4,510 Independent Nursing Homes in the United States

Nurse hours

4.18 /day

Staff turnover

60%

Serious cites

0

Brown Memorial Home in Circleville runs a tight ship on the clinical side, 23 deficiencies on its current record, but none of them rose to actual harm or jeopardy, and nothing abuse-related. A December 2025 inspection means the findings are recent, not stale. Nurse staffing sits at 4.18 hours per resident day, roughly 8% above the national average, though weekends drop about 20% below the home's own weekday coverage, so care can thin out on Saturdays and Sundays. The bigger concern is turnover: 60% of staff leaving annually against a national average near 46%, which can wear on continuity even when raw hours look good.

Nurse hours

4.85 /day

Staff turnover

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Serious cites

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Corn Heritage Village has plenty of hands on deck, 4.85 nurse staffing hours per resident day, roughly 26% above the national average of 3.86, but the inspection record tells a rougher story. Twelve deficiencies on file, three of them serious enough to put residents in harm's way, plus an abuse-related citation and a single $50,622 fine. Weekend staffing drops about 13% from weekday levels, so coverage thins out when families tend to visit. A church-affiliated nonprofit owns it, which can mean mission over margin, but that hasn't kept the state out: the last inspection was November 2024, and the health inspection rating sits at 1 out of 5.

Nurse hours

3.36 /day

Staff turnover

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Serious cites

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Sienna Extended Care & Rehab runs about 13% below the national average on nurse staffing, at 3.36 hours per resident day against 3.86 nationally, and weekend coverage drops roughly 12% below what the building manages on weekdays. That thin weekend staffing matters because the home carries 31 deficiencies on its current record, including two at the harm or jeopardy level and four tied to abuse. Federal inspectors were last in the building in April 2025, so the record is fairly current. The corporate owner operates it for profit, and the low staffing score paired with middling inspection and quality results points to a home where the day-to-day care depends heavily on whether enough aides and nurses actually show up.

Nurse hours

3.84 /day

Staff turnover

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Serious cites

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Mt Macrina Manor runs 124 certified beds as a nonprofit, and its nurse staffing sits right at the national average, 3.84 hours per resident day against 3.86 nationally. Weekends are where it thins out, with staffing about 7% below its own weekday level, so care on Saturdays and Sundays looks a bit different than midweek. The current inspection record shows 18 deficiencies, none at the harm or jeopardy level, though one is abuse-related. Last inspected in August 2025. CMS gives it middle marks on health inspections and lower marks on quality measures and staffing, which is the tension worth understanding here: adequate hours on paper, softer results in the measures that track outcomes.

Nurse hours

4.03 /day

Staff turnover

43%

Serious cites

0

Wyndridge runs a 157-bed nonprofit home in Crossville with nurse staffing at 4.03 hours per resident day, a bit above the national average, and turnover at 43.1%, slightly better than the typical nursing home. Weekends are the soft spot: staffing drops roughly 20% below weekday levels, so ask how that plays out on a Saturday. The inspection record shows 11 deficiencies, none at the harm level, but two tied to abuse, which is worth asking about directly. Its quality measure score sits at the low end even as staffing and inspections hold mid-range. Recent inspection: March 2026.

Nurse hours

5.76 /day

Staff turnover

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Serious cites

0

Ave Maria Home sits in Bartlett with 100 certified beds under nonprofit ownership, and its nurse staffing runs about 5.76 hours per resident day, roughly 49% above the national average. That sounds strong until you notice weekends drop about 11% below the home's own weekday coverage, so the hours aren't as steady as the yearly figure suggests. The inspection record is where the picture darkens: 18 deficiencies on file, including one at the harm or jeopardy level and two tied to abuse. Two fines total $27,921, and the last inspection was May 2022, more than three years ago. So you have above-average staffing paired with a mid-tier staffing rating and real, documented problems. Worth asking the administrator directly about those abuse deficiencies and what's changed since 2022.

