4,510 Independent Nursing Homes in the United States

Nurse hours

2.74 /day

Staff turnover

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Serious cites

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Morris Park runs on 2.74 nursing hours per resident per day, roughly 29% below the national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. That thin coverage sits behind a 1-out-of-5 staffing rating and a 1-out-of-5 health inspection rating, with 22 deficiencies on the current record, two of them serious enough to involve harm or jeopardy. The quality measure score looks strong at 4 out of 5, but those numbers come from resident assessments, not from how many hands are actually available. This is a for-profit LLC with 191 beds, inspected most recently on January 31, 2025. If you're considering it, ask directly how many nurses are on the floor on a Saturday.

Nurse hours

3.49 /day

Staff turnover

70%

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Lilac Manor runs 200 certified beds in Rochester under individual for-profit ownership, and its staffing picture is thinner than most: 3.49 nurse hours per resident day against a national average of 3.86, with weekends about 15% below its own weekday level. That gap matters because staff turnover sits at 70%, well above the 45.8% national figure, so the people covering those thinner weekend shifts are often new. The current inspection record shows 37 deficiencies, three tied to abuse, though none at the harm or jeopardy level; the last full inspection was June 2024. CMS rates its health inspection results at 1 out of 5 stars, which is where the trouble concentrates, not in the quality measures.

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Presbyterian Home for Central New York runs 242 beds as a church-affiliated nonprofit, and its record splits along staffing lines. The federal staffing rating comes in at 1 out of 5, meaning nurse hours per resident sit well below what CMS expects, that's the number I'd push on first, because daily coverage shapes everything else. Inspections in April 2024 turned up 24 deficiencies, none rising to actual harm or jeopardy, but two tied to abuse. Quality measures also land at 2 out of 5. A nonprofit mission doesn't automatically translate into enough aides on the floor, and here the staffing figure is the one asking the loudest question.

Nurse hours

3.06 /day

Staff turnover

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Serious cites

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Sunrise Manor runs about 3.06 nurse hours per resident day, roughly a fifth below the national average, and weekends dip even further below its own weekday staffing. That thin coverage shows up in the staffing rating it received from CMS, which sits at the bottom of the scale, even though its quality measure score looks strong on paper. The inspection record is more troubling than the quality score suggests: 13 deficiencies on file, including one involving actual harm or jeopardy and one tied to abuse, with the most recent survey completed in April 2025. Corporate for-profit ownership, 84 beds, and a recent inspection mean the paperwork is current, but current doesn't mean clean here.

Nurse hours

3.42 /day

Staff turnover

51%

Serious cites

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Mvhs Rehabilitation And Nursing Center runs about 3.42 nurse hours per resident day, roughly 11% under the national average, and weekends drop another 20% below its own weekday staffing. That gap matters more than the raw number, because care doesn't pause on Saturdays. Annual turnover sits at 50.8%, higher than the 45.8% national figure, so a lot of the people providing that care are still learning the building. The current inspection record shows 12 deficiencies with none at the harm level, though one is abuse-related, and the last survey was in July 2025. As a nonprofit with 202 beds, it isn't chasing margins, but the staffing pattern and quality measure score suggest room to improve.

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Staff turnover

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Arbor Acres is a small unit, six certified beds, run by a nonprofit corporation, and its inspection record is clean: one deficiency on the books, nothing rising to harm or jeopardy, no abuse findings, and the most recent survey was in March 2026. Where it falls short is quality measures, which sit at two stars against a four-star inspection rating, a split that usually means the day-to-day care indicators aren't keeping pace with how well the home performs when surveyors show up. With only six beds, a single resident's outcome can swing those numbers hard, so read the quality score as a thin sample rather than a settled verdict.

Nurse hours

4.04 /day

Staff turnover

67%

Serious cites

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Shepherd of the Valley-Boardman runs 4.04 nurse hours per resident day, a bit above the national average, but that average hides a weekend problem, staffing drops roughly 19% below its own weekday level, which is when families tend to visit and notice. Staff turnover sits at 66.7%, well above the national 45.8%, so the people providing that care are changing often. The current inspection record carries 24 deficiencies, including one at the harm or jeopardy level and one abuse-related, with the most recent inspection dated December 31, 2025. This is a nonprofit operation with solid quality marks, but the inspection history and turnover are the numbers worth asking about directly.

