ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

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 3101–3120 of 4,510, best-graded first.

B

70/100

Oaks Of Clearwater, The

Clearwater, FL · Pinellas County

CMS 2/5 60 beds For-profit Medicaid
Nurse hours
4.01 /day
Staff turnover
58%
Serious cites
0

Oaks Of Clearwater runs 60 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.01 hours per resident day, roughly 4% above the national average of 3.86. That headline number is doing some work, though: weekend coverage drops about 6% below the home's own weekday level, and annual staff turnover hits 58.3% against a national average of 45.8%. The inspection record shows 30 deficiencies, none at the harm or jeopardy level, but one tied to abuse, and the most recent inspection was October 2, 2025. CMS rates health inspections and staffing 2 out of 5 stars each, with quality measures at 3. Adequate hands on weekdays, a thinner weekend, and a lot of new faces.

B

70/100

Brighton Bay Center For Rehabilitation And Healing

Saint Petersburg, FL · Pinellas County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.54 /day
Staff turnover
58%
Serious cites
0

Brighton Bay runs 3.54 nurse hours per resident day, roughly 8% under the national average, and weekend staffing dips about 7% below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover sits at 58.2% against a national 45.8%, meaning more than half the nursing staff turns over in a year. The health inspection record shows 29 deficiencies, two tied to abuse, though none rose to actual harm or jeopardy; the last inspection was March 2025. Quality measures score well, which is where much of the grade comes from, but staffing and inspections are the weaker parts of this picture.

B

70/100

Wrights Healthcare And Rehabilitation Center

Seminole, FL · Pinellas County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.45 /day
Staff turnover
51%
Serious cites
0

Wrights Healthcare runs about 60 beds in Seminole under for-profit LLC ownership, and its staffing sits roughly 11% under the national average at 3.45 nurse hours per resident day. Weekends drop about 7% below its own weekday coverage, and turnover hits 51%, higher than the 45.8% national figure. The inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $34,333 fine. CMS rated the quality measures 5 out of 5 but staffing just 2, and the most recent inspection was January 22, 2026. The quality scores look strong; the hands-on coverage and the abuse-related finding are what a family should ask about directly.

B

70/100

Wedgewood Healthcare And Rehabilitation Center

Lakeland, FL · Polk County

CMS 2/5 120 beds For-profit Medicaid
Nurse hours
3.24 /day
Staff turnover
48%
Serious cites
0

Wedgewood runs on 3.24 nurse hours per resident day, about 16 percent under the national average of 3.86. That shortfall is why its staffing rating sits at the bottom of CMS's scale, and it's worth knowing that weekend coverage doesn't drop further from its own weekday level. Turnover is 47.7 percent, slightly above the national 45.8 percent, so the faces around residents change fairly often. The inspection record shows 19 deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations. State surveyors last visited in December 2024. Quality measures score well above average, but that number reflects charted care, not hours worked at the bedside. A for-profit corporation owns the 120-bed home.

B

70/100

Gulfport Nursing Center

Pasadena, FL · Pinellas County

CMS 1/5 126 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
48%
Serious cites
0

Gulfport Nursing Center runs 126 beds in Pasadena under for-profit LLC ownership, and its staffing sits at 3.59 nurse hours per resident day, roughly 7% under the national average of 3.86, with weekends about 10% thinner than weekdays. Turnover runs 47.5% against a national 45.8%, so the people at the bedside keep changing. What stands out most is the inspection record: 26 deficiencies, three serious enough to involve harm or jeopardy, one tied to abuse, and five fines totaling $17,291, with the last inspection in June 2025. Its quality and staffing scores read middle-of-the-road, but the enforcement history is what a family should weigh.

B

70/100

Orlando Health Center For Rehabilitation

Ocoee, FL · Orange County

CMS 4/5 10 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Orlando Health Center For Rehabilitation is a small place, just 10 certified beds, and its last inspection, in February 2025, came back clean enough to earn the top federal rating for health inspections. Nine deficiencies sit on the current record, none causing actual harm, though two are abuse-related, which is worth asking about directly. Where the numbers turn is staffing: the federal staffing rating is 1 out of 5, the lowest tier, and at a 10-bed home that thin coverage has less room to absorb a bad night. Corporate, for-profit ownership. Good inspection results, weak daily staffing, that combination is the whole story here.

B

70/100

Presbyterian Village

Austell, GA · Cobb County

CMS 2/5 107 beds Non-profit Medicaid
Nurse hours
4.59 /day
Staff turnover
38%
Serious cites
0

Presbyterian Village runs about 4.59 nursing hours per resident each day, roughly 19% above the national average, and weekend coverage holds within about 10% of weekday levels. Staff turnover sits at 38.2%, better than the 45.8% national figure. The weaker spots are inspections and quality measures, both rated 2 out of 5, with 12 deficiencies on the current record, none at harm or jeopardy level and none abuse-related, plus one fine of $64,718. The last inspection was January 29, 2026. For a 107-bed nonprofit, the bedside staffing is the real strength here; the survey history is what pulls the overall picture down.

