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4,510 Independent Nursing Homes in the United States

4,510 of the 14,697 Medicare-certified nursing homes in the United States (31%) are independently owned, and all are listed below. 1309 of the 4490 graded homes earn an A and 280 earn a D or F. They average 4.25 nursing hours per resident per day, 0.39 hours above the 3.86 for every home in the United States. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How independently owned homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

4.25

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

43.3%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

76.6/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

1,309 grade A, 1,865 grade B, 1,036 grade C, 279 grade D, 1 grade F

The best-graded independently owned home in the United States is Mclean Health Center in Simsbury, CT — grade A, 100/100.

Every independently owned nursing home in the United States

Showing 3301–3320 of 4,510, best-graded first.

C

68/100

Gogebic Medical Care Facility

Wakefield, MI · Gogebic County

CMS 3/5 100 beds Government Medicaid
Nurse hours
2.89 /day
Staff turnover
40%
Serious cites
0

Gogebic Medical Care Facility runs on noticeably thin staffing: 2.89 nurse hours per resident day against a national average of 3.86, with weekends about 7% leaner than weekdays. Turnover sits at 40.4%, a bit better than the 45.8% national figure, so the county does hold onto workers somewhat more reliably than many operators. The inspection record is the harder read, 10 deficiencies, four of them at harm or jeopardy level and one abuse-related, plus a $16,153 fine, on a survey completed March 4, 2025. Quality and inspection scores both land at 2 out of 5, staffing at 1.

C

68/100

Schoolcraft Medical Care Facility

Manistique, MI · Schoolcraft County

CMS 3/5 85 beds Government Medicaid
Nurse hours
3.51 /day
Staff turnover
52%
Serious cites
0

Schoolcraft Medical Care Facility is county-owned and holds 85 certified beds, and its staffing sits about 9% below the national average at 3.51 nurse hours per resident day. Weekends run roughly 10% thinner than weekdays, and turnover hits 51.5% against a national 45.8%, so the people who stay are stretched thinnest exactly when backup is hardest to find. The inspection record is where it gets harder to wave off: 19 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $63,492 fine. The last inspection came in January 2025. Quality measures score middling, staffing scores comparatively well on paper, but the deficiency history tells a different story about what that staffing actually delivers.

C

68/100

Hilltop Healthcare Rehabilitation And Skilled Nurs

Duluth, MN · St. Louis County

CMS 2/5 140 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
50%
Serious cites
0

Hilltop runs about 140 beds in Duluth under for-profit partnership ownership, and the numbers worth your attention are the ones a star rating can hide. Nurse staffing comes in around 3.31 hours per resident day, roughly 14 percent under the national average, and weekends drop another 7 percent below its own weekday levels, meaning the thinnest coverage lands exactly when families tend to visit. Annual turnover sits at 50 percent. The inspection record is where things get serious: 35 deficiencies, three at harm or jeopardy level, three tied to abuse, and $168,221 in fines across three penalties. The most recent inspection was March 12, 2026, so that record is current.

C

68/100

St Marks Living

Austin, MN · Mower County

CMS 1/5 45 beds Non-profit Medicaid
Nurse hours
4.70 /day
Staff turnover
52%
Serious cites
0

St. Marks Living has a genuine strength: 4.70 nurse hours per resident day, roughly 22% above the national average, which is why CMS gives it 4 out of 5 stars for staffing. But that staffing comes with cracks, weekend coverage drops about 7% below its own weekday level, and annual turnover sits at 51.8%, higher than the national 45.8%. The bigger problem is oversight: 29 deficiencies on the current record, four of them at harm or jeopardy level, and a $127,000 fine. Its last inspection was in April 2025, and CMS rated that inspection 1 out of 5 stars. Strong bedside hours alone can't offset that pattern.