Nurse hours

3.32 /day

Staff turnover

50%

Serious cites

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Brentwood Health Care Center is a 99-bed for-profit in Sagamore Hills, and the numbers tell two different stories. Its inspections and quality measures both rate well above average, with the most recent survey done in July 2025. But nurse staffing sits at 3.32 hours per resident day, roughly 14% under the national average, and drops about 16% further on weekends, which matters when families visit and needs don't pause for the calendar. The record also carries 34 deficiencies, including six tied to abuse and one at the level of actual harm. Staff turnover runs 50%, above the national 45.8%. Good survey results are worth something, but thin weekend coverage and that deficiency history are what you'd want to ask about directly.

Nurse hours

3.50 /day

Staff turnover

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Serious cites

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The Enclave at Barnesville runs on 3.50 nursing hours per resident day, roughly 9% under the national average of 3.86, and weekend coverage dips about 14% below its own weekday staffing. That thin margin sits behind a CMS health inspection rating of 1 out of 5, with 56 deficiencies on the current record, 4 at harm or jeopardy level and 5 tied to abuse. Three fines total $334,135. Quality measures score 4 out of 5, but strong chart numbers don't offset inspection findings or the staffing gap. This for-profit LLC has been inspected recently, in May 2026, and the record it produced is the one families should read closely before deciding.

Nurse hours

3.67 /day

Staff turnover

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Serious cites

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Shattuck Nursing Center runs 60 certified beds under corporate for-profit ownership, and its staffing sits at 3.67 hours per resident per day, about 5% under the national average of 3.86. Weekends drop roughly 11% below the home's own weekday numbers, so coverage thins out exactly when families tend to visit. The current record shows 14 deficiencies, none at the harm or jeopardy level and none abuse-related, and the last inspection was October 24, 2024. What stands out is the split in the federal stars: three out of five on health inspections, but one out of five on both quality measures and staffing. The inspection side looks steadier than the day-to-day care numbers suggest.

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Staff turnover

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Callaway Nursing Home is a for-profit corporation operation with 86 certified beds in Sulphur, and the federal numbers raise real concerns. The staffing rating sits at the bottom of CMS's scale, which matters because daily hands-on care is what families actually feel. On inspections, the record shows 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse, that combination is worth asking about directly. The most recent inspection was April 28, 2025, so the findings are current, not old history. If you're considering this home, request the full inspection report and ask how they've addressed the abuse-related citations specifically.

Nurse hours

3.34 /day

Staff turnover

55%

Serious cites

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York Nursing and Rehabilitation Center runs 240 beds in Philadelphia, and the numbers behind its record are worth sitting with. On a 1-to-5 federal scale, inspectors rate its health inspections and its staffing both at 1, while the quality measures, largely self-reported, come in at 4. The home carries 57 deficiencies, including three at the harm or jeopardy level and six tied to abuse. Staff turnover sits at 54.9%, nearly ten points above the national average. Three fines total $63,872, and the most recent inspection was in December 2025. This is a large, for-profit operation where the inspection and staffing record is the part you should weigh most heavily.

Nurse hours

2.90 /day

Staff turnover

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Five Counties runs on about 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage drops another 13% below its own weekday level. That thin staffing sits alongside a current record of 37 deficiencies, two of them at the harm or jeopardy level and two abuse-related, plus one fine of $20,703. Ownership is nonprofit, and the last inspection was in May 2026, so the findings are recent. Both the health inspection and quality measure ratings land at one star, with staffing at two. For a 38-bed home, the ratio of citations to size is the part worth asking about directly.

