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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 3041–3060 of 4,510, best-graded first.

B

71/100

Skyland Terrace And Rehabilitation

Waynesville, NC · Haywood County

CMS 4/5 90 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
53%
Serious cites
0

Skyland Terrace runs 90 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12 percent under the national average of 3.86. Weekends get thinner still, about 12 percent below the home's own weekday coverage, and annual turnover of 53.3 percent runs well above the 45.8 percent national figure. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, plus a single fine of $8,512. Its most recent inspection was February 2026, so the picture is current. A 4-star health inspection score sits alongside middling marks for quality measures and staffing, steady state oversight, but leaner day-to-day coverage than most homes.

B

71/100

Hillside Nursing Center Of Wake Forest

Wake Forest, NC · Wake County

CMS 5/5 130 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
46%
Serious cites
0

Hillside Nursing Center Of Wake Forest runs 130 certified beds under corporate for-profit ownership, and its inspection record is the strongest part of the picture: one deficiency on the current record, none at the harm or jeopardy level, none abuse-related, with the last inspection in September 2025. Staffing is where it thins out. At 3.81 nurse hours per resident day, it sits just under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so a family visiting on a Sunday may notice less coverage than midweek. Annual turnover of 45.7% essentially matches the national rate of 45.8%, meaning nearly half the nursing staff turns over in a year.

B

71/100

Tioga Medical Center Ltc

Tioga, ND · Williams County

CMS 3/5 30 beds Non-profit Medicaid
Nurse hours
5.95 /day
Staff turnover
66%
Serious cites
0

Tioga Medical Center's long-term care unit runs on unusually thin margins of people, not hours. The raw staffing number looks generous, 5.95 nurse hours per resident day against a national average around 3.86, but that figure masks a workforce cycling out fast enough to matter: 65.5% annual turnover, well above the 45.8% national rate. Weekend coverage drops roughly 11% below weekday levels, and the quality measure score sits at 1 out of 5 stars despite the 4-star staffing rating. Sixteen deficiencies are on the current record, including one at the harm level and two tied to abuse, with a single $11,408 fine. The last inspection was March 2025. A nonprofit with 30 beds can be a close-knit place; this one's numbers suggest watching staff consistency closely.

B

71/100

Jennings Hall

Garfield Heights, OH · Cuyahoga County

CMS 3/5 156 beds Non-profit Medicaid
Nurse hours
3.66 /day
Staff turnover
49%
Serious cites
0

Jennings Hall sits at 156 beds in Garfield Heights, run by a nonprofit corporation. Nurse staffing runs 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly 11% below what the home staffs on weekdays. Annual turnover is 48.6%, a few points above the national rate, so the people caring for residents change fairly often. Inspectors last visited in September 2024 and found 17 deficiencies, none involving harm or abuse, which matters more than the raw count suggests. The federal stars land at 3 for health inspections, 3 for quality measures, and 2 for staffing, so the weaker numbers here are about coverage and consistency rather than safety violations.

B

71/100

Tranquility Of Richmond Heights

Richmond Heights, OH · Cuyahoga County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
3.79 /day
Staff turnover
77%
Serious cites
0

Tranquility of Richmond Heights runs 60 beds under for-profit LLC ownership, and the staffing picture is the weak spot: 3.79 nurse hours per resident day sits just under the national average, and weekends drop about 5% below its own weekday level. Turnover is the bigger concern, 77.3% of nursing staff leaving annually, well above the 45.8% national figure, which makes consistent care hard to sustain. Inspections back that up with 33 deficiencies on record, including one abuse-related citation, though none rose to harm or jeopardy level. The 5/5 quality measure rating stands out against a 2/5 inspection score and 1/5 staffing score, so ask how that quality number is earned.

B

71/100

Memorial Heights Nursing Center

Idabel, OK · Mccurtain County

CMS 2/5 118 beds Non-profit Medicaid
Nurse hours
3.96 /day
Staff turnover
61%
Serious cites
0

Memorial Heights runs 118 certified beds in Idabel as a nonprofit corporation. Nurse staffing sits at 3.96 hours per resident day, a bit above the national average of 3.86, though weekends dip roughly 3% below its own weekday level. What stands out is turnover: 60.9% annually against a national average of 45.8%, meaning a large share of the people caring for residents are new to the building. The inspection record is heavier than you'd want, 28 deficiencies, including one at the harm level and four tied to abuse, with a $7,443 fine on file. Its last inspection was in April 2026.

B

71/100

Shanoan Springs Nursing And Rehabilitation

Chickasha, OK · Grady County

CMS 3/5 82 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
74%
Serious cites
0

Shanoan Springs runs about 4.09 nurse hours per resident day, roughly 6% above the national average, so the raw staffing number looks fine on paper. The problem is who's actually there: annual turnover hits 73.8% against a national average near 46%, and weekends run about 10% leaner than weekdays, so the coverage families see on a Tuesday may not be what shows up on a Sunday. The home's record carries 24 deficiencies, including one at the harm level and two tied to abuse, with one fine of $12,740. Inspectors last visited in May 2025.