C

68/100

Auburn Home In Waconia

Waconia, MN · Carver County

CMS 2/5 37 beds Non-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
62%
Serious cites
0

Auburn Home In Waconia is a 37-bed nonprofit in Carver County, and the numbers worth knowing sit mostly on the inspection side. Its record carries 35 deficiencies, including one at the harm or jeopardy level and three tied to abuse, plus a $10,361 fine, enough that CMS has placed it in the Special Focus Facility program, a designation reserved for homes with a persistent pattern of serious problems. Staffing hours come in just under the national average, and weekend coverage drops about 14% below its own weekday level, which matters in a building this small. Annual turnover of 61.7% is well above the 45.8% national figure, so the people providing care keep changing. The most recent inspection was April 2, 2025.

C

68/100

Jones Co Rest Home

Ellisville, MS · Jones County

CMS 2/5 122 beds Government Medicaid
Nurse hours
4.24 /day
Staff turnover
—
Serious cites
0

Jones County Rest Home runs a city/county operation in Ellisville with 122 certified beds, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's real coverage on paper, though weekends drop about 22% below the home's own weekday levels, so the weekday number isn't what a Saturday looks like. The inspection record is where the trouble shows. Sixteen deficiencies are on file, three of them serious enough to count as harm or jeopardy, plus two fines totaling $12,735. The most recent inspection was in March 2025, and both the health inspection and quality measure ratings came back at 2 out of 5. Nothing here is abuse-related, but three harm-level findings is a lot for a home this size.

C

68/100

Mary, Queen And Mother Center

Shrewsbury, MO · St. Louis County

CMS 2/5 217 beds Non-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
52%
Serious cites
0

Mary, Queen And Mother Center runs 217 certified beds under church-related nonprofit ownership, and its inspection record is the part that stands out. Federal inspectors logged 41 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with a single fine of $19,133. The last inspection was March 24, 2025, so that record is recent. Nurse staffing sits at 3.31 hours per resident day, roughly 14 percent under the national average of 3.86, and weekends run about 11 percent thinner than weekdays. Staff turnover is 52.1 percent against a national 45.8. The 4/5 quality measure rating reflects resident care measures, but the 2/5 inspection rating and thin coverage tell a harder story.

C

68/100

Baptist Homes, Tri-County

Vandalia, MO · Audrain County

CMS 1/5 90 beds Non-profit Medicaid
Nurse hours
3.93 /day
Staff turnover
60%
Serious cites
0

Baptist Homes, Tri-County runs 90 certified beds in Vandalia as a nonprofit, and its nurse staffing sits at 3.93 hours per resident day, slightly above the national average of 3.86. That's the good news, and it's thin. Weekend staffing dips about 1% below its own weekday level, and annual turnover hits 60% against a national average of 45.8%, meaning most of the people providing that care are new to the building or on their way out. The inspection record is where the real weight sits: 64 deficiencies on file, five of them at harm or jeopardy level, two tied to abuse, plus a $13,039 fine. Federal ratings put health inspections and quality measures at 1 out of 5. The last inspection was February 2024, so that record is current.

C

68/100

Meyer Care Center

Higginsville, MO · Lafayette County

CMS 1/5 56 beds Non-profit Medicaid
Nurse hours
3.20 /day
Staff turnover
55%
Serious cites
0

Meyer Care Center runs on leaner nurse staffing than most homes, 3.20 hours per resident day against a national average of 3.86, roughly 17% below. Weekend coverage holds steady, actually a bit above its own weekday level, so shortfalls aren't a weekend problem; they're baked into the baseline. Staff turnover sits at 54.5%, well past the 45.8% national figure, which means caregivers cycle through faster than residents can get to know them. The inspection record is the harder read: 46 deficiencies on file, including one at the harm level and three tied to abuse, with the most recent state visit in July 2024. Federal ratings land at one star for health inspections, two for quality measures and staffing.

C

68/100

Putnam County Care Center

Unionville, MO · Putnam County

CMS 2/5 60 beds Government Medicaid
Nurse hours
3.50 /day
Staff turnover
—
Serious cites
0

Putnam County Care Center runs about 3.50 nursing hours per resident day, roughly 9% under the national average of 3.86, and weekend staffing drops nearly a fifth below its own weekday levels, so the thinnest coverage lands when families tend to visit. The current inspection record carries 24 deficiencies, three of them serious enough to involve harm or jeopardy, plus three fines totaling $72,664; the last inspection was September 2024. As a county-owned home, it answers to local government rather than a chain, but that hasn't translated into stronger numbers here. Quality measures look ordinary at three stars, while inspection and staffing sit at two each.

