4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Sunset Home in Concordia runs 45 certified beds as a nonprofit, and its federal record is rough in the areas that matter most. Inspectors have cited 44 deficiencies, four of them tied to abuse and three serious enough to put residents in immediate harm's way, with five fines totaling $43,175. Staffing sits at the bottom of CMS's scale, one star, and the health inspection rating matches it, so the direct-care and oversight numbers aren't offsetting each other. The quality measure score, three stars, looks better on paper, but those measures depend on staff actually documenting and following through. The most recent inspection was March 2025, so this is current, not old history. If you're considering it, ask what's changed since then.

Nurse hours

3.96 /day

Staff turnover

54%

Serious cites

0

Colonial Manor runs 105 certified beds in Rayville under corporate ownership, and its staffing sits just above the national average at 3.96 nurse hours per resident day. But that average hides a gap: weekends run about 17% leaner than weekdays, and turnover hits 53.8% against a 45.8% national rate, so the faces change often. The inspection record is where the real weight sits, 24 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse, with two fines totaling $15,019 and a January 2026 inspection. CMS scored quality measures 1 out of 5 and health inspections 2 out of 5.

Nurse hours

4.13 /day

Staff turnover

39%

Serious cites

0

The Ellington runs 4.13 nurse hours per resident day, about 7% above the national average, and its staff turnover of 38.7% is better than the 45.8% typical elsewhere, so the people caring for residents are staying longer than at most homes. Weekends are the soft spot: staffing drops roughly 17% below the home's own weekday level. Twenty-three deficiencies sit on the current record, two serious enough to involve harm or jeopardy, with $29,007 in fines and a 3-out-of-5 inspection rating. Quality measures score 1 out of 5, meaning clinical outcomes lag even where staffing looks adequate. The last inspection was August 6, 2025, so the picture is recent. If you visit, ask what happens on Saturdays and Sundays.

Nurse hours

5.42 /day

Staff turnover

63%

Serious cites

0

The Gardens and Guardian runs a lean ship on inspection day, a five-star health inspection record with fourteen deficiencies and none serious enough to cause harm or draw an abuse citation, which is genuinely uncommon and worth noting. The staffing number looks strong on paper at 5.42 nurse hours per resident day, well above the national average, but that figure masks real instability: weekend coverage drops roughly 16% below weekday levels, and 62.5% of staff turn over annually against a national norm closer to 46%. Quality measures sit at two stars despite the clean inspections, which suggests the care being documented doesn't match the care being delivered, likely a consequence of a constantly rotating workforce at a 60-bed for-profit LLC.

Nurse hours

3.53 /day

Staff turnover

57%

Serious cites

0

Hendricks Community Hospital runs 48 certified beds as a nonprofit, and the numbers behind its C grade point to a staffing problem. Total nurse coverage sits at 3.53 hours per resident day, roughly 9% under the national average, and weekends drop about 17% below what the home staffs on weekdays. That thin coverage is compounded by 56.9% annual turnover, well above the 45.8% national figure, so residents cycle through a lot of unfamiliar caregivers. The current record carries 22 deficiencies, three tied to abuse, though none reached the harm or jeopardy level. A recent April 2025 inspection is a positive, but the low quality-measure and staffing ratings suggest the day-to-day care still has real gaps.

Nurse hours

3.53 /day

Staff turnover

47%

Serious cites

0

Samaritan Bethany Home on Eighth runs 128 beds as a nonprofit, and its nursing hours land around 3.53 per resident day, roughly 9% under the national average. Weekends dip about 17% below its own weekday coverage, and turnover sits at 47.4%, a bit above the national figure. The current record shows 18 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a single fine of $27,555. Its last inspection was March 26, 2026, which is recent. Staffing earns four stars from CMS, but the inspection and quality measure ratings both sit at three, and the deficiency history is what pulls the overall picture down.

