4,510 Independent Nursing Homes in the United States

Nurse hours

3.38 /day

Staff turnover

54%

Serious cites

0

Heritage Healthcare of Euclid runs 75 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing that stands out. At 3.38 nurse hours per resident day, it sits about 12% below the national average of 3.86, and weekends dip another 12% below its own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 53.8% runs well above the 45.8% national figure, which means caregivers are cycling through. The inspection record adds weight: 51 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent survey in June 2024. A 1-out-of-5 staffing rating against a 4-out-of-5 quality measure score suggests the clinical results aren't backed by enough consistent hands.

Nurse hours

3.09 /day

Staff turnover

50%

Serious cites

0

Roscoe Gardens runs 72 beds in Coshocton, and its staffing sits at 3.09 nurse hours per resident day, roughly a fifth below the national average of 3.86. Weekends drop about 14% below its own weekday levels, and half the staff turns over each year, a bit higher than the 45.8% national figure. Those numbers help explain a 1-out-of-5 health inspection rating. The current record carries 47 deficiencies, including two at the harm or jeopardy level and six tied to abuse. One fine totaling $60,645 is on file, and the last inspection was December 30, 2025. The 5-out-of-5 quality measure score looks strong, but it sits alongside a 2-out-of-5 staffing rating, the day-to-day coverage is where the trouble shows.

Nurse hours

3.95 /day

Staff turnover

62%

Serious cites

0

Mason Health Care Center runs 43 certified beds under for-profit partnership ownership, and its overall nurse staffing sits slightly above the national average, about 3.95 hours per resident day. That headline number looks fine until you notice the weekends, when coverage drops roughly 14% below the home's own weekday level, and a 62% annual turnover rate that runs well ahead of the 45.8% national figure. The inspection record shows 16 deficiencies with none at the harm or jeopardy level and nothing abuse-related, though the last full inspection was in June 2023. CMS rates staffing at 2 out of 5 stars, with inspection and quality measures each at 3.

Nurse hours

4.48 /day

Staff turnover

75%

Serious cites

0

Eliza At Chagrin Falls runs a small house, 29 certified beds, and it's staffed better than most, at 4.48 nurse hours per resident day against a national average of 3.86. Weekends thin out about 14% from weekday levels, so ask how coverage holds on Saturdays. The bigger issue is turnover: 75% of staff leave annually, well above the 45.8% national figure, and that churn shows up in the 2-out-of-5 quality measure rating. Fourteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related. The last inspection was January 22, 2026, so the record is recent. Nonprofit ownership.

Nurse hours

3.80 /day

Staff turnover

—

Serious cites

0

Burford Manor runs 73 certified beds under for-profit LLC ownership, and the staffing numbers are where the trouble starts: 3.80 total nurse hours per resident day sits just under the national average, but weekends drop roughly 21% below the home's own weekday coverage. That gap matters because needs don't take weekends off. The current record shows 10 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus two fines totaling $17,767. Both the health inspection and quality measure ratings come in at 2 out of 5, with staffing at 1 out of 5, and the last inspection was November 2024. Ask about weekend coverage and the abuse-related citation before you visit.

Nurse hours

3.60 /day

Staff turnover

60%

Serious cites

0

Monroe Manor runs 98 certified beds in Jay under for-profit LLC ownership, and its nurse staffing sits at 3.60 hours per resident day, roughly 7% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins exactly when families tend to visit. Staff turnover is the bigger concern: 60% annually against a national 45.8%, meaning most of the people caring for residents are new to the building. The inspection record shows 18 deficiencies, three at harm or jeopardy level and two abuse-related, plus $31,773 in fines across two penalties. The last inspection was August 2024.

Nurse hours

4.06 /day

Staff turnover

48%

Serious cites

0

Westhaven runs a for-profit LLC home of 125 beds in Stillwater, and the staffing picture is mixed. Its 4.06 nurse hours per resident day edges past the national average of 3.86, but weekends drop about 12% below weekdays, and turnover sits at 47.8%, slightly worse than the 45.8% national figure. The health inspection side looks solid at 4 stars, though the current record carries 16 deficiencies, two tied to abuse, none at harm or jeopardy level, with the last inspection dated February 2026. What drags the overall picture is the 1-star quality measure rating, which sits awkwardly against that 4-star inspection score. Families should ask about weekend coverage and what those abuse-related citations involved.

