4,510 Independent Nursing Homes in the United States

Nurse hours

4.29 /day

Staff turnover

37%

Serious cites

0

North Central Health Care is county-run, and the staffing numbers are its strongest card: 4.29 nurse hours per resident day, about 11% above the national average, with turnover at 36.5% against a national 45.8%. Weekends run roughly 11% thinner than weekdays, so coverage isn't perfectly even. The inspection record is where the trouble sits, 20 deficiencies, two at harm or jeopardy level and one tied to abuse, plus two fines totaling $56,244 and a 2-out-of-5 inspection rating from CMS. That last inspection was August 2025, so the record is current rather than stale. Quality measures score well; the enforcement history is what weighs against it.

Nurse hours

4.48 /day

Staff turnover

33%

Serious cites

0

Prairie Maison runs a lean but consistent ship on the staffing side: 4.48 nurse hours per resident day is well above the national average, and a 32.8% turnover rate is meaningfully better than the typical 45.8%. Weekends dip about 8% below weekday coverage, but that gap isn't unusual. The trouble sits elsewhere. Thirteen deficiencies on the current record, including three at harm or jeopardy level and three tied to abuse, plus two fines totaling $152,525, point to real problems with how care is delivered and monitored. The most recent inspection was in July 2025, so the record is current. Strong staffing alone hasn't translated into clean inspections or quality outcomes here.

Nurse hours

3.76 /day

Staff turnover

66%

Serious cites

0

Hi-Desert Medical Center's skilled nursing unit in Joshua Tree runs 3.76 nurse hours per resident day, a bit under the national average, and weekend coverage drops about 13% from its own weekday level. Turnover is the harder number: 65.7% of staff leave each year, well above the 45.8% national rate. On inspections, the record shows 41 deficiencies, including one at the harm level and five tied to abuse. The staffing star sits at 2 out of 5, and the health inspection star at 1 out of 5, so the quality measure star of 4 is doing most of the lifting here. The last inspection was March 19, 2026.

Nurse hours

0.41 /day

Staff turnover

50%

Serious cites

0

Clarewood House runs on a fraction of the nursing hours you'd expect. Its 0.41 hours per resident day sits far under the national average of 3.86, roughly a tenth of it, and that thin coverage is why the staffing rating lands at the bottom. Weekend staffing actually runs higher than its own weekday level, which is unusual and suggests the weekday numbers are the real problem. Turnover sits at 50%, a bit above the national 45.8%. The inspection record is clean where it counts: five deficiencies, none at harm or jeopardy level, no abuse findings, and the most recent look was December 2025. Quality measures score well. The gap between how this place documents care and how much staff it actually has is the thing to press on.

Nurse hours

3.49 /day

Staff turnover

48%

Serious cites

0

Highland Meadows runs about 120 beds in Rockwall under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average of 3.86, and weekends drop another 7 percent below what the home staffs on weekdays, so the coverage gaps aren't evenly spread across the calendar. Turnover runs 48.2 percent against a national 45.8 percent, meaning nearly half the nursing staff turns over in a year. On the plus side, the current record shows 13 deficiencies with none at harm or jeopardy level, and a recent inspection. One abuse-related deficiency is on file. Ownership changed within the last 12 months, which is worth asking about directly.

Nurse hours

3.50 /day

Staff turnover

40%

Serious cites

0

Troy Health & Rehabilitation Center runs 220 certified beds under corporate ownership, and its staffing sits at 3.50 nurse hours per resident day, roughly 9% under the national average of 3.86. Weekends dip about 17% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which matters for continuity of care. The tougher reading comes from inspections: a 1-out-of-5 health inspection rating, a 1-out-of-5 quality measure rating, and 10 deficiencies on record, though none at harm or jeopardy level and none abuse-related. The last inspection was October 2022, so that record is aging. Ask to see current staffing schedules before deciding.

