4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

39%

Serious cites

0

Greeley County Hospital Ltcu is a small non-profit home in Tribune, just 16 certified beds, and its inspection record is the strongest part of the picture, with a 4-out-of-5 health inspection rating and a recent survey from November 2025. The trouble sits in the other two categories: CMS gives it 1 out of 5 for both quality measures and staffing. Its record carries 19 deficiencies, three of them serious enough to involve harm or jeopardy, plus one tied to abuse. Staff turnover runs 38.5%, which is actually better than the 45.8% national average, so retention isn't the main problem here. The low staffing rating is about hours and coverage, not whether people stay.

Nurse hours

3.71 /day

Staff turnover

45%

Serious cites

0

Winnfield Nursing and Rehabilitation Center runs 124 certified beds under for-profit partnership ownership, and the staffing picture is mixed. Total nurse coverage sits at 3.71 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 13% below the home's own weekday levels, so families visiting on Saturdays and Sundays may notice thinner coverage. Turnover lands at 45.1%, essentially matching the national 45.8%, which is neither a red flag nor a selling point. The bigger concern is the inspection record: 38 deficiencies, three tied to abuse, with a 2/5 health inspection rating and 1/5 on quality measures. The last survey was January 14, 2026, so that record is recent.

Nurse hours

3.67 /day

Staff turnover

—

Serious cites

0

Green Meadow Haven runs 3.67 nurse hours per resident day, about 5% under the national average of 3.86, and the gap widens on weekends, when staffing drops roughly 19% below its own weekday level. That thin weekend coverage shows up in the federal staffing rating, which sits at the lowest tier, and in a quality measure score near the bottom. Inspectors cited 11 deficiencies on the current record, including one at the harm or jeopardy level and one tied to abuse, with a single fine of $8,278. The most recent inspection was in August 2025, so the record is fairly fresh. For-profit corporate ownership rounds out the picture.

Nurse hours

4.43 /day

Staff turnover

35%

Serious cites

0

Vantage At Worcester runs on a for-profit LLC model with 173 beds, and its staffing is the one number that stands out in a good way: 4.43 nurse hours per resident day, roughly 15% above the national average, with weekend coverage dipping only about 7% below weekdays. Turnover sits at 35.2%, better than the 45.8% national figure, which suggests some stability in the workforce. The trouble is what inspections keep finding. Thirty-five deficiencies are on the current record, six of them serious enough to put residents at risk of harm, three tied to abuse. Two fines total $122,646, and the most recent inspection was January 14, 2026. Good staffing hasn't translated into a clean building.

Nurse hours

3.76 /day

Staff turnover

59%

Serious cites

0

Riverview Health and Rehab Center North runs 180 beds under corporate ownership, and the staffing picture is thinner than it looks. Total nurse coverage sits at 3.76 hours per resident day, under the national average, and it drops further on weekends, roughly 13% below the home's own weekday level. That matters when you consider turnover: 59.4% of staff left over the past year, against a national rate near 46%. Inspectors have logged 40 deficiencies, including two at the harm level and three tied to abuse, plus $38,471 in fines across four penalties. The most recent inspection was April 2025. High turnover and thin weekend coverage together are the kind of thing families notice on a Sunday visit.

Nurse hours

4.47 /day

Staff turnover

74%

Serious cites

0

Edenbrook Pine Haven runs 70 certified beds as a nonprofit corporation, and its last health inspection was recent, August 2025, so the record you're seeing is current, not stale. What that record shows is a staffing problem: 73.6% annual turnover against a national average of 45.8%, and CMS gives the home just one star for staffing. Inspection history carries 28 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus a $14,898 fine. Quality measures sit at two stars, inspections at three. High turnover at a home this size usually means caregivers are constantly new, which matters more than any single rating when you're deciding who'll actually be at the bedside.