Nurse hours

3.93 /day

Staff turnover

50%

Serious cites

0

Mccomb Community Care Center runs 140 certified beds under for-profit LLC ownership, and its staffing sits at 3.93 nurse hours per resident day, just above the national average of 3.86. That margin is thin, and weekends run about 15% leaner than weekdays, so coverage depends on when you visit. Staff turnover hits 50% against a national 45.8%, meaning familiar faces cycle out faster than average. The inspection record carries 18 deficiencies, one serious enough to reach harm or jeopardy level, with a single fine of $12,740. The last inspection was September 13, 2024. Quality measures score 1 out of 5, the weakest area here. Ask about the harm-level deficiency and weekend staffing before deciding.

Nurse hours

3.26 /day

Staff turnover

—

Serious cites

0

River Chase Village runs a tight ship on inspections, a five-star health inspection rating and ten deficiencies on the current record, none of them causing harm or involving abuse. That's a real strength, and the April 2026 inspection is recent enough to trust. The staffing side tells a different story. At 3.26 nurse hours per resident day, this home sits about 16 percent below the national average, and weekends dip another 8 percent below its own weekday levels. Sixty beds under for-profit partnership ownership, with a one-star staffing rating, means your family member's care depends heavily on which shift they're on and what day of the week it is. Ask about weekend coverage and actual aide-to-resident ratios before deciding.

Nurse hours

3.46 /day

Staff turnover

61%

Serious cites

0

Monroe Manor is county-owned, and its inspection record is genuinely strong, a five-star health inspection rating, with the most recent survey in March 2024. The problem sits elsewhere. Total nurse staffing runs 3.46 hours per resident day against a national average of 3.86, weekend coverage drops about 16% below its own weekday levels, and annual turnover hits 61.4% where the national figure is 45.8%. Thirteen deficiencies are on the current record, one serious enough to involve harm or jeopardy, plus a single fine of $35,360. Good surveys can't fully offset thin weekend staffing and a workforce that's turning over faster than most. Ask how they cover weekends and what they're doing to keep nurses.

Nurse hours

3.31 /day

Staff turnover

—

Serious cites

0

Laurie Care Center runs 108 certified beds as a nonprofit in Morgan County, and its staffing is the number that stands out, 3.31 nurse hours per resident day against a national average of 3.86, about 14% under. Weekends dip roughly 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The health inspection side is genuinely stronger, with a four-star record and a survey completed in April 2025, but that record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures sit at three stars. Ownership is nonprofit, which doesn't erase a two-star staffing picture.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Superior Manor Of Festus runs 55 beds as a for-profit LLC, and the staffing score is where the trouble sits, 1 out of 5 stars against the national average. That's the number families feel first, because it reflects how few aides are actually on the floor per resident. The inspection record shows 61 deficiencies, four tied to abuse, plus nine fines totaling $59,633. No harm-level citations appear on the current record, and the most recent inspection was May 2025, so the picture isn't outdated. Quality measures land at 3 out of 5, meaning some clinical outcomes track better than the staffing would suggest. If you're considering this home, ask directly how many CNAs work each shift and what the abuse-related findings involved.

Nurse hours

3.95 /day

Staff turnover

—

Serious cites

0

Callaway Good Life Center runs 38 beds as a nonprofit, and its nurse staffing sits slightly above the national average, about 2% higher per resident day. That sounds fine until you look at weekends, which run roughly 14% thinner than weekdays. The bigger concern is the inspection record: 28 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus two fines totaling $34,608. Its last inspection was April 2026. The quality measure rating lands at 3 out of 5, staffing 3 out of 5, and health inspection 1 out of 5, that last number is the one worth asking the administrator about directly before you decide anything.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Harbour View runs 84 beds in North Bergen under corporate ownership, and the numbers tell two different stories. The clinical quality measures look good, 4 out of 5, but staffing sits at the bottom of the federal scale, 1 out of 5, which matters because aides and nurses are who actually deliver that care day to day. The inspection record backs up the concern: 18 deficiencies, one serious enough to reach harm or jeopardy level, plus a $28,674 fine. State inspectors were last in on August 21, 2025, so the record is current. If you're weighing this one, ask direct questions about nurse aide hours per resident and what specifically was cited at that harm-level deficiency.