Nurse hours

3.99 /day

Staff turnover

46%

Serious cites

0

Grove Manor runs 59 certified beds in Grove City under church-related nonprofit ownership, and its last inspection was in September 2025. The health inspection rating of 4 out of 5 is the bright spot. But the staffing rating sits at 1 out of 5, and staff turnover at 46.2% is essentially the national rate of 45.8%, meaning this home isn't holding onto caregivers any better than average. The quality measure rating is also 1 out of 5. Seventeen deficiencies are on the current record, two of them serious enough to involve harm or jeopardy, and one tied to abuse. A single fine of $18,837 has been levied.

Nurse hours

3.14 /day

Staff turnover

39%

Serious cites

0

Schuylkill Center runs 190 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.14 hours per resident day, roughly 19% under the national average of 3.86. Weekends dip about 8% below its own weekday levels, so coverage thins just when families tend to visit. The current inspection record carries 34 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related; the last inspection was May 20, 2026. Annual turnover of 39.2% is actually better than the 45.8% national figure, which matters for continuity of care. CMS rates health inspections and staffing 2 out of 5, quality measures 3 out of 5, a home where thin staffing, not resident outcomes, is the main concern.

Nurse hours

3.80 /day

Staff turnover

53%

Serious cites

0

William Penn Care Center runs 145 beds in Jeannette under for-profit limited liability ownership, and its staffing sits just under the national average at 3.80 nurse hours per resident day, about 2% below, with weekends dipping roughly 7% below its own weekday levels. The bigger concern is turnover: 53.3% annually against a 45.8% national mark, which matters because caregivers who stay know the residents. Its inspection record shows 42 deficiencies, including one at the harm or jeopardy level and six tied to abuse, with a $14,074 fine on file and a May 2026 inspection. Families weighing this home should ask directly how weekend coverage is handled and what's changed since that abuse-related finding.

Nurse hours

3.36 /day

Staff turnover

52%

Serious cites

0

Seneca Health & Rehabilitation Center runs 132 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, about 13% under the national average of 3.86. Weekends dip roughly another 13% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover is 51.5% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 19 deficiencies, none at harm or jeopardy level, but two are abuse-related, and CMS has issued two fines totaling $4,893. The last inspection was March 26, 2026.

Nurse hours

3.49 /day

Staff turnover

49%

Serious cites

0

Heritage Post Acute runs 132 beds in Florence under for-profit limited liability ownership, and its staffing sits about 10% under the national average, 3.49 nurse hours per resident day against 3.86. Weekends run roughly 15% thinner than weekdays, so coverage dips when families tend to visit. Annual turnover is 48.5%, a bit above the 45.8% national figure. The inspection record is current, dated February 2026, with 10 deficiencies and nothing flagged at harm or jeopardy level; no abuse citations either. What pulls the quality measure rating down to 1 out of 5 while inspections and staffing each hold at 3 is worth asking about directly.

Nurse hours

3.09 /day

Staff turnover

52%

Serious cites

0

Highmore Health runs about 3.09 nurse hours per resident day, roughly a fifth below the national average, and weekends dip even further from its own weekday level. That thin coverage adds up when you consider the record: 24 deficiencies, four of them serious enough to cause harm or jeopardy, plus four abuse-related citations, even with a recent May 2025 inspection. Staff turnover sits at 51.6%, above the 45.8% national figure, meaning caregivers cycle through faster than average. Quality measures land at 2 out of 5 stars. It's a small nonprofit home, 39 beds, and the pattern here is consistent: adequate at moments, strained underneath.

Nurse hours

3.31 /day

Staff turnover

46%

Serious cites

0

Sanford Care Center Vermillion runs on tighter staffing than most homes its size, 3.31 nurse hours per resident day against a national average of 3.86, with weekends dipping roughly another 10% below its own weekday coverage. Turnover sits at 45.5%, essentially tracking the national rate, so the issue isn't retention so much as how thin the floor gets. On inspections, the record shows 11 deficiencies, three of them serious enough to involve harm or jeopardy and one tied to abuse, plus a single fine of $44,577. The last inspection was in October 2025. Two stars each for health inspections and quality measures, four for staffing, and nonprofit ownership round out the picture.