Nurse hours

3.98 /day

Staff turnover

—

Serious cites

0

Lamar Estates runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.98 hours per resident per day, a bit above the 3.86 national average, though weekend coverage drops roughly 13% below what it manages on weekdays. The inspection record is where the concern concentrates: 16 deficiencies, two of them serious enough to reach harm or jeopardy level, plus one tied to abuse, and a single fine of $42,390. The last inspection came January 29, 2026. CMS rates the health inspection side 2 out of 5 stars and quality measures just 1 out of 5, so staffing is doing most of the lifting here.

Nurse hours

3.20 /day

Staff turnover

52%

Serious cites

0

Pruitthealth - Lakeside runs 92 beds in Macon under for-profit LLC ownership, and the numbers pull in two directions. The health inspection record is genuinely strong, 10 deficiencies, none at harm or jeopardy level, no abuse findings, and a recent April 2026 inspection, while quality measures score at the top of CMS's scale. Staffing is the weak spot: 3.20 nurse hours per resident day sits about 17% under the national average, weekends drop roughly 15% below the home's own weekday level, and turnover runs 51.9% against a 45.8% national figure. A place can pass inspections and still leave your family member waiting on a call light. Ask specifically who covers Saturday and Sunday.

Nurse hours

3.36 /day

Staff turnover

55%

Serious cites

0

Majestic Care Of New Haven runs on thin staffing: 3.36 nurse hours per resident day, roughly 13% under the national average, and weekends drop about 18% below its own weekday levels. That shows up in the government's staffing rating, which sits at the bottom of the scale, and in turnover, 54.7% of staff leave each year against a national average near 46%. The inspection record carries 21 deficiencies, three tied to abuse, though none reached harm or jeopardy, and the last inspection was in January 2026. Quality measures look strong on paper, but that contrast with the staffing numbers is worth asking the administrator about directly.

Nurse hours

4.28 /day

Staff turnover

59%

Serious cites

0

Amelia Manor runs 151 certified beds in Lafayette under corporate for-profit ownership, and its nurse staffing sits at 4.28 hours per resident day, roughly 11% above the national average of 3.86. That's a real strength, though weekends dip about 16% below the home's own weekday levels, so coverage isn't even across the week. Annual turnover is 58.6% against a national 45.8%, which means many of the people providing that care are new. The current record shows 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was April 2026. The 4/5 inspection rating reflects that recent look, while the 2/5 quality measure rating points to clinical outcomes that don't match the staffing numbers.

Nurse hours

3.44 /day

Staff turnover

49%

Serious cites

0

Westwood Nursing Center runs lighter on nursing hours than most homes, 3.44 per resident day against a national average of 3.86, and weekends are thinner still, about 18% below what the building staffs Monday through Friday. That matters for a 108-bed for-profit home, because care doesn't pause on Saturdays. Turnover sits at 49%, a few points above the national rate, and the record shows 25 deficiencies, two tied to abuse, plus three fines totaling $22,936. No deficiency rose to the harm level, and the last inspection was recent, in December 2025. The quality measure score of 2 out of 5 is the weakest mark in the file.

Nurse hours

4.30 /day

Staff turnover

57%

Serious cites

0

Shearer-Richardson Memorial is run by the city or county, and it shows in the staffing: 4.30 nurse hours per resident day, about 11% above the national average of 3.86. Weekends drop roughly 16% below its own weekday level, though, and turnover sits at 56.6% against a national 45.8%, that's a lot of new faces for a 73-bed home. The inspection record is the harder part. Eighteen deficiencies, three at harm or jeopardy level and three tied to abuse, plus two fines totaling $20,050. The most recent inspection was October 8, 2025, so the picture is current, not stale.

Nurse hours

4.01 /day

Staff turnover

44%

Serious cites

0

Accura Healthcare of Neligh runs 4.01 nurse hours per resident day, which is slightly above the national average of 3.86, and turnover sits at 44.1%, marginally better than the 45.8% national figure. But the staffing star rating tells a different story: 1 out of 5. That gap comes from how thin weekends get, running about 16% below the home's own weekday coverage. The inspection record shows 21 deficiencies, three tied to abuse, though none rose to the level of actual harm or jeopardy. The most recent inspection was in March 2025. The quality measure rating is also 1 out of 5. A for-profit limited liability company operates the 70-bed home.