Nurse hours

4.34 /day

Staff turnover

61%

Serious cites

0

Maple Lane runs 4.34 nursing hours per resident per day, roughly 12% above the national average of 3.86, and its most recent inspection in April 2026 came back clean at the harm level, zero deficiencies there, which is genuinely hard to do. The catch is staffing stability. Turnover sits at 61.1% against a national 45.8%, and weekend coverage drops about 17% below weekday levels, so the people giving care change often and thin out on Saturdays and Sundays. Thirteen deficiencies total, one abuse-related, and a 2/5 on quality measures pull against that strong inspection record. The for-profit LLC ownership rounds out the picture.

Nurse hours

4.33 /day

Staff turnover

59%

Serious cites

0

Washington Odd Fellows Home runs a nonprofit operation with 53 certified beds in Walla Walla, and its nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average. That's a real strength, though weekend coverage drops about 22% below its own weekday level, and annual turnover of 58.6% is well above the 45.8% national figure. The trouble shows up in its record: 54 deficiencies, including 3 at the harm or jeopardy level and 7 tied to abuse, plus a $67,616 fine. Its last inspection was August 2025. Strong quality scores don't cancel out that inspection history, and the staffing edge narrows considerably on weekends.

Nurse hours

2.95 /day

Staff turnover

38%

Serious cites

0

Medina Valley runs lean on nurses: 2.95 hours per resident per day against a national average of 3.86, and weekends drop about 19% below its own weekday staffing. That thin coverage is the main reason its staffing rating sits at the bottom of the federal scale, even though annual turnover of 37.5% is actually better than the 45.8% national figure. Inspections look stronger, a recent visit in February 2026 and no deficiencies at the harm or jeopardy level, but the record still carries 36 total deficiencies, three of them abuse-related, which matters more than the clean severity finding suggests.

Nurse hours

3.73 /day

Staff turnover

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Serious cites

0

Oak Grove Nursing Home runs on thin staffing. Its CMS staffing rating sits at 1 out of 5, meaning nurse hours per resident fall well below what most Texas homes report, and that's the number that shapes daily life, not the inspection sheet. The health inspection side looks better, a 4 out of 5 with 14 deficiencies on record and none at harm level, though three abuse-related citations are worth asking about directly. Quality measures come in at 2 out of 5. Government hospital district ownership is stable, and the most recent inspection was September 2025, so the record is current. Weigh the low staffing against the recent clean inspection before deciding.

Nurse hours

3.75 /day

Staff turnover

52%

Serious cites

0

Cornerstone Gardens is a 130-bed for-profit home in Temple, and its numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident per day, slightly under the national average, with weekends running about 20% lighter than weekdays, a gap families often feel when they visit Saturday or Sunday. Staff turnover is 51.5%, meaning roughly half the caregivers change out over a year, well above the national rate of 45.8%. On paper the quality measures look decent, but 15 deficiencies on the current record, two of them at harm or jeopardy level, and one $15,757 fine are the harder facts. The last inspection was May 2025, so the record is fairly current. If you're considering this home, ask specifically about weekend coverage and how they've addressed those harm-level findings.

Nurse hours

3.31 /day

Staff turnover

—

Serious cites

0

Las Alturas runs on 3.31 nurse hours per resident day, about 14% under the national average, and weekends drop roughly another 11% below its own weekday staffing. That thin coverage is what pulls its staffing rating down to 1 out of 5 stars, even though state inspectors gave it 4 out of 5 on health inspections and 4 out of 5 on quality measures. The current record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, none tied to abuse, plus a single fine of $8,434. A recent July 2025 inspection means the picture is current, not stale. The split here is real: care processes look decent, but the daily nurse hours behind them are below what most homes provide.

Nurse hours

2.62 /day

Staff turnover

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Serious cites

0

Southern Oaks runs lean on nursing staff, 2.62 hours per resident per day against a national average of 3.86, roughly a third less. Weekends dip about 5% below its own weekday level, so the thinnest coverage lands when families tend to visit. The 21 deficiencies on record don't include any at the harm or jeopardy level and none tied to abuse, which matters. The trade-off shows up elsewhere: strong quality measures, middling inspections, and staffing that pulls the overall picture down. State surveyors were last in the building in September 2025, so the inspection record is recent. Ask what the direct-care aide-to-resident ratio looks like on a Sunday afternoon.