C

68/100

Accura Healthcare Of Pierce

Pierce, NE · Pierce County

CMS 3/5 75 beds For-profit Medicaid
Nurse hours
2.82 /day
Staff turnover
62%
Serious cites
0

Accura Healthcare of Pierce runs 75 certified beds in Pierce County, Nebraska, under corporate for-profit ownership. Nurse staffing sits at 2.82 hours per resident day, roughly 27% under the national average of 3.86, and weekends dip another 10% below the home's own weekday levels. Staff turnover is 61.8% a year, well above the 45.8% national figure. That thin staffing is the central fact here, and it explains why the staffing rating lands at 1/5 even while inspection and quality measure ratings each hit 4/5. The inspection record shows 18 deficiencies with no harm-level findings, one abuse-related entry, and a recent April 2026 inspection. Strong survey results carry weight, but they don't offset a workforce that loses most of its people annually.

C

68/100

Arbor Care Centers-Countryside Llc

Madison, NE · Madison County

CMS 2/5 70 beds Government Medicaid
Nurse hours
— /day
Staff turnover
64%
Serious cites
0

Arbor Care Centers-Countryside is city-owned, with 70 certified beds in Madison. Its last inspection wrapped in December 2025, and what inspectors have on record is heavy: 31 deficiencies, including four tied to abuse and two serious enough to put residents in harm's way. Staffing is where the trouble really shows, the federal staffing rating sits at 1 out of 5, and turnover runs about 64 percent a year against a national average near 46 percent, meaning most of the people caring for your family member this year likely won't be there next year. Resident outcome measures look strong on paper, but thin, constantly changing staffing is what tends to wear those numbers down.

C

68/100

Tallwoods Care Center

Bayville, NJ · Ocean County

CMS 3/5 180 beds For-profit Medicaid
Nurse hours
3.31 /day
Staff turnover
50%
Serious cites
0

Tallwoods Care Center runs 180 certified beds in Bayville under corporate for-profit ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends are thinner still, running about 15% below the home's own weekday coverage, which matters most when families visit and when residents need help between therapy and meals. Staff turnover is 49.6% against a national 45.8%, so many of the people caring for residents are still learning the building. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $13,452 fine. The most recent inspection was November 26, 2025.

C

68/100

Accela Post Acute Care At Hamilton

Hamilton, NJ · Mercer County

CMS 2/5 55 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
62%
Serious cites
0

Spring Hills Post Acute Hamilton runs 55 beds under corporate ownership, and its staffing numbers tell two stories. The 4.48 nurse hours per resident day sits well above the national average, but weekends drop about 12% below the home's own weekday coverage, and turnover hits 62.3% against a national 45.8%. Inspections are the bigger concern: 28 deficiencies on the current record, including one at harm or jeopardy level and two abuse-related, drawing a $11,175 fine and a 2/5 health inspection rating. Quality measures score 5/5, but that's the one bright spot in a record that most recently drew scrutiny in February 2025.

C

68/100

Willow Point Rehabilitation And Nursing Center

Vestal, NY · Broome County

CMS 1/5 300 beds Government Medicaid
Nurse hours
4.25 /day
Staff turnover
52%
Serious cites
0

Willow Point runs a county-owned, 300-bed home in Vestal, and the staffing numbers are its clearest strength: 4.25 nurse hours per resident day, roughly 10% above the national average. But weekends drop about 12% below its own weekday level, and turnover sits at 52.1% against a national 45.8%, so that coverage isn't always steady. The bigger concern is the inspection record, a 1-out-of-5 health inspection rating, 26 deficiencies with two at harm or jeopardy level, two abuse-related, and a $166,364 fine, with the last survey in June 2025. Quality and staffing measures both land at 3 out of 5. Families weighing this one should ask directly about weekend coverage and the abuse-related findings.