Nurse hours

— /day

Staff turnover

62%

Serious cites

0

Wisteria Gardens runs a 52-bed for-profit home in Pearl with nurse staffing at 5.29 hours per resident day, roughly 37% above the national average, which is genuinely high and shows up in its five-star staffing rating. That cushion matters, but two things complicate the picture: weekend staffing drops about 16% below its own weekday level, and annual turnover sits at 61.9% against a national 45.8%, meaning a lot of those hours are being delivered by people who weren't there last year. The inspection record is solid, four stars, last survey in March 2026, 11 deficiencies with none at harm or jeopardy level and none abuse-related. Limited liability ownership, for-profit.

Nurse hours

2.86 /day

Staff turnover

44%

Serious cites

0

Scenic Wellness and Rehabilitation Center runs 189 beds in Herculaneum under for-profit LLC ownership, and its staffing is the number that stands out. At 2.86 nurse hours per resident per day, it sits roughly a quarter below the national average of 3.86, and weekends dip about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. Turnover, at 43.5%, is actually a hair better than the national 45.8%, which suggests the problem isn't retention so much as how many hands are scheduled. Inspections look strong on paper: a five-star health inspection rating with the most recent visit in April 2025. But the record still carries 15 deficiencies, including one at the harm level and one abuse-related.

Nurse hours

4.20 /day

Staff turnover

62%

Serious cites

0

The Bluffs in Columbia runs a non-profit shop with 132 beds, and its nurse staffing of 4.20 hours per resident day sits about 9% above the national average, a real plus. But that cushion thins on weekends, when coverage drops roughly 9% below its own weekday level, and turnover runs 61.8% against a national 45.8%. The bigger concern is the inspection record: 41 deficiencies, three at harm or jeopardy level, five tied to abuse, and three fines totaling $37,621. Its most recent inspection was January 30, 2026. Strong weekday staffing is doing a lot of work here, but the compliance history is what families should weigh hardest.

Nurse hours

3.17 /day

Staff turnover

46%

Serious cites

0

Ozarks Methodist Manor runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends drop about 14 percent below its own weekday staffing. Turnover sits at 45.8 percent, right at the national figure, so the shortfall isn't explained by churn alone. The inspection record shows 37 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with the most recent inspection in January 2025. Federal ratings land at 2 out of 5 for health inspections and 1 out of 5 for quality measures, against 3 for staffing. The nonprofit corporation that owns it has a lot to answer for.

Nurse hours

3.83 /day

Staff turnover

69%

Serious cites

0

La Belle Manor runs on thin staffing, and the numbers show it. At 3.83 nurse hours per resident day, it sits just under the national average, but weekends drop about 10% below its own weekday level, meaning the thinnest coverage lands when families tend to visit. Staff turnover is the bigger red flag: 68.6% a year, well above the 45.8% national figure, so residents see a revolving door of caregivers. The current record carries 21 deficiencies, including two tied to abuse, though none rose to harm or jeopardy level. Inspectors last visited in May 2025. Federal ratings put staffing at 1 out of 5 and inspections and quality measures at 2 each.

Nurse hours

2.86 /day

Staff turnover

57%

Serious cites

0

Pole Creek Estates runs 63 certified beds in Sidney under nonprofit ownership, and its 2.86 nurse hours per resident day sit about 26% under the national average of 3.86. Weekends dip roughly another 10% below the home's own weekday coverage, and annual turnover hits 56.5% against a national 45.8%, that combination is where the C comes from, even though CMS gives staffing 4 of 5 stars. The inspection record shows 12 deficiencies, none at harm or jeopardy level, but one is abuse-related, and the last survey was July 17, 2025.

Nurse hours

3.26 /day

Staff turnover

42%

Serious cites

0

Epsom Healthcare Center runs 108 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 15% under the national average of 3.86. Weekends dip about 11% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 41.7%, a bit better than the 45.8% national figure. The current record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with the most recent inspection dated March 12, 2026. CMS gave 2 of 5 stars for health inspections but 3 for quality measures and 3 for staffing.