Nurse hours

3.38 /day

Staff turnover

55%

Serious cites

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Lexington Post Acute runs 118 certified beds under corporate ownership, and its staffing numbers are the first thing that stands out. At 3.38 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends run roughly 16% lighter than its own weekdays, which matters when residents need the same care on a Sunday as a Tuesday. Staff turnover is 54.5% against a 45.8% national figure, so the people providing that care are frequently new. Its inspection record carries 20 deficiencies, including one at the harm level and two tied to abuse, plus $15,470 in fines. That is a lot of history to weigh against a recent inspection.

Nurse hours

3.24 /day

Staff turnover

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Serious cites

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Oakmont Guest Care Center runs 3.24 nurse hours per resident per day, about 16% under the national average, and weekend staffing drops roughly 12% below its own weekday level, meaning the thinnest coverage hits when families tend to visit. The inspection record is the bigger issue: 50 deficiencies, five serious enough to put residents in harm's way, two tied to abuse, plus $28,792 in fines across three penalties. A 4/5 on quality measures doesn't offset a 1/5 on both health inspections and staffing, especially at 161 beds under for-profit ownership. The April 2025 inspection is recent enough that this reflects current conditions, not old problems.

Nurse hours

3.95 /day

Staff turnover

71%

Serious cites

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Van Healthcare runs about 60 beds under a for-profit LLC, and the staffing picture is where it gets uneven. Total nurse hours sit at 3.95 per resident day, just above the national average, but weekends drop roughly 17% below the home's own weekday coverage, and annual turnover hits 70.8% against a national 45.8%. That churn matters more than the headline staffing number, because it's a two-star staffing rating underneath. The inspection record is the stronger side: ten deficiencies on file, none involving harm or abuse, and a January 2026 inspection. Quality measures land mid-range. If you're weighing this one, ask how they cover weekends and how long the current director of nursing has been in place.

Nurse hours

4.81 /day

Staff turnover

33%

Serious cites

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Temple Park Convalescent Hospital runs on a for-profit limited liability setup in Los Angeles, and its nurses put in 4.81 hours per resident day, roughly a quarter above the national average, with weekend coverage dipping about 17% below weekdays. Staff turnover sits at 32.7%, noticeably lower than the 45.8% national figure, which suggests people stick around. The trouble shows up in its inspection record: 61 deficiencies, including one at harm or jeopardy level and three tied to abuse, plus a $144,964 fine. The most recent inspection came in April 2025. Strong staffing and quality marks don't erase that enforcement history, and families should weigh both.

Nurse hours

4.22 /day

Staff turnover

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Serious cites

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Manchester Healthcare Center has more nursing hours than the typical American home, 4.22 per resident day against a national average of 3.86, but that's roughly where the good news ends. The inspection record is the real problem: 73 deficiencies, including two that put residents in immediate harm and three tied to abuse, along with two fines totaling $30,487. Weekend coverage drops about 11% below what the home staffs on weekdays, so the hours that look adequate on paper thin out when families are most likely to visit. A for-profit limited liability company runs the 49-bed building. Whatever the staffing number suggests, the survey history is what a family should be asking about directly.

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Staff turnover

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Post Nursing & Rehab Center runs on 2.54 nurse hours per resident per day, roughly a third below the national average of 3.86, and weekends drop about 6% below what the home itself staffs on weekdays. That thin coverage is the main thing dragging its profile down, and it lines up with 11 deficiencies on the current record, though none reached harm or jeopardy level and none were abuse-related. The inspection side is genuinely strong, with a recent December 2025 survey and a 4-star health inspection rating, but quality measures sit at 2 stars and staffing at 1. So you're looking at a home that inspects clean but may not have enough hands on deck day to day, especially Saturdays and Sundays.

Nurse hours

3.27 /day

Staff turnover

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Serious cites

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The Sarah Roberts French Home runs 3.27 nurse hours per resident day, about 15% under the national average, and weekend coverage drops roughly another 15% below its own weekday level, so the thinnest staffing lands when families tend to visit. Its record shows 32 deficiencies, two at harm or jeopardy level and three abuse-related, with a 3/5 inspection rating and a 4/5 on quality measures. The staffing star sits at 1/5, and the last inspection was February 2026. A for-profit corporation owns the 60-bed home. Quality scores can look fine while daily coverage stays lean, which is the tension running through this record.