4,510 Independent Nursing Homes in the United States

Nurse hours

3.27 /day

Staff turnover

62%

Serious cites

0

Phoenix Of Maple Heights runs on thinner staffing than most homes its size, 3.27 nurse hours per resident day against a national average of 3.86, with weekends dropping about 12% below its own weekday coverage. That gap matters because nurse aides provide most of the hands-on care, and fewer of them per resident tends to show up in daily things like answering call lights and help with meals. The home's 61.9% annual turnover means a large share of its caregivers leave each year, so residents cycle through a lot of unfamiliar faces. Its last inspection was in June 2024, and 44 deficiencies sit on the current record, none at the harm level, none abuse-related, but a volume that helps explain the one-star inspection rating. Ownership is a for-profit limited liability company.

Nurse hours

2.75 /day

Staff turnover

65%

Serious cites

0

The numbers at Winchester Terrace tell two different stories. Its quality measures come in at the top of CMS's scale, but staffing sits at the bottom: 2.75 nurse hours per resident day against a national average of 3.86, and weekends run about 11% thinner than weekdays. That thin coverage is hard to separate from a 64.6% annual turnover rate, well above the 45.8% national figure. The inspection record is the other concern, 40 deficiencies, three serious enough to involve harm or jeopardy, and a $14,015 fine, with the most recent survey in July 2024. For-profit corporate ownership rounds out the picture. Good clinical scores, but ask direct questions about who's actually on the floor.

Nurse hours

3.24 /day

Staff turnover

61%

Serious cites

0

Accord Care Community Orrville runs on thinner staffing than most homes its size, about 3.24 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 12% below its own weekday levels. That gap shows up in the numbers: a one-star CMS staffing rating and 60.9% annual turnover, well above the 45.8% national figure. Its inspection record carries 44 deficiencies, including two at the harm level and three tied to abuse, with the most recent inspection in October 2024. Clinical quality measures score well, but the labor side tells a different story.

Nurse hours

3.21 /day

Staff turnover

54%

Serious cites

0

Sayre Health Care Center runs on 3.21 nurse hours per resident per day, about 17 percent under the national average of 3.86, and weekend staffing dips roughly 2 percent below its own weekday level. Turnover sits at 54.2 percent against a national 45.8, so nearly six in ten staff left over the year, which matters more when there are fewer of them to begin with. The inspection record shows 44 deficiencies, none at harm or jeopardy level but one tied to abuse, and the most recent survey was April 3, 2026. All three CMS ratings, health inspections, quality measures, staffing, come in at 2 out of 5. For-profit corporate ownership ties it together.

Nurse hours

3.44 /day

Staff turnover

41%

Serious cites

0

Paramount Nursing and Rehab runs 92 beds in Fayetteville under corporate ownership, and its inspection record is the main thing to know: 26 deficiencies on file, two of them serious enough to cause harm or jeopardy, plus two tied to abuse. The last state visit was June 2025, so the findings are recent. Nurse staffing sits at 3.44 hours per resident day, roughly 11% under the national average, and weekends drop about 9% below the home's own weekday level. Turnover, at 40.7%, is actually a little better than the 45.8% national figure. Two fines totaling $17,345 round out the record.

Nurse hours

3.22 /day

Staff turnover

57%

Serious cites

0

Rose View runs a 123-bed for-profit home in Williamsport, and the numbers tell a mixed story. Its quality measure score is perfect, but staffing sits at 3.22 nurse hours per resident day, roughly 17 percent under the national average, and weekends drop another 14 percent below its own weekday levels, which matters when falls and infections don't check the calendar. Annual turnover of 57.3 percent runs well above the 45.8 percent national figure, so the people caring for residents are often new. Inspections in December 2024 turned up 33 deficiencies, including one abuse-related citation, though none rose to actual harm or jeopardy. Solid clinical measures, thin coverage, steady churn.

