4,510 Independent Nursing Homes in the United States

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The Southeast Louisiana War Veterans Home in Reserve is a state-run home with just eight certified beds, which puts it in a category most families never encounter, a facility small enough that staffing and oversight work differently than at a 120-bed nursing home. Its federal inspection record is clean where it matters: three deficiencies total, none at the harm or jeopardy level, no abuse citations, and a September 2025 inspection that's still recent. The staffing picture is where it separates from the national average, and that gap is what holds the grade down despite the strong survey results. For a veteran-eligible family, the inspection history is reassuring; just go in understanding what eight beds means for daily coverage.

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Northeast La War Veterans Home is a small state-run home in Monroe, just 8 certified beds, which is closer to a group residence than a typical nursing facility. Its last inspection was in March 2026, recent enough that the record reflects current conditions, and the inspection history shows 8 deficiencies with none rising to actual harm or jeopardy. One abuse-related citation is on the record, which is worth asking about directly. With so few residents, staffing ratios can swing widely from week to week, so ask how many direct-care hours each resident actually gets and who covers nights and weekends.

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The Louisiana War Veterans Home in Jackson is a ten-bed state-run home, and its inspection record looks nearly spotless, a single deficiency on the books, nothing at the harm or jeopardy level, no abuse finding, and a fresh survey from December 2025. The problem sits elsewhere. Federal staffing numbers put this home at the bottom of the national range, which is what pulls its overall picture down despite the clean inspections. With only ten beds, one aide calling out can change the whole day, so that thin staffing number matters more here, not less. State ownership means public accountability, but it doesn't guarantee enough hands on the floor. Ask directly how many staff are present on evenings and weekends before you decide.

Nurse hours

3.13 /day

Staff turnover

33%

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Champion Rehabilitation and Nursing Center runs 123 beds in Brockton under for-profit LLC ownership, and the staffing numbers are where your attention should go first. At 3.13 nurse hours per resident day, it sits about 19% under the national average of 3.86, and weekends drop roughly another 9% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the brighter spot at 32.5%, well under the 45.8% national figure, which suggests a steadier crew than most. The 28 deficiencies on record include nothing at the harm or jeopardy level and no abuse findings. Its most recent inspection was September 2025, so the picture is current.

Nurse hours

3.72 /day

Staff turnover

55%

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Brush Hill runs 3.72 nurse hours per resident day, about 4% under the national average, and weekends dip roughly 8% below its own weekday staffing. Turnover sits at 54.5% against a national 45.8%, so the people showing up are often new. The record shows 60 deficiencies, including 3 at harm or jeopardy level and 5 tied to abuse, plus two fines totaling $196,683. State inspectors were last in on November 21, 2025. A limited liability company operates the 160-bed home for profit, and CMS gave it 2 of 5 stars on both health inspections and quality measures. Ask about weekend coverage and how they screen staff.

Nurse hours

3.22 /day

Staff turnover

42%

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Blackstone Valley runs lean on nursing hours, 3.22 per resident day against a national average of 3.86, roughly 17% below, and weekends drop another 11% beneath its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, though with 123 beds and individual for-profit ownership, that still means a lot of new faces. The 28 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was April 29, 2025, so the paperwork is current. Quality measure scores sit at 2 of 5, which tends to reflect how residents are actually doing day to day rather than how the building looks on a tour.

Nurse hours

3.29 /day

Staff turnover

91%

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Cardigan Nursing & Rehabilitation Center runs on thin staffing. At 3.29 nurse hours per resident day, it sits about 15% under the national average, and weekends drop roughly 7% below its own weekday numbers, a gap families often feel on Saturday and Sunday. The bigger red flag is turnover: 90.6% of staff leaving annually, double the national rate, which means your mother's aide this month may be gone by spring. Inspections are recent (March 2025) and the record shows 15 deficiencies, none at harm level but one abuse-related, which deserves a direct question. The 5/5 quality measure score reflects clinical outcomes, not daily caregiving. Ask about weekend coverage and how they retain aides.

