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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 3341–3360 of 4,510, best-graded first.

C

68/100

Emory Health And Rehab

Emory, TX · Rains County

CMS 3/5 68 beds Government Medicaid
Nurse hours
2.85 /day
Staff turnover
80%
Serious cites
0

Emory Health And Rehab is a 68-bed hospital-district home in Rains County, and its inspection record is genuinely strong, four out of five stars, with the most recent visit in August 2025 and no abuse deficiencies. The problem sits in the staffing numbers. At 2.85 nurse hours per resident day, it runs about 26% below the national average, and weekends dip another 5% below its own weekday levels. Annual turnover of 80% means most of the aides and nurses on a given shift are relatively new. Twenty-eight deficiencies are on record, one serious enough to cause harm. A hospital district can be a steady owner, but steady ownership doesn't staff the floor.

C

68/100

Spjst Rest Home 1

Taylor, TX · Williamson County

CMS 1/5 96 beds For-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
51%
Serious cites
0

Spjst Rest Home 1 runs 96 certified beds in Taylor under corporate for-profit ownership, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.78 hours per resident day, a bit under the national average, and it thins out further on weekends, roughly 8% below what the home staffs on weekdays. Annual turnover of 50.6% means about half the nursing staff leaves each year, against a national rate near 46%. The inspection history is the heavier concern: 33 deficiencies on the current record, 7 of them serious enough to involve harm or jeopardy, 4 tied to abuse. Three fines total $122,722. The last inspection was January 16, 2026.

C

67.5/100

Health Care Inc

Ashville, AL · St. Clair County

CMS 3/5 53 beds For-profit Medicaid
Nurse hours
3.27 /day
Staff turnover
78%
Serious cites
0

Health Care Inc runs 53 certified beds in Ashville under individual for-profit ownership, and its nurse staffing sits at 3.27 hours per resident day, roughly 15 percent under the national average of 3.86. That thin coverage gets thinner on weekends, when hours drop about 23 percent below the home's own weekday pace, and turnover runs 78.3 percent against a national average of 45.8, meaning most of the people caring for residents weren't there a year ago. Six deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection dates to August 2022, a long stretch without a fresh look.

C

67.5/100

Cordova Community Med Ltc

Cordova, AK · Chugach County

CMS 3/5 10 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Cordova Community Med Ltc is a small city- or county-run home with just 10 certified beds, which matters for how you read its record. The 15 deficiencies on file sound like a lot until you notice none of them were cited at a level that caused harm or put residents in immediate jeopardy, though one did involve abuse, and that's the kind of finding worth asking about directly. Its 2-out-of-5 quality measure rating is the weaker signal here, suggesting the clinical numbers that track resident care lag behind what you'd want. The last inspection was March 2026, so the picture is fairly current.

C

67.5/100

Caring House

Sacaton, AZ · Pinal County

CMS 2/5 100 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Caring House is federally run, which puts it in a small category of nursing homes, and its record reflects that mixed reality. The most recent inspection, in July 2025, turned up sixteen deficiencies, including one that caused actual harm and one tied to abuse, that combination matters more than the overall count, because those are the findings surveyors flag as serious. Two fines totaling $28,695 followed. The quality measure rating of four stars suggests residents' clinical outcomes look decent on paper, but the two-star health inspection rating tells you the physical care environment and safety practices are where the trouble sits. If you're considering this home, ask directly what changed after that July inspection.

C

67.5/100

Countryside Health & Rehab Of Newton County

Jasper, AR · Newton County

CMS 3/5 70 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Countryside Health & Rehab Of Newton County runs 70 certified beds in Jasper under for-profit LLC ownership, and its nurse staffing sits at 4.78 hours per resident day, roughly 24% above the national average. That's the strongest thing in its file. Weekends drop about 16% below its own weekday coverage, so the care your family member gets Saturday may look thinner than what happens Tuesday. The tradeoff shows up in inspections and quality measures, both rated 2 out of 5. Fourteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection dated November 15, 2024. Nothing here suggests danger. It suggests a home that staffs well but hasn't cleared its paperwork or outcomes as cleanly as its hours would predict.

C

67.5/100

Walsh Healthcare Center

Walsh, CO · Baca County

CMS 2/5 30 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Walsh Healthcare Center is a 30-bed county hospital district home in far southeast Colorado, and the numbers suggest a place that runs lean. Its staffing score sits at the bottom of the federal scale, well below what CMS expects, and the quality measure score is also below average. That one-two combination matters more than the inspection history, which is actually its strongest area, 17 deficiencies on record, but none at the level where a resident was harmed or put in immediate jeopardy, and no abuse findings. The last inspection was recent, in October 2025. For a small rural home with government ownership, the real question is whether thin staffing is sustainable, not whether the care is unsafe. Ask about direct care hours per resident per day.