Nurse hours

4.52 /day

Staff turnover

—

Serious cites

0

Collinsville Healthcare & Rehab sits at 200 certified beds under corporate for-profit ownership, and its nurse staffing runs about 4.52 hours per resident day, roughly 17% above the national average of 3.86. That's a real cushion, but weekends dip about 19% below the home's own weekday level, so coverage isn't evenly spread across the week. The current record shows 8 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated February 2025. CMS rates the health inspection and staffing at 3 out of 5 stars, while the quality measure score comes in at 1 out of 5, a split that's worth asking about directly, since it suggests the day-to-day numbers look better than the resident outcome measures.

Nurse hours

3.67 /day

Staff turnover

57%

Serious cites

0

The Gardens Rehab & Care Center runs 58 certified beds in Kingman under corporate for-profit ownership, and its nurse staffing sits at 3.67 hours per resident day, roughly 5% under the national average of 3.86, with weekends about 14% thinner than weekdays. Annual turnover is 57.1% against a national 45.8%, so the people caring for residents change often. The current inspection record shows eight deficiencies, none at the harm or jeopardy level, but four tied to abuse, and the quality measure rating sits at 2 out of 5. Staffing and health inspection ratings each land at 3. The most recent inspection was January 8, 2026, so the picture is current, not stale.

Nurse hours

3.30 /day

Staff turnover

55%

Serious cites

0

Sage Post Acute runs 99 certified beds in Hayward, and the staffing numbers are the clearest thing to look at here. At 3.30 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends dip a further 3% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 55% against a national 45.8%, which means aides and nurses are cycling through steadily. The inspection record shows 42 deficiencies, including one at harm or jeopardy level and two tied to abuse, with a single fine of $4,938. The most recent inspection was August 2025, so the picture is current. Individual, for-profit ownership.

Nurse hours

3.97 /day

Staff turnover

38%

Serious cites

0

Pittsburg Skilled Nursing Center runs 49 beds in Contra Costa County under corporate for-profit ownership, and its staffing sits slightly above the national average at 3.97 nurse hours per resident day. Turnover is better than most too, at 37.5% against a national 45.8%. But the inspection record tells a harder story: 39 deficiencies on file, three tied to abuse, plus a $10,793 fine. CMS rated its quality measures 1 out of 5 and its health inspections 2 out of 5, with the last visit in August 2024. Weekend staffing also dips about 7% below its own weekday level. The care numbers are mediocre even where the staffing looks solid.

Nurse hours

— /day

Staff turnover

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Serious cites

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St. Anne's Home in San Francisco is a small nonprofit operation, 46 beds, and its state inspections have generally gone well enough to earn four out of five stars. On paper, that's the strongest thing going for it. The problem shows up in the staffing numbers, where CMS gives it just one star out of five, meaning it runs leaner on direct care than most homes in the country. Its inspection record lists 17 deficiencies, none of which involved actual harm or abuse, so nothing here suggests danger, just a home that passes its checkups while operating with fewer hands on deck than you'd probably want for a family member who needs daily help.

Nurse hours

3.39 /day

Staff turnover

47%

Serious cites

0

Stoddard Baptist runs 164 beds as a nonprofit, and its nurse staffing sits around 12% under the national average, 3.39 hours per resident day against 3.86. Weekends thin out further, roughly 14% below its own weekday coverage, and turnover lands at 47%, slightly worse than the 45.8% national figure. The inspection record is where the real weight sits: 56 deficiencies, four serious enough to involve harm or jeopardy, eight tied to abuse, and two fines totaling $97,426. The most recent inspection was March 2024, so that record is current rather than stale. Quality measures score well, but staffing and the deficiency history are what a family should be asking about on a tour.

Nurse hours

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Staff turnover

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Serious cites

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The Hsc Pediatric Skilled Nursing Facility is a small nonprofit home in Washington with just 16 certified beds, and its recent inspection record is a mixed picture. The 32 deficiencies on file include five abuse-related citations, which families should ask about directly, though none rose to the level of actual harm or jeopardy. Staffing is where this home struggles most, rating at the bottom of the federal scale, well below what CMS considers adequate. The good news is that a July 2025 inspection gives you current information to work with, and the health inspection side scored well. If you're considering it, prioritize asking about direct-care hours per resident and how the abuse citations were resolved.