Nurse hours

4.36 /day

Staff turnover

61%

Serious cites

0

Waverly Hills Post Acute has 100 certified beds and is owned by a for-profit limited liability company. The raw staffing number looks decent, 4.36 nurse hours per resident day, about 13% above the national average, but the 2-out-of-5 staffing star rating and 61.3% annual turnover tell a different story. More than six in ten staff left over the year, well above the national 45.8%, and weekend coverage dips roughly 3% below weekdays. The inspection record is the bigger concern: 23 deficiencies, including two at harm or jeopardy level and one abuse-related, with a $48,110 fine attached. The most recent inspection was June 2025. Quality measures score well at 4/5, but high turnover plus that deficiency history is what pulls the overall picture down to a C.

Nurse hours

3.37 /day

Staff turnover

46%

Serious cites

0

Paradigm At Stevens runs 106 beds in Yoakum under corporate for-profit ownership, and its nurse staffing sits at 3.37 hours per resident day, roughly 13% under the national average, with weekend coverage dropping another 8% below its own weekday levels. The staffing star rating comes in at 1 out of 5, and turnover is 46.2%, essentially matching the national rate, so this isn't a retention crisis so much as a thin bench. Inspections tell a similar story: 35 deficiencies on record, four tied to abuse, though none reached harm or jeopardy. The last inspection was March 2025, and quality measures score well, but that gap between good clinical numbers and weak staffing is worth asking about directly.

Nurse hours

3.96 /day

Staff turnover

43%

Serious cites

0

Heartwood runs a for-profit shop with 120 beds in Tacoma, and the staffing picture is genuinely mixed. Nurse hours come in at 3.96 per resident day, a hair above the national average, but weekends drop about 11% below what the home staffs on weekdays, a gap families feel most on Saturdays and Sundays. Turnover sits at 42.6%, slightly better than the national 45.8%. The trouble is the inspection record: 82 deficiencies on file, six at harm or jeopardy level, five tied to abuse, and four fines totaling $382,661. The last inspection was March 2026. The staffing numbers look decent; the survey history is what should worry you.

Nurse hours

3.58 /day

Staff turnover

42%

Serious cites

0

North Bend Post Acute runs 64 beds under for-profit LLC ownership, and the nurse staffing number is 3.58 hours per resident day, roughly 7% under the national average of 3.86, with weekends running about 10% thinner than weekdays. Turnover sits at 42%, which is actually a touch better than the 45.8% national figure, so the problem here isn't retention so much as how few hands are on deck per shift. The inspection record is where it gets serious: 103 deficiencies on file, four at harm or jeopardy level, four tied to abuse, and two fines totaling $206,072. The most recent inspection was March 5, 2025.

Nurse hours

3.74 /day

Staff turnover

56%

Serious cites

0

Odd Fellow Home runs 88 certified beds as a nonprofit, and its nurse staffing sits at 3.74 hours per resident day, about 3% under the national average of 3.86, with weekends roughly 8% thinner than weekdays. The bigger flag is turnover: 56.3% against a national 45.8%, meaning more than half the nursing staff leaves each year, which matters more when you consider the 42 deficiencies on record, seven tied to abuse, and 19 fines totaling $97,228. Inspectors were last on site in May 2025 and rated health inspections 2 out of 5, though the quality measure score of 4 suggests clinical outcomes have held up better than the staffing and compliance picture.

Nurse hours

4.42 /day

Staff turnover

59%

Serious cites

0

Palos Verdes Health Care Center has 48 certified beds in Lomita, run by an individual for-profit owner. The staffing numbers look decent on paper, 4.42 nurse hours per resident day, about 14% above the national average, but that average hides real gaps. Weekend coverage drops roughly 6% below the home's own weekday level, and annual turnover sits at 58.6%, well above the 45.8% national figure, meaning the people providing that care keep changing. The inspection record is the harder problem. Fifty-three deficiencies are on file, including five at the harm or jeopardy level and five tied to abuse. Three fines total $97,006. The most recent inspection was February 12, 2026, so the record is current, not stale.