B

70/100

Healthcare At College Park, Llc

College Park, GA · Fulton County

CMS 1/5 100 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Healthcare At College Park runs 100 certified beds as a for-profit LLC, and its last inspection came in August 2024. The record shows 18 deficiencies, none of them rising to actual harm or jeopardy, but one is abuse-related, that's the kind of flag that matters more than the total count. Staffing is where this home really trails, sitting at 1 out of 5 stars against the national average. Inspection results land at 2 stars. So you've got a building that isn't failing outright on the harm scale but is thin on direct care hours, which tends to shape daily life more than any single survey finding. Ask about weekend and night staffing before you decide.

B

70/100

Smith Medical Nursing Care Ctr

Sandersville, GA · Washington County

CMS 1/5 56 beds For-profit Medicaid
Nurse hours
2.58 /day
Staff turnover
46%
Serious cites
0

Smith Medical Nursing Care Ctr runs on 2.58 nurse hours per resident day, roughly a third below the national average of 3.86. Weekend staffing doesn't drop off from its weekday level, so coverage stays even, but even coverage of a thin schedule is still thin. Turnover sits at 45.9%, almost exactly the national rate, and the home carries 32 deficiencies on its current record, two of them serious enough to reach harm or jeopardy. The last inspection was in August 2025, so the record is recent. Quality measures score well, but staffing and health inspection results are where the trouble shows.

B

70/100

Evergreen Health And Rehabilitation Center

Rome, GA · Floyd County

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

Evergreen Health and Rehabilitation Center runs 100 beds in Rome under for-profit LLC ownership, and the numbers describe a home that's adequate but stretched. Nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, and weekends drop roughly 27% below what the home itself staffs on weekdays, so the coverage your family member gets depends heavily on which day they need it. Turnover at 33.3% is actually better than the 45.8% national figure, which suggests some consistency in who's showing up. Ten deficiencies on record, none causing harm and none abuse-related, with the most recent inspection in January 2026. The quality measure rating of 2 out of 5 is the number worth asking about directly.

B

70/100

4Angels Of Byromville Healthcare Center

Byromville, GA · Dooly County

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

4Angels Of Byromville Healthcare Center just came through a recent inspection with a clean record on serious issues, 8 deficiencies total, none at the harm or jeopardy level, and nothing abuse-related. That's a meaningful baseline. What worries me is the staffing side, where the federal star rating sits at the lowest mark, meaning nurse and aide hours per resident fall well below what CMS expects. The inspection side earned a 4 out of 5; staffing earned a 1. That gap between a solid inspection and thin day-to-day coverage is the whole story here, and it's worth asking what happens on a Tuesday afternoon, not just what a surveyor found in one week.

B

70/100

Polo Rehabilitation & Hcc

Polo, IL · Ogle County

CMS 3/5 81 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Polo Rehabilitation & HCC passed its last state inspection in July 2024 with no deficiencies that caused actual harm or put anyone in immediate jeopardy, which is the most important thing a family can hear. The problem sits on the staffing side: CMS rates this home at the bottom of its scale, meaning resident care hours run well below what the federal government considers adequate, and low staffing is where day-to-day problems tend to start. The record also shows 29 deficiencies, four tied to abuse, and the building is owned by a for-profit corporation. Good inspections, thin coverage, worth asking about direct-care hours per resident before you decide.

B

70/100

River Bluff Nursing Home

Rockford, IL · Winnebago County

CMS 2/5 304 beds Government Medicaid
Nurse hours
4.19 /day
Staff turnover
44%
Serious cites
0

River Bluff runs a 304-bed for-profit operation in Rockford, and the staffing numbers are the strongest thing it has going: 4.19 nurse hours per resident day, roughly 8% above the national average, with weekend coverage dipping about 8% below its own weekday levels. Turnover sits at 44.4%, essentially in line with the national figure. The concerns show up elsewhere. Thirty-six deficiencies are on the current record, five of them at harm or jeopardy level and three abuse-related, and the quality measure rating lands at 2 out of 5. A single fine of $10,199 and an inspection from April 2025 round out the picture.

B

70/100

Hillcrest Retirement Village

Round Lake Beach, IL · Lake County

CMS 3/5 140 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
15%
Serious cites
0

Hillcrest Retirement Village runs lean on the floor: 2.82 nurse hours per resident day against a national average of 3.86, and weekends drop another 9% below its own weekday staffing. That's a real gap when a resident needs help on a Saturday afternoon. What the home does have is stability, 15.1% turnover versus 45.8% nationally means the aides and nurses who are there tend to stay, which matters for knowing residents' routines. The tradeoff shows in the record: 25 deficiencies, three at harm or jeopardy level and two tied to abuse, plus one fine of $18,974. The last inspection was August 2025. Ownership is a for-profit partnership with 140 certified beds.