Nurse hours

2.97 /day

Staff turnover

37%

Serious cites

0

Central Queens Rehab & Nursing Center runs about 2.97 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 10% below its own weekday levels. That thin coverage shows up in the staffing star rating, which sits at 2 out of 5. Turnover is 36.5%, actually better than the 45.8% national figure, so the problem isn't churn, it's how many hands are scheduled per shift. The record shows 33 deficiencies with none at the harm or jeopardy level, though three are abuse-related, and the last inspection was August 2025, so the picture is fairly current. A 200-bed for-profit operation in Maspeth with mid-range inspection and quality ratings and below-average staffing.

Nurse hours

4.20 /day

Staff turnover

67%

Serious cites

0

Schofield Residence sits in Kenmore with 120 certified beds and a nonprofit owner, and its 4.20 nurse staffing hours per resident day land about 9% above the national average of 3.86. Weekends tell a different story, though, staffing drops roughly 14% below the home's own weekday levels. The bigger number to sit with is 66.5% annual turnover against a national 45.8%, which means roughly two of every three caregivers left last year. Fifteen deficiencies appear on the current record, none at harm or jeopardy level, but one is abuse-related, and the most recent inspection was April 2025.

Nurse hours

3.49 /day

Staff turnover

61%

Serious cites

0

Salisbury Rehabilitation And Nursing Center runs 185 certified beds as a for-profit corporation, and the numbers that stand out most are on the staffing side. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 61.2% is well above the 45.8% national figure, meaning the aides and nurses caring for your relative are likely to change often. The inspection record is heavier still: 40 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with $46,529 in fines and a 1-out-of-5 health inspection rating.

Nurse hours

4.27 /day

Staff turnover

58%

Serious cites

0

Compass Healthcare and Rehab Hawfields runs about 4.27 nurse hours per resident day, roughly 11% above the national average, and that staffing shows up in its four-star rating there. Weekends drop about 12% below its own weekday level, though, and annual turnover sits at 57.5% against a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record carries eight deficiencies, none at harm or jeopardy level, but two tied to abuse. Its quality measure rating is one star, and the most recent inspection was January 2026. Corporate-owned and for-profit, this is a home where the hands-on hours look solid on paper while other signals pull the other way.

Nurse hours

4.66 /day

Staff turnover

100%

Serious cites

0

Asbury Health And Rehabilitation Center runs on more nursing hours than most homes, 4.66 per resident day against a national average of 3.86, and its quality measure score is strong. But the same staff is almost entirely turning over every year, roughly double the national rate, which means the person caring for your relative this month is likely gone the next. Inspections back that up: 19 deficiencies on record, three serious enough to put residents in harm's way and one tied to abuse, with $47,996 in fines. Weekend coverage also dips below weekday levels. The staffing numbers look good on paper; the consistency behind them doesn't.

Nurse hours

3.51 /day

Staff turnover

66%

Serious cites

0

Northridge Health Center runs 96 certified beds as a for-profit, individually owned home, and its staffing sits at 3.51 nurse hours per resident day, roughly 9% under the national average of 3.86, with weekend coverage dipping about 6% below its own weekday numbers. Staff turnover is the number that stands out: 65.6% annually against a national average of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record shows 37 deficiencies with nothing flagged at harm or jeopardy level and no abuse findings, and the last survey was recent, in February 2025. CMS rates its quality measures 5 out of 5 but its health inspection record just 1 out of 5.

Nurse hours

4.13 /day

Staff turnover

50%

Serious cites

0

Phoenix Of Fairlawn sits in Akron with 80 certified beds under for-profit LLC ownership. The staffing number looks decent on paper, 4.13 nurse hours per resident day, roughly 7% above the national average, but weekends drop about 8% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover hits 50%, higher than the 45.8% national figure, which means many of the aides and nurses working with your relative are still learning the building. Inspectors were last in on April 28, 2025, and the record carries 31 deficiencies, including one abuse-related citation and one at the harm level. Two fines totaling $4,922 round out the history.