4,510 Independent Nursing Homes in the United States

Nurse hours

3.18 /day

Staff turnover

46%

Serious cites

0

Town Hall Estates Keene runs 126 certified beds as a nonprofit, and its nursing hours come in at 3.18 per resident day, roughly 18% under the national average of 3.86. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends dip about 10% below what the home itself staffs on weekdays. Turnover is 45.6%, essentially level with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 23 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and $16,209 in fines across two penalties. Its most recent inspection came in July 2025.

Nurse hours

3.30 /day

Staff turnover

51%

Serious cites

0

Windcrest runs lean on nursing hours, 3.30 per resident day against a national average of 3.86, and weekends drop roughly another 9% below its own weekday pace. Turnover sits at 50.5%, above the 45.8% national figure, so the staff covering those shifts is changing fairly often. The record shows 15 deficiencies, two of them serious enough to involve harm or jeopardy, plus one fine of $26,364; the most recent inspection was in May 2026. Quality measures score well, inspections and staffing land mid-range, and hospital-district ownership means public accountability rather than a chain. Ask how they staff weekends and what changed after those two harm-level citations.

Nurse hours

3.68 /day

Staff turnover

53%

Serious cites

0

Gosnell Health and Rehab runs 70 certified beds under for-profit LLC ownership, and the numbers show a home that's roughly middle-of-the-road on paper with some real soft spots underneath. Nurse staffing sits at 3.68 hours per resident day, about 5% under the national average, and weekends drop roughly 20% below what the home staffs on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover of 53% tops the national 45.8% mark, meaning aides and nurses cycle through fairly often. The current inspection record carries 11 deficiencies, one serious enough to reach harm or jeopardy level, plus a $13,627 fine. Nothing here suggests abuse, but the staffing pattern and turnover are worth asking about directly.

Nurse hours

3.44 /day

Staff turnover

41%

Serious cites

0

Jeff Davis Living Center runs 120 certified beds in Jennings under for-profit LLC ownership, and its strongest card is inspections: a 4-out-of-5 health inspection rating with 11 deficiencies on record, none of them causing harm or jeopardy and none abuse-related, with a fresh survey from April 2025. Staffing is where it slips. At 3.44 nurse hours per resident day, it sits about 11 percent under the national average of 3.86, and weekends run roughly 17 percent leaner than its own weekdays, a pattern families should ask about directly, since needs don't pause on Saturdays. Turnover at 41.2 percent is actually slightly better than the 45.8 percent national figure, so the issue isn't retention so much as how many hands are scheduled each day.

Nurse hours

4.16 /day

Staff turnover

57%

Serious cites

0

Lakeview Nursing Center runs a 105-bed for-profit home in Gulfport with staffing that looks decent on paper, 4.16 nurse hours per resident day, about 8% above the national average, and a 4-star staffing rating from CMS. But the weekends tell a different story, with staffing roughly 18% below its own weekday levels, and turnover sits at 56.9% against a national 45.8%. The inspection record shows 23 deficiencies, two of them serious enough to involve harm or jeopardy, plus $12,183 in fines across two penalties. Quality measures rate 2 out of 5. Staffing above average, but stability and consistency are where this home struggles.

Nurse hours

3.42 /day

Staff turnover

56%

Serious cites

0

Golden Age runs on county money in a small Caldwell County town, and its inspection record is the strongest thing about it, a four-star health inspection rating with the most recent visit in September 2025. But 23 deficiencies sit on the current record, including one that caused actual harm and four tied to abuse, and those don't disappear because the last inspection went reasonably well. Direct care runs about 12% under the national average, weekends drop roughly 17% below weekdays, and more than half the nursing staff turned over in a year against a national rate near 46%. Quality measures score two stars. Families should ask who's on duty Saturday and how abuse findings were resolved.

Nurse hours

1.77 /day

Staff turnover

55%

Serious cites

0

Summit, The runs 64 beds in Kansas City under corporate ownership, and its staffing numbers are the first thing to notice: 1.77 nurse hours per resident day against a national average of 3.86. Weekends drop about 16% below its own weekday level, and annual turnover sits at 54.8%. The inspection record shows 67 deficiencies, three tied to abuse, though none at the harm or jeopardy level, with the most recent inspection in August 2025. Its quality measure score is strong, but that sits alongside a one-star inspection rating and a one-star staffing rating. For a family weighing this one, the question is whether the clinical outcomes you see on paper can hold up when the day-to-day staffing is this thin.