Nurse hours

3.66 /day

Staff turnover

55%

Serious cites

0

Orchard Manor runs 121 certified beds as a for-profit LLC, and the staffing numbers are where your attention should go first. Nurses give 3.66 hours per resident per day, about 5% under the national average, and weekends drop roughly 12% below what the home itself staffs on weekdays, so coverage is thinnest exactly when families tend to visit. Annual turnover sits at 55.3% against a 45.8% national rate, which means a good share of the people caring for your relative are new. Eighteen deficiencies sit on the current record, two at harm or jeopardy level and two tied to abuse, with $21,463 in fines. The last inspection was September 2025.

Nurse hours

5.54 /day

Staff turnover

54%

Serious cites

0

Fox Subacute At Mechanicsburg runs 56 certified beds under corporate ownership, and its nurse staffing averages 5.54 hours per resident day, roughly 43% above the national figure of 3.86. That sounds generous until you notice weekends run about 10% lighter than weekdays, and turnover sits at 54.3% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with $14,886 in fines. A January 2026 inspection is recent. High daily staffing and heavy turnover can coexist, and here the quality measure score outpaces what the staffing consistency and deficiency history suggest.

Nurse hours

3.26 /day

Staff turnover

47%

Serious cites

0

Cedar Haven Operations runs Lake Forrest Health in Smithfield as a for-profit, individually owned home with 133 certified beds. The staffing numbers look decent on paper, 3.26 nurse hours per resident day, but that's still about 16% under the national average, and weekends run roughly 9% thinner than weekdays. The real problem sits in the inspection record: 44 deficiencies, six of them serious enough to put residents at harm or jeopardy, and three tied to abuse. Three fines total $112,473. Turnover runs 46.9%, slightly worse than the already-high national rate. With the most recent inspection in January 2026, families should ask hard questions about what's changed since.

Nurse hours

3.47 /day

Staff turnover

44%

Serious cites

0

Cheraw Healthcare runs 120 beds as a for-profit corporation, and its nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average. Weekends drop about 11 percent below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover at 44.3 percent is slightly better than the 45.8 percent national figure, but still means nearly half the workforce turns over in a year. The inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related, plus a $14,901 fine. The most recent inspection was March 12, 2026, so the picture is current rather than stale.

Nurse hours

5.15 /day

Staff turnover

66%

Serious cites

0

Park Meadows Post Acute runs 113 certified beds under corporate for-profit ownership, and its nurse staffing sits at 5.15 hours per resident day, roughly a third above the national average of 3.86. That's a real strength, and weekend coverage doesn't drop off, staying slightly above its own weekday level. The catch is who's providing that care: annual turnover hits 65.9% against a national 45.8%, meaning most of the staff you'd meet this year likely won't be there next year. The inspection record adds another wrinkle, 21 deficiencies, none at harm or jeopardy level and none abuse-related, but the last full inspection was in May 2022. That's a long gap, and it leaves the current picture harder to read than the staffing number alone suggests.

Nurse hours

3.57 /day

Staff turnover

55%

Serious cites

0

Bolivar Health & Rehabilitation runs 67 certified beds under individual for-profit ownership, and its inspection record is the strongest thing it has going: a 4-out-of-5 health inspection rating, with the most recent survey completed in April 2025 and no deficiencies at the harm or jeopardy level. The staffing picture is weaker. At 3.57 total nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends drop roughly 12% below its own weekday coverage. Annual turnover of 54.5% is nearly nine points above the national rate, meaning more than half the nursing staff turns over each year. Ask how they hold weekday care steady when weekend coverage thins out.

Nurse hours

3.75 /day

Staff turnover

60%

Serious cites

0

Denison Nursing and Rehab runs 71 beds under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.75 hours per resident day, a bit under the national average, but the bigger issue is consistency: weekends run about 28% below the home's own weekday level, and annual turnover hits 60% against a national 45.8%. Inspections are recent (July 2025) but the record shows 32 deficiencies, including one at the harm level and one abuse-related, plus an $8,281 fine. The five-star quality measure score stands out against a one-star staffing rating and a two-star inspection rating. Ask about weekend coverage and how they've addressed that abuse citation.