C

67.5/100

Memorial Manor Nursing Home

Bainbridge, GA · Decatur County

CMS 2/5 107 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Memorial Manor is a 107-bed home run by a hospital district, so it answers to a public board rather than a chain or a private owner. The staffing picture is the weak spot: Medicare rates it in the bottom tier for nurse coverage, well below what the average Georgia nursing home provides per resident day. The 19 deficiencies on the current record include two tied to abuse, though none rose to the level of actual harm or jeopardy at the last inspection in May 2025. Quality measures also land below average. In short, this is a home where the clinical numbers, not the inspection record, are what a family should be asking hard questions about.

C

67.5/100

Valley Vista Care Center Of St Maries

St Maries, ID · Benewah County

CMS 3/5 74 beds Non-profit Medicaid
Nurse hours
4.37 /day
Staff turnover
61%
Serious cites
0

Valley Vista runs a nonprofit shop in a small Benewah County town, and its nurse staffing sits about 13% above the national average, a real strength, though weekends run roughly 15% thinner than weekdays, so ask how coverage holds up on Saturdays. The harder numbers are elsewhere: 61% annual turnover against a national 45.8%, which means whoever answers your call may be new. Seventeen deficiencies sit on the current record, three serious enough to involve harm or jeopardy and four tied to abuse. One fine totaling $43,843 has been levied. The last inspection was May 2026, so the record is recent.

C

67.5/100

Healthwin Health & Rehabilitation

South Bend, IN · St. Joseph County

CMS 2/5 145 beds For-profit Medicaid
Nurse hours
4.24 /day
Staff turnover
75%
Serious cites
0

Healthwin runs a 145-bed for-profit operation in South Bend, and the raw staffing number looks better than average, 4.24 nurse hours per resident day against a national 3.86. The trouble is who's delivering those hours and how long they stay: turnover hits 74.6%, well above the 45.8% norm, and weekend coverage dips about 16% below weekday levels. On inspections, the record shows 34 deficiencies, including one at harm or jeopardy level and three tied to abuse. The last survey was April 2026, so nothing here is stale. Quality measures score well, but staffing and inspection results are where a family should focus.

C

67.5/100

On With Life Long Term Care

Polk City, IA · Polk County

CMS 5/5 40 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

On With Life Long Term Care is small, 40 certified beds run by a nonprofit corporation, and its inspection record is genuinely strong: a five-star health inspection rating, seven total deficiencies, and none of them at the harm or jeopardy level or tied to abuse. That's the part families worry about most, and it's clean. The weaker signal sits in the quality measures, where it rates two stars, so the day-to-day clinical outcomes the federal data tracks don't look as good as the survey history. The most recent inspection was December 31, 2025, so the picture is current. A small nonprofit with a spotless harm record is worth a visit; ask specifically about the quality measures before deciding.

C

67.5/100

Estherville Community Care Center

Estherville, IA · Emmet County

CMS 2/5 46 beds For-profit Medicaid
Nurse hours
3.38 /day
Staff turnover
46%
Serious cites
0

Estherville Community Care Center runs 46 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.38 hours per resident day, roughly 13% under the national average of 3.86. Weekend coverage drops about 16% below the home's own weekday level, a gap that matters when a resident needs help on a Saturday. The current inspection record carries 22 deficiencies, including one at the harm or jeopardy level and four flagged as abuse-related; the last inspection was September 25, 2025. Staff turnover is 46.2%, essentially matching the national 45.8%, so retention here isn't the outlier, the inspection findings and weekend thinness are what stand out.

C

67.5/100

Carmel Home

Owensboro, KY · Daviess County

CMS 2/5 18 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Carmel Home is a small place, 18 certified beds, run by a nonprofit corporation, and that size shapes what the inspection record looks like. Three deficiencies on the current record with none at the harm or jeopardy level and nothing abuse-related is a thin record, and the most recent inspection came in April 2025, so what you're seeing is recent. What pulls the picture down is the money: four fines totaling $40,173 against a home this small. Ask what those fines were for and when they were issued, because the totals don't match the mild inspection findings. Staffing relative to the national average is the other thing to press on, along with how a nonprofit board this size handles turnover.