B

71/100

Baptist Village Of Owasso

Owasso, OK · Tulsa County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
72%
Serious cites
0

Baptist Village Of Owasso runs a nonprofit home with 120 beds, and the raw nursing hours look strong on paper, 4.78 per resident day, roughly a quarter above the national average. But look closer and the picture gets uneven: weekend staffing drops about 11% below its own weekday level, and annual turnover hits 71.9%, well above the 45.8% national figure. That churn matters more than the headline number, because consistent caregivers know residents. The inspection record shows 14 deficiencies, including two at the harm level and two related to abuse, with $18,155 in fines across two penalties.

B

71/100

Shawnee Colonial Estates Nursing Home

Shawnee, OK · Pottawatomie County

CMS 1/5 161 beds For-profit Medicaid
Nurse hours
3.91 /day
Staff turnover
48%
Serious cites
0

Shawnee Colonial Estates runs 161 certified beds under corporate ownership, and its staffing works out to 3.91 nurse hours per resident day, barely above the national average of 3.86, with weekends running roughly 9% thinner than weekdays. Turnover sits at 47.5%, a bit worse than the 45.8% national figure, so the faces change often. The inspection record is the real concern: a 1-out-of-5 health inspection rating, 19 deficiencies on the current record including one at the harm level, and a $44,355 fine, though nothing abuse-related. The most recent inspection was April 2025, so the picture is current. Quality measures land at 2 out of 5.

B

71/100

Nehalem Valley Care Center

Wheeler, OR · Tillamook County

CMS 3/5 50 beds Non-profit Medicaid
Nurse hours
4.78 /day
Staff turnover
63%
Serious cites
0

Nehalem Valley Care Center runs on a nurse staffing level of 4.78 hours per resident day, roughly a quarter more than the national average, and that holds up fairly well on weekends, dipping only about 5% below its own weekday pace. The catch is who's delivering that care: turnover sits at 63.2%, well above the national 45.8%. On paper this nonprofit's 42 deficiencies include none at the harm level, though two are abuse-related, and one $16,801 fine is on record. The most recent inspection was in June 2025, so the picture is current, but the 2/5 quality measure rating suggests the day-to-day results don't fully match the staffing numbers.

B

71/100

Spring Creek Rehabilitation And Nursing Center

Harrisburg, PA · Dauphin County

CMS 2/5 404 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
36%
Serious cites
0

Spring Creek runs 404 beds under for-profit LLC ownership, and its nurse staffing sits at 3.23 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends drop about 12 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is the brighter spot: 36.4 percent against a national 45.8 percent, meaning more consistent caregivers than average. The inspection record is the real concern, 39 deficiencies, four at harm or jeopardy level, two tied to abuse, and $63,506 in fines across four penalties. That last inspection was May 2026, so the record is current, not stale.

B

71/100

Neffsville Nursing And Rehabilitation

Lancaster, PA · Lancaster County

CMS 1/5 240 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
44%
Serious cites
0

Neffsville Nursing and Rehabilitation runs 240 certified beds in Lancaster under corporate for-profit ownership, and its inspection record is the real story here: 33 deficiencies on file, including two at the harm or jeopardy level and one tied to abuse. CMS gives it 1 out of 5 stars for health inspections and 2 for quality measures. Nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average, and weekends drop about 8 percent below its own weekday levels. Staff turnover is 44.3 percent, essentially in line with the national 45.8 percent. Its last inspection was November 15, 2024. If you're weighing this one, ask directly how they've addressed the harm-level findings.

B

71/100

Pleasant Ridge Manor East/West

Girard, PA · Erie County

CMS 4/5 300 beds Government Medicaid
Nurse hours
4.45 /day
Staff turnover
72%
Serious cites
0

Pleasant Ridge Manor runs a county-owned operation in Girard with 300 beds, and its nurse staffing sits about 15% above the national average, 4.45 hours per resident day against 3.86. That's a real cushion, though weekends run roughly 11% thinner than weekdays, and staff turnover hits 71.5% against a national 45.8%, so the people delivering that care churn heavily. Inspections are recent, from June 2025, and the health inspection rating is strong, but the current record carries 21 deficiencies, including one at the harm level and two tied to abuse. A single fine of $10,033 rounds it out. Good staffing numbers, but the turnover and deficiency history are what pull the overall picture down.

