4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

29%

Serious cites

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The Vermont Veterans' Home in Bennington runs on state government ownership with 177 certified beds, and its staff turnover sits at 29.2%, noticeably below the national average of 45.8%, which matters for continuity of care. But the staffing star rating lands at just 1 out of 5, and quality measures come in at 1 out of 5 as well, even as the health inspection rating holds at 4 out of 5. Fifteen deficiencies sit on the current record, including one at the harm or jeopardy level and two tied to abuse, plus a single fine of $8,278. The last inspection was March 11, 2026. Low turnover is a real strength; the thin staffing and quality scores pull hard the other way.

Nurse hours

4.26 /day

Staff turnover

57%

Serious cites

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Everett Transitional Care Services has real strengths on paper: 4.26 nurse hours per resident day is about 10% above the national average, and its last inspection was recent, in December 2025. The problems sit elsewhere. Staff turnover runs at 56.8% against a national 45.8%, meaning more than half the nursing staff leaves each year, and weekend coverage drops roughly 11% below weekday levels, the stretch when families often can't visit. Inspections also logged 19 deficiencies, two serious enough to involve harm or jeopardy, plus $36,243 in fines across two penalties. Quality measure scores sit at 2 of 5 stars despite the strong staffing numbers, so the bedside care doesn't track with the hours on the schedule.

Nurse hours

4.75 /day

Staff turnover

47%

Serious cites

0

Oak Ridge Care Center in Union Grove has real staffing depth, 4.75 nurse hours per resident day, well above the national average, and that's the strongest thing in its file. But the inspection record pulls the other way: 17 deficiencies, four of them serious enough to endanger residents, including one tied to abuse, and $56,466 in fines across three penalties. Weekend coverage also drops about 13% below weekday levels, so the staffing advantage isn't evenly spread. Turnover sits slightly above the national rate, and a 2/5 inspection score with a recent May 2025 survey means problems showed up even under current scrutiny. Strong hours don't offset a record like that on their own.

Nurse hours

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Staff turnover

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Serious cites

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Catalina Island Health is an eight-bed nonprofit on Avalon, and its inspection record is the strong part: a four-star health inspection score, 19 deficiencies on file but none at the harm or jeopardy level and none tied to abuse. Staffing is the weak side, rated one star, which matters more in a facility this small, where there's little slack if someone calls out. The most recent inspection was May 8, 2025, so the picture is current. With eight residents, care is personal by necessity, but ask directly how many nurses and aides are on site overnight and what happens when someone needs care the island can't provide.

Nurse hours

4.18 /day

Staff turnover

51%

Serious cites

0

Brighton Care Center runs 99 beds in Pasadena under for-profit LLC ownership, and its nurse staffing sits at 4.18 hours per resident day, about 8% above the national average of 3.86. That's the good news. Weekends drop roughly 14% below the home's own weekday level, and annual turnover is 50.5% against a national 45.8%, so the coverage you see on paper isn't always the coverage your family member gets. The inspection record is the bigger concern: 73 deficiencies, including one at the harm level and four abuse-related. All three CMS star ratings land at 2 out of 5. A recent inspection date doesn't erase that history, ask directly what changed.

Nurse hours

9.05 /day

Staff turnover

57%

Serious cites

0

Memorial Hospital Of Gardena's skilled nursing unit runs on unusually heavy staffing, 9.05 nurse hours per resident day, more than double the national figure of 3.86. That number deserves context, though: weekends run about 9% thinner than weekdays, and 57.1% of staff turned over in the past year, well above the 45.8% national rate. The current record shows 33 deficiencies, one serious enough to reach harm or jeopardy level, and a single fine of $12,831. Federal ratings put inspections and quality measures at 4 out of 5 stars each, with staffing at 3 despite the raw hours. A nonprofit corporation operates the 69-bed home, and its last inspection was April 2026.

Nurse hours

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Staff turnover

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Serious cites

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Foothill Regional's most recent inspection, in February 2026, turned up no deficiencies serious enough to harm a resident, that's a real point in its favor. But the 54 deficiencies on the current record, including three tied to abuse, add up over time, and for a small 42-bed unit, that's a lot of paperwork to accumulate. The ownership is a for-profit corporation, which tends to mean tighter staffing margins, so it's worth asking what the direct-care hours actually look like per resident. A four-star inspection rating tells you the last survey went reasonably well; the long record tells you the home has had plenty of chances to get written up. Ask about turnover and who's on the floor at night.

