, none reaching harm or jeopardy level, no abuse citations, with a survey as recent as August 2025. Where it gives ground is staffing: 3.40 nurse hours per resident day sits roughly 12 percent under the national average, and weekends dip about 11 percent below the home's own weekday coverage. Turnover lands at 45.9 percent, essentially identical to the national figure, so retention isn't the problem, the raw number of hands is. Ask how weekend coverage actually looks on the unit your family member would live on.