B

71/100

Riverview Post Acute

Ashland City, TN · Cheatham County

CMS 2/5 95 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
53%
Serious cites
0

Hillcrest runs 95 beds in Ashland City, and its overall nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though the federal staffing rating still comes in at just one star out of five. That gap tells you something: the average looks fine, but the weekend numbers run about 14 percent below weekday levels, and turnover hits 53.2 percent against a national 45.8. More than half the nursing staff turning over in a year is worth asking about directly. The inspection record shows 13 deficiencies, none at the harm level and none abuse-related, with the most recent visit in January 2026.

B

71/100

Knollwood Manor

Lafayette, TN · Macon County

CMS 1/5 49 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
33%
Serious cites
0

Knollwood Manor runs on thinner staffing than most homes, about 3.41 nurse hours per resident day against a national average near 3.86. Turnover sits at 33.3%, better than the 45.8% national figure, so the people who stay tend to stay. The harder numbers are on the inspection side: 18 deficiencies on record, four of them serious enough to involve harm or jeopardy, and three tied to abuse. Both the health inspection and quality measure ratings come in at one star out of five. The last inspection was recent, November 2025, so this record reflects how the home operates now, not an old problem already cleaned up. Ownership is a for-profit corporation.

B

71/100

The Suites At Jordan River

Collierville, TN · Shelby County

CMS 3/5 60 beds Non-profit
Nurse hours
4.49 /day
Staff turnover
55%
Serious cites
0

The Suites At Jordan River runs a nonprofit shop with 60 beds in Collierville, and staffing is the one number that stands out in a good way: 4.49 nurse hours per resident day, roughly 16 percent above the national average. Weekends dip about 11 percent below its own weekday coverage, though, and turnover sits at 54.8 percent against a national 45.8, people are leaving faster than average. The tradeoff shows up on the clinical side, where the quality measure rating is 1 out of 5 and the last inspection in March 2025 produced 8 deficiencies, none at harm level but one tied to abuse. Three fines totaling $17,644 round out the record.

B

71/100

Bledsoe County Nursing Home

Pikeville, TN · Bledsoe County

CMS 4/5 50 beds Government Medicaid
Nurse hours
3.26 /day
Staff turnover
46%
Serious cites
0

Bledsoe County Nursing Home is a 50-bed county-run facility in Pikeville, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends run about 12 percent lighter than weekdays there, so the leanest coverage lands when families tend to visit. Turnover is 46.2 percent, essentially tracking the national 45.8 percent. The current record shows four deficiencies, none at the harm or jeopardy level and none abuse-related, which is the reassuring part. Its last inspection was August 2023. What you're weighing: adequate but not generous staffing, average retention, and a clean serious-deficiency record. Ask how they cover weekends.

B

71/100

Greensville Health And Rehabilitation Center

Emporia, VA · Emporia City County

CMS 3/5 65 beds For-profit Medicaid
Nurse hours
3.07 /day
Staff turnover
46%
Serious cites
0

Greensville Health and Rehabilitation Center runs 65 certified beds in Emporia under corporate for-profit ownership. The staffing numbers are the main thing to know: 3.07 nurse hours per resident day, roughly 21% under the national average of 3.86, with weekends about 10% thinner than weekdays. Turnover sits at 45.7%, essentially matching the national rate. The inspection record shows 35 deficiencies, two of them serious enough to involve harm or jeopardy, though none abuse-related, and the last inspection was in July 2023. Quality measures score well, but with staffing that thin and two harm-level findings on the books, ask directly how nurse coverage holds up on weekends and nights.

B

71/100

Brian Center Of Fincastle

Fincastle, VA · Botetourt County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.61 /day
Staff turnover
53%
Serious cites
0

Brian Center Of Fincastle runs a nonprofit home with 60 certified beds, and the raw staffing number looks strong: 4.61 nurse hours per resident day, about 19% above the national average. But that average hides a gap, weekend coverage drops roughly 14% below what the home staffs on weekdays, and turnover sits at 52.9% against a national 45.8%, so the people providing that care are cycling through. Inspections tell a mixed story too: solid marks on health and quality measures, yet 21 deficiencies on the current record, including one at the harm level and one abuse-related, with $23,102 in fines and no inspection since August 2022.

B

71/100

Landmark Care And Rehabilitation

Yakima, WA · Yakima County

CMS 1/5 93 beds For-profit Medicaid
Nurse hours
3.98 /day
Staff turnover
38%
Serious cites
0

Landmark Care and Rehabilitation runs 93 beds in Yakima under corporate for-profit ownership, and the numbers pull in two directions. Nurse staffing sits at 3.98 hours per resident day, a bit above the national average, and the 37.5% turnover rate is better than the typical home, though weekends dip about 15% below weekday coverage. The trouble is the inspection record: 64 deficiencies, including 6 at the harm or jeopardy level and 8 tied to abuse, plus three fines totaling $277,867. A 1-out-of-5 health inspection rating against a 4-out-of-5 staffing rating tells you the people are there, but something in the care environment keeps going 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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