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Special Tree Neurocare Center runs just four certified beds in Romulus, which makes it about as small as a Medicare-certified nursing home gets. Its last inspection came in August 2025 and turned up two deficiencies, neither of which involved actual harm or jeopardy to a resident, and none tied to abuse. That's a clean enough record to earn four stars on health inspections. What holds it back from the top tier is the for-profit corporate ownership and whatever sits underneath the score, with only four beds, there's very little staffing data to judge against the national average, so the picture is thin. A short record at a small home can mean fewer chances to find problems, not necessarily fewer problems.

Nurse hours

3.57 /day

Staff turnover

45%

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The Windsor Place runs about 3.57 nurse hours per resident day, roughly 8% under the national average, and weekend coverage drops another 15% below its own weekday level, so the thinnest shifts land when families tend to visit. Turnover sits at 45%, right in line with the national figure, so that's not the problem here. The inspection record is: 26 deficiencies, four serious enough to involve harm or jeopardy, three tied to abuse, and $50,947 in fines across three penalties. The most recent inspection was October 2024. Ownership is a for-profit corporation. The staffing hours look better on paper than the inspection history does, and a 140-bed building with that many serious findings is worth asking about directly.

Nurse hours

3.78 /day

Staff turnover

50%

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Greenbriar runs leaner than most: 3.78 nurse hours per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday staffing. That gap matters because turnover sits at 49.5%, higher than the 45.8% national figure, so residents see a lot of new faces. The inspection record is the harder read. Seventeen deficiencies are on file, two of them at harm or jeopardy level and one tied to abuse, with the most recent inspection in June 2025. Two out of five stars for health inspections and quality measures, three for staffing, under corporate for-profit ownership. The pattern is a home that isn't dangerous on paper everywhere, but has real gaps where it counts.

Nurse hours

3.50 /day

Staff turnover

29%

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St. Luke's runs a steady ship on inspections, a 4-star health inspection record, last surveyed in May 2025, with 19 deficiencies on file but none serious enough to reach harm or jeopardy. Two of those are abuse-related, which families should ask about directly. Where the home gives ground is daily care hours: 3.50 per resident, roughly 9% under the national average, and weekends run about 9% thinner than weekdays. Staff turnover sits at 29%, notably better than the 45.8% national figure, and quality measure scores land at 1 star. One fine totaling $17,053 rounds out the record.

Nurse hours

2.95 /day

Staff turnover

56%

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Richland Care Center is a nonprofit home in Pulaski County with 86 certified beds, and its inspection record is genuinely solid, a 4/5 health inspection rating and no deficiencies at the harm or jeopardy level. What pulls it down is the workforce. At 2.95 nurse staffing hours per resident day, it runs about 24% under the national average of 3.86, and weekends dip roughly 10% below its own weekday levels. Annual turnover sits at 55.9% against a national 45.8%, which matters because aides who know residents are the ones who catch changes early. Three abuse-related deficiencies appear on the current record. The most recent inspection was September 2024.

Nurse hours

4.60 /day

Staff turnover

42%

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Mid-Nebraska Lutheran Home in Newman Grove is a 45-bed church-affiliated nonprofit, and its nurse staffing comes in at 4.60 hours per resident day, roughly 19 percent above the national average. That number is the strongest thing the home has going for it, though weekend coverage dips about 8 percent below its own weekday level, and staff turnover sits at 42.2 percent, just under the national rate. The trouble is elsewhere: 23 deficiencies on the current record, including two at the harm or jeopardy level and four tied to abuse. One fine totaling $45,162 has been levied. CMS gives the home three stars for inspections but only one for quality measures and one for staffing.