Nurse hours

2.76 /day

Staff turnover

48%

Serious cites

0

East Side Nursing Home runs lean on the people who actually deliver care. At 2.76 nurse hours per resident day, it sits about 28% under the national average, and weekends drop roughly another quarter below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 48.3% turnover means nearly half the nursing staff leaves each year. That helps explain a 1-out-of-5 staffing rating and 13 deficiencies on record, including one at harm level and three tied to abuse, with $30,635 in fines across four penalties. The 5-out-of-5 quality measure score and 2023 inspection offer some balance, but staffing is where the risk sits.

Nurse hours

3.19 /day

Staff turnover

—

Serious cites

0

Chapin Home For The Aging runs a tight ship on inspections, a clean five-star record with just ten deficiencies on file, none of them serious enough to cause harm and none tied to abuse. The last state visit was in September 2024, so the paperwork is current. Where it slips is daily care coverage: 3.19 nurse hours per resident, roughly 17% under the national average, and weekends run about 9% thinner than weekdays. For a 220-bed nonprofit in Queens, the pattern is familiar, solid oversight, thinner hands-on time, especially Saturdays and Sundays.

Nurse hours

3.52 /day

Staff turnover

55%

Serious cites

0

Margate Health and Rehabilitation runs 210 beds in Jefferson under for-profit LLC ownership, and the numbers split in two directions. The quality star sits at 5 out of 5, but staffing comes in at 3.52 nurse hours per resident day, roughly 9% under the national average, with weekends about 20% thinner than weekdays, and turnover at 54.5% against a national 45.8%. The inspection record is the heavier concern: 23 deficiencies, 4 of them at harm or jeopardy level and 4 abuse-related, plus four fines totaling $28,973. The most recent inspection was February 2026. Strong quality measures on paper don't cancel out thin weekend coverage and a documented harm history. Ask about direct-care staffing on Saturdays and Sundays, and ask to see the plans of correction.

Nurse hours

3.23 /day

Staff turnover

39%

Serious cites

0

Brook Stone Living Center runs 80 certified beds in Pollocksville under corporate for-profit ownership, and its nurse staffing sits around 3.23 hours per resident day, roughly 16 percent under the national average. Weekends get thinner still, dropping about 17 percent below the home's own weekday coverage. Staff turnover comes in at 38.6 percent, which is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record is: 19 deficiencies, one at harm or jeopardy level, one abuse-related, plus a single $18,600 fine. The most recent inspection was June 4, 2025. Quality measures score low, and staffing is the lowest-rated category of the three.

Nurse hours

4.12 /day

Staff turnover

61%

Serious cites

0

Pleasant Valley runs 4.12 nurse hours per resident day, which sounds decent against the 3.86 national average, but the average hides a problem: weekends drop roughly 18% below the home's own weekday coverage. That's when families visit and when staffing quietly thins out. Turnover sits at 61% against a 45.8% national figure, and with 30 deficiencies on record, four at harm or jeopardy level, three tied to abuse, the inspection history is the heavier concern. One $20,049 fine and a single star for health inspections back that up. The ownership is for-profit corporate, and the most recent inspection was August 2024.

Nurse hours

2.96 /day

Staff turnover

—

Serious cites

0

Fountain View Manor runs on 2.96 nurse hours per resident day, roughly a quarter below the national average of 3.86, which is the kind of gap that shows up as call lights answered slower on a Tuesday night. The 28 deficiencies on its current record include two tied to abuse, though none rose to the level of actual harm or jeopardy, and the state was last in the building in January 2026, so that record is recent. Quality measures score 1 out of 5, the weakest piece of the picture, with staffing at 2 and inspections at 3. Weekend coverage sits slightly above its own weekday level, which is something, but it's covering a thin base.