C

68/100

The Pines Healthcare & Rehabilitation Centers Olea

Olean, NY · Cattaraugus County

CMS 4/5 120 beds Government Medicaid
Nurse hours
3.50 /day
Staff turnover
61%
Serious cites
0

The Pines in Olean is county-owned, which matters less than what the numbers show. Nurses provide 3.50 hours of care per resident per day, about 9% under the national average of 3.86, and weekends run roughly a tenth thinner than weekdays, so the weakest coverage lands when families tend to visit. Annual turnover sits at 60.8% against a national 45.8%, meaning most of the staff you meet this year likely won't be there next. The good news: inspections are recent, the health inspection rating is strong at 4 of 5, and none of the nine deficiencies on record reached harm or jeopardy level. Three are abuse-related, though, which is worth asking about directly.

C

68/100

Meadowbrook Healthcare

Plattsburgh, NY · Clinton County

CMS 2/5 287 beds For-profit Medicaid
Nurse hours
3.44 /day
Staff turnover
49%
Serious cites
0

Meadowbrook runs about 3.44 nursing hours per resident per day, roughly 11% under the national average, and weekends drop another 13% below its own weekday level. That gap matters most on Saturdays and Sundays, when families often visit and notice. Staff turnover sits at 49%, a few points above the national figure. The inspection record shows 25 deficiencies, none flagged at harm or jeopardy level, but one is abuse-related, worth asking about directly. Ownership is for-profit corporate, and the most recent inspection was October 2024. The quality measure score is decent; the inspection history is the weaker piece. Ask about weekend coverage, turnover on the current staff, and the abuse citation before deciding.

C

68/100

Bezalel Rehabilitation And Nursing Center

Far Rockaway, NY · Queens County

CMS 3/5 120 beds Non-profit Medicaid
Nurse hours
3.28 /day
Staff turnover
22%
Serious cites
0

Bezalel Rehabilitation and Nursing Center runs 120 certified beds in Far Rockaway as a nonprofit corporation. Nurse staffing sits at 3.28 hours per resident day, roughly 15 percent under the national average of 3.86, and weekends dip about 8 percent below its own weekday levels, so coverage thins out right when families tend to visit. What stands out favorably is turnover: 22.4 percent versus a national average of 45.8 percent, meaning aides and nurses largely stay put, which matters for residents who need consistent hands. The record shows 13 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The last inspection was March 2026, so the picture is recent. Quality measure scores come in at 2 out of 5 stars, which is where the weaker numbers cluster.

C

68/100

Mt Airy Gardens Rehabilitation And Nursing Center

Cincinnati, OH · Hamilton County

CMS 2/5 99 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
60%
Serious cites
0

Mt Airy Gardens runs 99 certified beds as a for-profit corporation, and its staffing numbers tell the clearest story here: 3.60 nurse hours per resident day sits about 7% under the national average, weekends dip another 7% below its own weekdays, and annual turnover hits 60% against a national 45.8%. That churn makes it hard to keep consistent caregivers at the bedside. The current inspection record carries 68 deficiencies, one serious enough to reach harm or jeopardy level, plus a $10,039 fine, though the most recent inspection was February 2025, so the picture is current. Quality measures score well, but staffing and inspection results are where the concerns concentrate.

C

68/100

Loveland Care Center

Loveland, OH · Warren County

CMS 3/5 89 beds For-profit Medicaid
Nurse hours
3.70 /day
Staff turnover
56%
Serious cites
0

Loveland Care Center runs 89 certified beds under corporate for-profit ownership, and its staffing numbers sit below where you'd want them: 3.70 nurse hours per resident day against a national average of 3.86. Weekends dip further, about 7% under its own weekday coverage, so the thinnest shifts land when families often visit. Annual turnover of 55.7% tops the national 45.8% average, which means caregivers cycle through faster than residents can build familiarity with them. The inspection record shows 23 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. A recent April 2025 inspection is a point in its favor, but the staffing pattern and turnover are what stick.

Frequently asked questions

How many independently owned nursing homes are there in the United States?
There are 4,510 independently owned Medicare-certified nursing homes in the United States, 31% of the 14,697 nursing homes there.
Are independently owned nursing homes better staffed?
In the United States they average 4.25 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.39 hours. Staff turnover averages 43.3% against 45.8%.
Which independently owned nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT — grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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