Nurse hours

4.15 /day

Staff turnover

64%

Serious cites

0

La Vida Llena runs a nonprofit home with 50 certified beds in Albuquerque, and its nurses put in 4.15 hours per resident day, about 7% more than the national average. That cushion thins on weekends, when staffing drops roughly 17% below its own weekday levels. Annual turnover sits at 64.2%, well above the 45.8% national figure, so the people delivering that care keep changing. Inspectors visited in December 2025 and logged 21 deficiencies, none at the harm level but two tied to abuse. The federal quality measures come in at 1 out of 5 stars even as inspections earn 4.

Nurse hours

3.89 /day

Staff turnover

45%

Serious cites

0

Monroe Community Hospital is a county-run home with 566 beds, and its numbers tell two different stories. The clinical quality measures look good, four stars there, but the inspection record is where things fall apart: 11 deficiencies, four of them serious enough to put residents in harm's way, and two tied to abuse. Fines total nearly $95,000. Staffing sits just barely above the national average, and weekends run about 17% thinner than weekdays, which matters when you're thinking about who's actually on the floor on a Saturday. Turnover, at 45.3%, is roughly in line with the national rate. The last full inspection was in December 2024.

Nurse hours

3.70 /day

Staff turnover

48%

Serious cites

0

Cayuga runs 160 beds in Ithaca under for-profit LLC ownership, and the staffing numbers are the first thing to look at: 3.70 nurse hours per resident day, about 4% under the national average, with weekends roughly 15% thinner than weekdays. That gap matters, because it's when families visit and when fewer eyes are on residents. Turnover sits at 48.2%, a few points above the national figure, so the people providing that care are often new. The inspection record shows 31 deficiencies, including one at harm level and two tied to abuse, plus seven fines totaling $41,616. The most recent inspection was in January 2025, so the picture is current. Quality measures rate mid-range, but staffing and health inspections both sit at 2 out of 5.

Nurse hours

3.25 /day

Staff turnover

51%

Serious cites

0

Waterville Residential Care Center runs about 3.25 nursing hours per resident each day, roughly 16 percent under the national average, and weekends drop another 18 percent below its own weekday coverage. Staff turnover sits at 50.5 percent, higher than the 45.8 percent national figure, which matters because new faces on the floor usually mean less familiarity with residents. The 15 deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, so the problems are real but not dangerous. The last inspection was October 2024, so the picture is reasonably current. Ownership is a for-profit partnership with 92 certified beds. The staffing numbers, not the inspection record, are what pull this one down.

Nurse hours

— /day

Staff turnover

—

Serious cites

0

Kirkhaven is a 147-bed nonprofit home in Rochester, and the staffing numbers are the first thing I'd want you to see. CMS gives it one star for staffing and one star for health inspections, which tells you the day-to-day coverage and the survey record have both been weak. The current inspection history lists 30 deficiencies, including three tied to abuse and one serious enough to reach harm or jeopardy. That's a lot of findings for a single building, and the last full inspection was in December 2024, so this isn't stale history. Fines total $8,278, a modest figure that suggests regulators cited problems without stacking major penalties. The quality measure score sits at three stars, but strong resident outcomes don't mean much if there aren't enough hands on the floor and the survey record keeps flagging safety.

Nurse hours

3.51 /day

Staff turnover

46%

Serious cites

0

Skyland Care Center runs 3.51 nurse staffing hours per resident day, roughly 9% under the national average, and weekends drop about 16% below what the home staffs on weekdays. Turnover sits at 46%, essentially matching the national rate. The current record shows 10 deficiencies, two of them at the harm or jeopardy level and one abuse-related, though the most recent inspection was in January 2026 and the health inspection rating came in at 4 out of 5. Put those together and you get a home that inspects well but runs lean on the floor, especially Saturdays and Sundays.

Nurse hours

4.10 /day

Staff turnover

77%

Serious cites

0

The Highlands At Owasso runs 105 certified beds under individual for-profit ownership, and its nurse staffing comes in at 4.10 hours per resident day, about 6% above the national average. That's a real point in its favor. The problem is what happens around the edges: weekends run roughly 20% thinner than weekdays, and annual turnover hits 77.4% against a national average of 45.8%, which means the people providing that care are constantly changing. The inspection record is where it gets harder to look past, 20 deficiencies, two at harm or jeopardy level, one tied to abuse, and $35,660 in fines. The most recent inspection was in May 2025.