Nurse hours

3.70 /day

Staff turnover

—

Serious cites

0

Franciscan Villa runs 110 certified beds in Broken Arrow under individual for-profit ownership. Its total nurse staffing sits at 3.70 hours per resident day, roughly 4% under the national average of 3.86, and weekends drop about 9% below the home's own weekday coverage, a gap families often notice when they visit on Saturdays and Sundays. Inspections look stronger than the day-to-day numbers: the last visit was December 23, 2024, and the record shows 10 deficiencies, 2 of them serious enough to put residents at risk of harm, with no abuse citations and a single $12,735 fine. Quality measures and staffing both score low against federal benchmarks, so the inspection history is doing most of the lifting here.

Nurse hours

5.64 /day

Staff turnover

72%

Serious cites

0

Hartsville Convalescent Center runs 95 certified beds under corporate ownership, and its nurse staffing averages 5.64 hours per resident day, roughly 46% above the national figure of 3.86. That sounds generous until you see the 1-out-of-5 staffing star rating and 72.3% annual turnover, well above the 45.8% national average, meaning the hours are there but the faces keep changing. Weekends run about 18% leaner than weekdays. Its current record carries 27 deficiencies, one at the harm level, plus $16,796 in fines, and the last inspection was July 2024. The state's routine visit and the quality measures each landed at 2 out of 5.

Nurse hours

3.67 /day

Staff turnover

39%

Serious cites

0

Generations Center of Spencer runs 70 certified beds as a nonprofit corporation, and its staffing sits at 3.67 nurse hours per resident day, roughly 5% under the national average of 3.86. The bigger issue is consistency: weekend staffing drops about 23% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover is 38.9%, better than the 45.8% national figure, which suggests some stability in the workforce. On the record, nine deficiencies, three of them abuse-related, though none rose to harm or jeopardy level. The last inspection was May 2026, and CMS gave middle-of-the-road marks on health inspections but weaker scores on quality measures and staffing.

Nurse hours

3.78 /day

Staff turnover

47%

Serious cites

0

Obion County Nursing Home runs on a county government budget, and the numbers show where that leaves the floor: 22 deficiencies on its current record, including three tied to abuse and two serious enough to put a resident in harm's way. The last inspection was in February 2026, so that record is current, not stale, and it has drawn two fines totaling $23,963. Staffing is the one place it holds up, nurse hours per resident day come in just under the national average, and CMS gives it 4 of 5 stars there, but weekends drop about 15% below its own weekday coverage, and turnover sits at 47.1%. Roughly half the staff leaving each year makes consistent care hard.

Nurse hours

4.78 /day

Staff turnover

—

Serious cites

0

Reagan County Care Center runs on unusually heavy staffing for a small Texas home, 4.78 nurse hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below its own weekday levels. The tradeoff shows up elsewhere: a 1-out-of-5 quality measure rating and 12 deficiencies on record, none tied to harm, jeopardy, or abuse. Inspectors last visited in May 2025, and 19 fines totaling $123,755 have accumulated. The staffing number is real and worth asking about directly. So are the quality measures and that fine history.

Nurse hours

4.09 /day

Staff turnover

32%

Serious cites

0

Riviera Healthcare Center runs 154 certified beds in Pico Rivera under individual for-profit ownership, and the staffing picture is more mixed than one number suggests. Nurses provide 4.09 hours per resident day, about 6% above the national average of 3.86, and annual turnover sits at 31.7% against a national 45.8%, a comparatively stable workforce on paper. Weekend coverage, though, drops roughly 7% below the home's own weekday level. The inspection record is where the concern concentrates: 74 deficiencies on file, including one at the harm or jeopardy level and three tied to abuse, against a 2/5 health inspection rating and 1/5 on quality measures. Fines total just $9,110 across a single penalty. The most recent inspection was March 12, 2026.

Nurse hours

4.91 /day

Staff turnover

52%

Serious cites

0

Sequoia Vista reports 4.91 nurse hours per resident per day, roughly 27% above the national average of 3.86, which sounds like a lot until you notice weekends run about 10% thinner than weekdays and turnover sits at 51.6% against a national 45.8%. The 1-out-of-5 health inspection rating is the part I'd weigh heaviest: 88 deficiencies on the current record, including 2 at harm or jeopardy level and 5 tied to abuse, plus $46,078 in fines across two penalties. The quality measure score of 4 out of 5 and a staffing rating of 2 out of 5 don't offset that inspection history. This for-profit LLC's last inspection was December 5, 2024.