Nurse hours

3.13 /day

Staff turnover

34%

Serious cites

0

Spanish Meadows runs 3.13 nurse hours per resident day, roughly 19% under the national average of 3.86, and weekends drop about 9% below its own weekday staffing. That thin coverage shows up in the results: 31 deficiencies on the current record, including one at the harm level and three tied to abuse. Turnover is the one bright spot, 33.8% against a national 45.8%, but steady staff can only do so much when there aren't enough of them. The last inspection was January 29, 2026, and fines total $14,790 across two events. For a 119-bed for-profit home, staffing is the number worth asking about directly.

Nurse hours

5.17 /day

Staff turnover

98%

Serious cites

0

Mesa View Senior Living in Canadian runs on a hospital district's license and staffs at 5.17 nurse hours per resident day, roughly a third more than the national average of 3.86, with weekends dipping only slightly below weekdays. That kind of coverage is hard to find. The complications sit elsewhere: staff turnover hits 98.2% against a national 45.8%, meaning the people providing that generous coverage are largely new faces. Sixteen deficiencies appear on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was recent, in December 2025. Quality measure scores land at 1 out of 5 stars, which reflects resident-level clinical outcomes rather than the staffing numbers.

Nurse hours

3.31 /day

Staff turnover

58%

Serious cites

0

Northern Neck Senior Care Community runs an 80-bed for-profit home in Warsaw, and its staffing is the number to sit with. At 3.31 nurse hours per resident day, it's about 14% under the national average, and weekends drop roughly 13% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Annual turnover of 58.2% is well above the 45.8% national figure, which usually means caregivers keep changing. On the plus side, quality measures score 5/5 and the 28 deficiencies on record include none at harm or jeopardy level, though two are abuse-related. The last full inspection was March 2023.

Nurse hours

4.29 /day

Staff turnover

73%

Serious cites

0

McKay Healthcare & Rehab Center is a small hospital-district home in Soap Lake, and its day-to-day staffing looks solid on paper, 4.29 total nurse hours per resident, roughly 11% above the national average. But that average hides two things worth asking about: weekends run about 14% thinner than weekdays, and annual turnover sits at 72.9%, well above the national 45.8%. A recent inspection in March 2025 and a four-star health inspection rating are genuine positives, but the current record carries 40 deficiencies, including one at the harm level and five tied to abuse, plus a $113,505 fine. Good inspections, but the staffing churn is the number I'd press them on.

Nurse hours

4.81 /day

Staff turnover

55%

Serious cites

0

Luther Manor runs 4.81 nurse hours per resident day, roughly a quarter above the national average of 3.86, and CMS gives it four stars for staffing. That's the good news, and it's real. The rest is harder. Fifty deficiencies sit on the current record, seven of them at harm or jeopardy level and twelve abuse-related, with six fines totaling $170,666. Staff turnover is 55.2% against a national 45.8%, and weekend coverage drops about 10% below its own weekday level. The last inspection, in December 2025, produced a one-star health inspection rating. The nonprofit owner is a corporation, not a family operation. Strong hours on paper aren't reaching residents the way the numbers suggest they should.

Nurse hours

4.00 /day

Staff turnover

77%

Serious cites

0

Oak Park Place of Janesville runs 35 certified beds under corporate ownership, and the staffing picture is mixed in a way that matters. Total nurse coverage sits at 4.00 hours per resident day, a bit above the national average, but weekends drop roughly 11% below the home's own weekday levels, and annual turnover hits 76.7% against a national figure of 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The inspection record is the bigger concern: 33 deficiencies, three serious enough to involve harm or jeopardy, and two tied to abuse, with the most recent inspection in June 2025.

Nurse hours

3.23 /day

Staff turnover

70%

Serious cites

0

Care Inn Of La Grange runs on thin staffing. At 3.23 nurse hours per resident day, it sits about 16% under the national average, and weekends drop roughly 12% below its own weekday levels, so the hours when families visit most are often the leanest. That shows up in the one-star staffing rating, and in turnover: 70% of staff leave each year against a national rate near 46%, meaning many of the people caring for residents are still learning the building. The good news is the clinical picture. A five-star quality measure rating and a clean inspection record, 21 deficiencies, none at harm or jeopardy level, none abuse-related, with the last survey in March 2026. Government hospital district ownership adds some stability. The tradeoff is real: strong outcomes, strained hands.