Nurse hours

3.49 /day

Staff turnover

35%

Serious cites

0

Katherine Luther Residential in Clinton is a 280-bed nonprofit home run by a church group, and its numbers tell a split story. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, and weekends run about 16 percent thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover is the brighter spot at 34.9 percent, well under the national 45.8 percent, which suggests a steadier workforce than many homes manage. The inspection record is the real concern: 33 deficiencies, four of them at harm or jeopardy level, one abuse-related, and $80,558 in fines across two penalties. The most recent inspection was August 2024.

Nurse hours

3.49 /day

Staff turnover

37%

Serious cites

0

St. Camillus runs 284 certified beds as a nonprofit, and its recent inspection history is the part worth knowing about. The January 2026 survey left 24 deficiencies on the record, including one at the harm level and one abuse-related citation, along with a $39,754 fine, that's a meaningful amount of regulatory attention in a single cycle. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends dip about 17% below the home's own weekday coverage, so the hours get thinnest exactly when families tend to visit. Turnover at 37.4% is better than the national 45.8%, which suggests some stability in the workforce, but the staffing and inspection ratings both land at 2 out of 5. Ask about that weekend coverage and the plan of correction.

Nurse hours

4.13 /day

Staff turnover

56%

Serious cites

0

The Center For Nursing And Rehab At Hoosick Falls runs on more nursing hours than most places, 4.13 per resident day against a national average of 3.86, and its quality measure score is solid. The catch is consistency: weekend staffing drops about 17% below its own weekday level, and annual turnover sits at 55.7%, well above the 45.8% national figure. Eighteen deficiencies appear on the current record, none serious enough to trigger a harm or jeopardy citation, though one is abuse-related. State inspectors last visited in October 2024. It's a nonprofit home with 82 beds whose numbers look better on paper than the weekend reality might.

Nurse hours

3.20 /day

Staff turnover

—

Serious cites

0

Kings Harbor is a 720-bed for-profit home in the Bronx, and its inspection record is the bright spot here, a four-star health inspection rating with 17 deficiencies on file, none of them serious enough to cause harm or jeopardy. But five of those deficiencies are abuse-related, which is worth asking about directly. The staffing and quality measure ratings both come in at one star, well below what you'd want for a building this size, and low staffing tends to show up in daily care long before it shows up on paper. The most recent inspection was December 2024, so the record is current.

Nurse hours

4.36 /day

Staff turnover

43%

Serious cites

0

Central Continuing Care sits in Mount Airy with 120 certified beds, run as a for-profit partnership. The nurse staffing number is the strongest part of the picture: 4.36 hours per resident day, roughly 13% above the national average, and turnover at 42.6% actually comes in slightly under the national rate. Weekends run about a fifth thinner than weekdays, so coverage isn't even across the week. Ten deficiencies show on the current record, none rising to harm or jeopardy, though three are abuse-related, that's the detail worth asking about. One fine totaling $5,597, and a September 2025 inspection means the record is recent.

Nurse hours

3.64 /day

Staff turnover

32%

Serious cites

0

Liberty Nursing Center Of Mansfield runs 68 certified beds under individual for-profit ownership, and its strongest number is staff retention: 32% turnover against a national average near 46%. That stability matters, because consistent caregivers know the residents. Staffing hours land at 3.64 per resident day, roughly 6% under the national average, and weekends dip about 15% below the home's own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is the harder read: 35 deficiencies, four at harm or jeopardy level, four tied to abuse, and a $41,243 fine, with the most recent inspection in May 2025.

Nurse hours

3.31 /day

Staff turnover

37%

Serious cites

0

Crystal Care Center Of Mansfield runs lean on direct care: 3.31 nurse hours per resident day, roughly 14% under the national average of 3.86. Weekends dip about 17% below what the home staffs on weekdays, so coverage thins exactly when families tend to visit. Turnover sits at 36.5%, better than the 45.8% national figure, which suggests some stability in who's showing up. Inspections look solid, a 4/5 health inspection star and a 4/5 quality measure star, with the last visit in August 2024 and 13 deficiencies on record, one serious enough to reach harm or jeopardy level, none abuse-related. The staffing star tells the other side of the story.