Nurse hours

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Staff turnover

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Serious cites

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Villa Del Rio Gardens is a for-profit, corporate-owned home with 84 certified beds in Bell Gardens. The staffing number is the one to pay attention to: CMS rates it 1 out of 5 stars for staffing, and that's the weakest area by far, since the average California home tends to run closer to 3. Inspections land at 3 out of 5, with 28 deficiencies on the current record, one serious enough to reach harm or jeopardy level, though none tied to abuse. The last inspection was February 2022, so the record you're reading is more than three years old and may not reflect who's working there now. Ask about current direct-care hours per resident before you visit.

Nurse hours

3.72 /day

Staff turnover

33%

Serious cites

0

Intercommunity Care Center is a 147-bed nonprofit home in Long Beach where the numbers pull in two directions. Staffing sits just under the national average, 3.72 nurse hours per resident day against 3.86, but that same workforce stays put far longer than most, with turnover of 33% compared to 45.8% nationally, and weekends shed only a little more coverage than weekdays. What should give you pause is the inspection record: 79 deficiencies, six serious enough to put residents in harm's way, 13 tied to abuse, and four fines totaling $156,035, with the most recent inspection in May 2025. Federal quality and inspection ratings both sit at the bottom of the scale.

Nurse hours

4.03 /day

Staff turnover

—

Serious cites

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Colusa Medical Center's skilled nursing unit is tiny, just six certified beds, and it runs on a for-profit limited liability company structure. The staffing picture is unusual: total nurse hours come in at 4.03 per resident day, slightly above the national average, and weekends hold steady rather than dropping off, which is rare. But federal inspectors rate the staffing level itself at just one star, meaning the hours, while present, don't satisfy CMS benchmarks for what this resident population needs. The tradeoff shows up in inspections, where the home holds a five-star rating with 14 deficiencies on record, none at harm or jeopardy level, none abuse-related, and one fine of $4,558. Its most recent inspection was in April 2025.

Nurse hours

3.81 /day

Staff turnover

53%

Serious cites

0

Bethel Lutheran Home runs 3.81 nurse hours per resident day, just under the national average of 3.86, and weekends dip about 8% below its own weekday staffing. That thin margin matters more when turnover sits at 52.5% against a national 45.8%, more than half the nursing staff turning over in a year makes consistent weekend coverage hard to hold. The 41 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was December 2025, so the record is current. This is a small nonprofit home with no serious safety findings, but staffing and quality measures both score low, and the turnover number is the one to ask about directly.

Nurse hours

3.46 /day

Staff turnover

43%

Serious cites

0

Pasadena Post Acute runs 116 certified beds under for-profit partnership ownership, and the staffing picture is the first thing to notice: 3.46 total nurse hours per resident day, roughly 10% under the national average, with weekends about 8% thinner than weekdays. Turnover sits at 43.3%, slightly better than the national 45.8%, but the inspection record carries 14 deficiencies, three of them at harm or jeopardy level, plus two fines totaling $27,254. A recent inspection in May 2026 and a 2/5 staffing rating back up what the hours suggest. The quality measure score of 5/5 stands out against everything else here, worth asking how that's calculated when day-to-day coverage runs lean.

Nurse hours

3.49 /day

Staff turnover

44%

Serious cites

0

Mountain Villa runs 48 beds in El Paso under corporate for-profit ownership, and the numbers point in two directions. Nurse staffing sits at 3.49 hours per resident day, roughly 10 percent under the national average, with weekends about 10 percent thinner than weekdays, a pattern families should notice, since care doesn't pause on Saturdays. Staff turnover of 43.9 percent is slightly better than the national rate, and the health inspection record looks solid, with a 4-star rating and no deficiencies at the harm or jeopardy level. But the current record carries 23 deficiencies total, two tied to abuse, and the quality measure and staffing ratings both sit at 2 stars.