C

67.5/100

Western State Nursing Facility

Hopkinsville, KY · Christian County

CMS 4/5 144 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Western State is state-run, and the inspection record backs that up: 12 deficiencies on the current record, but none at harm or jeopardy level and nothing abuse-related, with a survey completed December 10, 2025. That's a home getting walked through recently and coming out without serious tags. The weaker number is quality measures at 2 out of 5, which tells you the clinical side, things like falls, weight loss, or antipsychotic use, isn't tracking as well as the inspection side. Staffing is where this home separates from the national average, and it's the main reason the overall picture lands where it does. Ask to see the last survey report and current staffing levels before you visit.

C

67.5/100

The Mansion At Brigham

Newburyport, MA · Essex County

CMS 1/5 64 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
—
Serious cites
0

The Mansion At Brigham carries 66 deficiencies on its current record, including two at the harm or jeopardy level and one tied to abuse. That's the kind of inspection history that explains a 1-out-of-5 health inspection rating, and it comes with a single CMS fine of $152,988. Staffing sits at 3.52 nurse hours per resident day, roughly 9% under the national average of 3.86, and weekends run about 7% thinner than the home's own weekdays. Quality measures also score 1 out of 5. This is a for-profit limited liability company with 64 certified beds, last inspected September 17, 2025. If you're considering it, ask directly about the abuse-related deficiency and what changed since.

C

67.5/100

Wellspring Lutheran Nursing And Rehab Services

Monroe, MI · Monroe County

CMS 4/5 122 beds Non-profit Medicaid
Nurse hours
2.10 /day
Staff turnover
53%
Serious cites
0

Wellspring Lutheran runs on thin staffing. At 2.10 nurse hours per resident day, it sits about 46% below the national average of 3.86, and weekends drop roughly 17% below its own weekday level, so a Saturday shift has even less coverage than the weekday baseline. Annual turnover of 53.3% tops the national 45.8%, meaning aides and nurses cycle through faster than average. The inspection record is genuinely strong: six deficiencies, none at harm or jeopardy level, no abuse findings, and a survey as recent as March 2026. So the care environment has been judged safe on paper, but the day-to-day hours available to deliver that care are the weak point here.

C

67.5/100

Jasper County Nh

Bay Springs, MS · Jasper County

CMS 1/5 110 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Jasper County Nursing Home in Bay Springs runs on county money, and its staffing is genuinely better than most: 4.57 nurse hours per resident day against a national average of 3.86. Turnover sits at 42.7%, slightly under the national rate, which suggests people stick around more than usual here. The catch is weekends, when hours drop about 16% below the home's own weekday level, and the inspection record: 24 deficiencies, three serious enough to put residents in harm's way, two tied to abuse. The last full inspection was October 2025. Strong daily coverage doesn't cancel out what those inspections found.

C

67.5/100

Moore Few Care Center

Nevada, MO · Vernon County

CMS 3/5 108 beds Government Medicaid
Nurse hours
3.83 /day
Staff turnover
50%
Serious cites
0

Moore Few Care Center is city-owned, which is unusual, and its 108 beds are staffed at 3.83 nurse hours per resident day, a hair under the national average of 3.86. Weekends are where that thins out: about 17% less coverage than weekdays, and half the staff turns over each year against a national rate near 46%. Inspections look solid on paper, with a 4-out-of-5 health inspection rating and the most recent visit in July 2024, but 21 deficiencies sit on the current record and three of those rose to harm or jeopardy. One fine totaling $13,662. The quality measure side tells a different story than the inspection side, and that gap is worth asking about directly.

C

67.5/100

Baptist Homes Of Arcadia Valley

Ironton, MO · Iron County

CMS 3/5 36 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Baptist Homes of Arcadia Valley runs 36 certified beds in Ironton, under church-related nonprofit ownership. Its eight deficiencies on the current record include nothing at the harm or jeopardy level and nothing tied to abuse, which matters more than the raw count, most of what surveyors flagged is paperwork and process, not resident safety. The last inspection came in March 2025, so the record is recent. At 36 beds, this is a small home where staffing ratios and administrator turnover tend to swing widely from quarter to quarter, and that volatility is what a family should ask about directly on a visit. Ask who the director of nursing is, how long they've been there, and how many CNAs have worked here more than a year.

C

67.5/100

Park Terrace Care Center

Corona, NY · Queens County

CMS 2/5 200 beds For-profit Medicaid
Nurse hours
3.88 /day
Staff turnover
—
Serious cites
0

Park Terrace Care Center sits in Corona with 200 certified beds and a for-profit corporate owner. Its total nurse staffing of 3.88 hours per resident day barely edges the national average, and weekends run about 10% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. The inspection record is where things get harder to explain: 26 deficiencies, including one at the harm or jeopardy level and one tied to abuse, plus 12 fines totaling $50,861, with the most recent inspection in September 2025. Resident outcome measures look strong, but that's the piece families can't verify on a tour.

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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