B

70/100

The Highlands

Decorah, IA · Winneshiek County

CMS 2/5 86 beds Non-profit Medicaid
Nurse hours
3.90 /day
Staff turnover
53%
Serious cites
0

The Highlands sits in Decorah with 86 certified beds and a nonprofit owner, and the numbers cut two ways. Nurse staffing runs 3.90 hours per resident day, just barely above the national average of 3.86, though weekends dip about 8% below its own weekday level. The bigger concerns show up in the inspection record: 34 deficiencies, four at the harm or jeopardy level, one tied to abuse, and $93,839 in fines across two penalties, with the most recent inspection in June 2025. Staff turnover of 53.3% lands well above the 45.8% national average, which matters for consistency of care. A 4/5 staffing star softens the picture, but the health inspection rating of 2/5 tells you where the trouble lives.

B

70/100

Pillar Of Cedar Valley

Waterloo, IA · Black Hawk County

CMS 1/5 114 beds Non-profit Medicaid
Nurse hours
2.92 /day
Staff turnover
33%
Serious cites
0

Pillar of Cedar Valley runs a lean nursing floor: 2.92 nurse hours per resident day against a national average near 3.86, and weekends drop roughly 15% below what the home already provides on weekdays. That staffing pattern is worth asking about directly, since it shapes how quickly call lights get answered on a Saturday. The inspection record shows 23 deficiencies, three tied to abuse, though none reached the harm or jeopardy level as CMS defines it. Staff turnover sits at 32.7%, better than the 45.8% national figure, which suggests the people who are there tend to stay. The most recent state inspection was November 17, 2025. This is a nonprofit corporation with 114 certified beds.

B

70/100

Ams Memorial-Greene

Greene, IA · Butler County

CMS 1/5 31 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Ams Memorial-Greene runs 31 certified beds in Butler County under for-profit limited liability ownership, and the federal data on its care side is thin. Its staffing score sits at 1 out of 5, meaning nurse coverage falls well short of what CMS expects for the residents living there. Inspectors cited 16 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level. The last full inspection was February 2022, so that record is now several years old, a gap worth asking about directly.

B

70/100

Brighton Cornerstone Group, Llc

Madisonville, KY · Hopkins County

CMS 1/5 40 beds For-profit Medicaid
Nurse hours
4.39 /day
Staff turnover
45%
Serious cites
0

Brighton Cornerstone Group runs 40 certified beds in Madisonville under for-profit LLC ownership, and its federal scores sit at the low end across the board: one star each for staffing and quality measures, two for health inspections. Nine deficiencies sit on the current record, though none rose to the level of harm or jeopardy, and no abuse citations appear. Staff turnover of 44.6% is roughly in line with the national average, which is the one number here that isn't working against it. A single fine of $3,387 is modest. The last inspection was January 8, 2026. With 40 beds, this is a small home, so a handful of deficiencies can weigh heavily on the ratios.

B

70/100

Sayre Christian Village Nursing Home

Lexington, KY · Fayette County

CMS 1/5 164 beds Non-profit Medicaid
Nurse hours
4.02 /day
Staff turnover
37%
Serious cites
0

Sayre Christian Village runs a nonprofit home with 164 beds in Lexington, and its staffing is genuinely its strong point, 4.02 nurse hours per resident day, roughly 4% above the national average, with turnover at 37.1% against a national 45.8%. That stability matters, though weekend coverage drops about 10% below weekday levels, so ask how that gap gets covered. The harder questions sit in the inspection record: 20 deficiencies, including 2 at harm or jeopardy level and 2 tied to abuse, plus $7,901 in fines across two penalties. Quality measure scores land at the bottom of CMS's scale. The most recent inspection was April 2025, so the record is current, worth asking about directly.

B

70/100

Bayside Healthcare Center

Gretna, LA · Jefferson County

CMS 3/5 151 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
42%
Serious cites
0

Bayside Healthcare Center runs 151 certified beds in Gretna under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.18 hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 13% below the home's own weekday coverage, which matters if you're visiting on a Saturday. Turnover at 41.9% is actually a touch better than the 45.8% national figure. The inspection record shows 21 deficiencies, none at the harm or jeopardy level, though two are abuse-related. A 4-out-of-5 health inspection rating and a September 2025 inspection suggest decent regulatory footing, but the 2-out-of-5 staffing and quality measure ratings point to thinner day-to-day care. Ask about weekend coverage and how those abuse deficiencies were resolved.

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.

Before you shortlist