Nurse hours

3.75 /day

Staff turnover

45%

Serious cites

0

West Rest Haven runs 120 certified beds under corporate ownership, and its staffing sits at 3.75 nurse hours per resident day, roughly 3% under the national average of 3.86. Weekends are the bigger problem: coverage drops about 15% below what the home staffs on weekdays, so a fall or an infection on a Saturday lands on a thinner floor. Turnover is 45.1%, essentially level with the national rate. The inspection record is where this home separates from the pack. Thirty-two deficiencies stand on the current record, four of them serious enough to involve harm or jeopardy, and one tied to abuse. State inspectors were last in on June 27, 2025, and have fined the home once for $14,069.

Nurse hours

5.98 /day

Staff turnover

68%

Serious cites

0

Butterfield Trail Village runs a lot of nursing hours, 5.98 per resident day, roughly 55% above the national average, which is why its staffing rating holds at 4 stars. But the hours thin out on weekends, dropping about 15% below what the home itself staffs on weekdays, so coverage varies depending on when you visit. The bigger concern is turnover: 67.8% of staff leave each year, well above the 45.8% national rate, and that churn can undercut even generous staffing. The inspection record shows 14 deficiencies, three serious enough to put residents at risk of harm and one tied to abuse, plus a $58,006 fine. The last full inspection was December 2025.

Nurse hours

4.06 /day

Staff turnover

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Serious cites

0

Monette Manor runs 4.06 nurse hours per resident day, about 5% above the national average of 3.86, but that staffing thins on weekends, dropping roughly 10% below its own weekday level. The bigger concern is the inspection record: 19 deficiencies, one of them abuse-related, plus six fines totaling $24,309 and a health inspection rating of 1 out of 5. Quality measures also sit at 1 out of 5. The last inspection was April 2026. So you have a for-profit LLC with above-average overall staffing but a steady pattern of cited problems and weak marks on both inspections and resident outcomes. Families should ask specifically what that abuse citation involved and how weekend coverage is handled.

Nurse hours

5.14 /day

Staff turnover

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Serious cites

0

Staffing at Camellia Gardens looks strong on paper, 5.14 nurse hours per resident day, roughly a third more than the national average, but the numbers behind that figure are mixed. Weekends run about 7% thinner than weekdays, and CMS gives the home just one star for staffing, which suggests the hours aren't reaching residents the way the total implies. The inspection record is heavier than you'd want: 59 deficiencies, four tied to abuse, though none rose to the level of actual harm or jeopardy, and the single fine on file is small at $1,747. This for-profit LLC was last inspected in April 2026, which is recent. Ask about weekend coverage and those abuse-related citations before deciding.

Nurse hours

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Staff turnover

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Serious cites

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The staffing numbers at this Lutz home are the first thing to look at, one star out of five, which means nurse and aide hours per resident sit well below what CMS expects. Quality measures score high at four stars, so the chart-based data on falls, infections, and similar metrics looks better than the day-to-day coverage would suggest. The inspection record is harder to ignore: 25 deficiencies, including one that caused actual harm or jeopardy and one tied to abuse, plus a $50,225 fine. A for-profit LLC runs it, and the most recent inspection was April 2024. If you're considering this one, ask directly how they've addressed the abuse citation and what staffing looks like on weekends.

Nurse hours

3.24 /day

Staff turnover

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Serious cites

0

Hill Haven runs lean on direct care: 3.24 nurse hours per resident day is roughly 16 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. That thin weekend coverage is worth asking about, since it's when families often visit and when problems can go unnoticed. Inspections tell a mixed story, a recent visit in March 2026 and no deficiency at the harm level, which matters, but 17 deficiencies on the current record with 7 tied to abuse is a lot to carry. The single fine of $4,194 is modest, and the for-profit LLC ownership is common in Georgia. Ask about weekend nurse coverage and how those abuse-related findings were resolved.

Nurse hours

3.94 /day

Staff turnover

47%

Serious cites

0

Alexandria Care Center runs 70 beds as a county-owned home, and its nurse staffing sits at 3.94 hours per resident day, a bit above the national average of 3.86, though weekends drop about 18% below its own weekday coverage. That gap matters when aides are spread thinner on Saturdays and Sundays. The current inspection record shows 14 deficiencies, including one at the harm or jeopardy level and one tied to abuse, with the most recent survey dated August 2025. Staff turnover lands at 47.2%, slightly worse than the national 45.8%. County ownership doesn't automatically mean better oversight here; the numbers point to a home that's adequate on paper but has real trouble spots worth asking about directly.