Nurse hours

3.76 /day

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Plainview Manor runs 39 beds under city government ownership, and the numbers split in two directions. The health inspection side is decent, three stars, with 15 deficiencies on record but none rising to actual harm or jeopardy, and a recent survey from August 2025. Where it struggles is everything measured outside the survey visit: one star for staffing and one star for quality measures. Those two ratings look at day-to-day nurse coverage and how residents are actually faring on clinical measures, and both land well below what you'd want to see. Four abuse-related deficiencies also appear on the current record, which is worth asking about directly. City-owned homes like this one often sit in small towns with limited labor pools, which can explain thin staffing, but it doesn't make the shortfall less real. Ask what direct-care hours look like on evenings and weekends.

Nurse hours

2.83 /day

Staff turnover

18%

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Mohawk Meadows runs lean on nurse staffing, 2.83 hours per resident day, roughly 27% under the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is the outlier: 17.6% against a national 45.8%, meaning the staff who are there tend to stay, which matters for consistency of care. The inspection record is the real problem. Twenty-one deficiencies, three at harm or jeopardy level, three tied to abuse, and a single $713,795 fine. The most recent inspection was November 2024. For-profit, limited liability ownership, 159 beds.

Nurse hours

3.44 /day

Staff turnover

60%

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Crest Haven runs 180 certified beds in Cape May Court House, and the staffing numbers are the first thing to look at. At 3.44 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly another 11% below its own weekday levels, so coverage thins out right when families tend to visit. Annual turnover of 59.5% is well above the 45.8% national figure, which means caregivers are cycling through fairly quickly. The inspection record shows 18 deficiencies, including one at the harm level and one tied to abuse, plus an $83,230 fine. The most recent inspection was in April 2025, so that picture is current, not stale.

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Windmere runs 57 certified beds as a nonprofit corporation, and its last inspection on March 3, 2026 turned up five deficiencies, none of them serious enough to cause harm or jeopardy, and no abuse findings at all. That's a clean record by any reasonable measure for a home this size. Federal inspectors rated it 4 out of 5 stars on health inspections, which lines up with what the deficiency counts show. Where it loses ground is staffing, which falls short of the national average and is what keeps the overall picture from being stronger. For a family weighing a small Passaic County home, the care environment here looks solid; the question is whether the staff-to-resident ratio gives you enough daily confidence.

Nurse hours

3.33 /day

Staff turnover

68%

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South Valley Care Center is a 58-bed for-profit home in Albuquerque, and its inspection record is genuinely strong, a five-star health inspection rating, with its most recent survey in July 2025 and no deficiencies at the harm or jeopardy level. The one abuse-related citation on file is worth asking about directly. Staffing is where the picture shifts: 3.33 nurse hours per resident day sits about 14 percent under the national average, and turnover runs at 67.9 percent against a national 45.8. That means nearly seven in ten staff left over the year, so the people caring for your family member may keep changing. Weekend coverage holds roughly level with weekdays, which is better than many homes manage.

Nurse hours

2.59 /day

Staff turnover

30%

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Lawrence Nursing Care Center runs 200 beds in Arverne under corporate ownership, and its staffing is the first thing that stands out. At 2.59 nurse hours per resident day, it's roughly a third below the national average of 3.86, and weekends dip another 12% below its own weekday coverage, so the thinnest shifts are the ones families visit. Turnover, at 30.4%, actually beats the national 45.8%, which suggests the people who stay tend to stay. The current inspection record shows 25 deficiencies, none at harm level but one abuse-related, with the most recent visit in January 2025. Resident outcome measures land mid-range even as staffing and inspection ratings sit at the bottom.

Nurse hours

3.18 /day

Staff turnover

41%

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Bethesda Health Care Facility runs about 3.18 nurse staffing hours per resident day against a national average of 3.86, roughly 18% less hands-on time, and weekend coverage drops about 7% below its own weekday level. Staff turnover sits at 40.6%, a bit better than the national 45.8%, so the people who are there tend to stay. The current record shows four deficiencies, none involving harm or abuse, and the last inspection was February 2026. What the numbers describe is a home that passes inspection cleanly but staffs leaner than most, which matters most on weekends when residents need help.