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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 321 to 340 of 4,510, best-graded first.

A

93/100

University Crossing

Jacksonville, FL · Duval County

CMS 4/5111 bedsNon-profitMedicaid
Nurse hours
5.87 /day
Staff turnover
45%
Serious cites
0

University Crossing runs on 5.87 nurse hours per resident day, roughly half again what the typical American nursing home provides, and that's the number doing most of the work here. Weekend staffing dips about 9% from its own weekday level, so coverage is thinner Saturdays and Sundays, but still well above average. Staff turnover sits at 44.6%, basically in line with the national picture, which is to say this is a field where nearly half of caregivers leave within a year. Five deficiencies on record, none involving harm or abuse, and the last full inspection was December 2024. As a nonprofit, its dollars don't flow to shareholders.

A

93/100

Shands Jacksonville Medical Center

Jacksonville, FL · Duval County

CMS 5/556 bedsNon-profitMedicaid
Nurse hours
5.79 /day
Staff turnover
27%
Serious cites
0

Shands Jacksonville runs a tight ship. Nurse staffing sits at 5.79 hours per resident day, roughly half again the national average of 3.86, and only about 27% of the nursing staff turns over in a year, well under the 45.8% national figure. Weekend coverage dips around 14% below weekday levels, the one soft spot worth asking about. The inspection record is spotless: zero deficiencies, none at harm level, none abuse-related, with the most recent survey in February 2026. This is a nonprofit hospital-based unit with 56 beds, and its staffing and quality scores back up what the numbers say.

A

93/100

Riviera Health Resort

Coral Gables, FL · Miami-Dade County

CMS 5/5223 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
38%
Serious cites
0

Riviera Health Resort runs 4.80 nurse hours per resident per day, roughly a quarter above the national average, and that staffing shows up as five stars from CMS on both staffing and quality measures. Turnover sits at 38.4%, better than the 45.8% national figure, though weekend coverage drops about 13% from weekday levels, worth asking about if your family visits mainly on Saturdays and Sundays. The inspection record is clean where it counts: six deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent visit in October 2025. For a 223-bed for-profit in Coral Gables, the numbers hold up.

A

93/100

Health Center At Sinai Residences

Boca Raton, FL · Palm Beach County

CMS 5/560 bedsNon-profit
Nurse hours
5.89 /day
Staff turnover
23%
Serious cites
0

The Health Center at Sinai Residences runs 5.89 nurse hours per resident day, roughly half again the national average of 3.86, and its staff tends to stay, with 22.5% annual turnover against a national figure near 46%. Weekend coverage dips about 8% below its own weekday level, so if you're visiting on a Saturday, expect a lighter floor than midweek. Its seven deficiencies on record include nothing at the harm or jeopardy level and nothing abuse-related, and the most recent inspection was in May 2025, so the picture is current. That combination, heavy staffing, low turnover, a clean harm record, is doing the real work here.

A

93/100

Southwell Health And Rehabilitation

Adel, GA · Cook County

CMS 5/595 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
35%
Serious cites
0

Southwell Health and Rehabilitation runs on 4.49 nurse hours per resident day, about 16% above the national average, and its staff turnover of 34.8% sits well below the 45.8% national figure, people tend to stay here. Weekend staffing drops roughly 15% below weekday levels, so ask how that plays out on Sundays. The 17 deficiencies on record include none at the harm or jeopardy level, though three are abuse-related, worth asking about directly. Inspectors were last on site in January 2026, and the nonprofit ownership means no shareholder pressure on the budget.

A

93/100

Pebblebrook Health Center At Park Springs

Stone Mountain, GA · Gwinnett County

CMS 4/560 bedsFor-profit
Nurse hours
5.39 /day
Staff turnover
34%
Serious cites
0

Pebblebrook Health Center runs 60 certified beds under for-profit LLC ownership, and the staffing numbers are the story here: 5.39 nurse hours per resident day, roughly 40% above the national average of 3.86. Weekend coverage dips only about 5% below weekday levels, and annual turnover sits at 34.1% against a national 45.8%, both signs of a steadier floor than most. The tradeoffs are modest: a 3/5 on health inspections, 10 deficiencies on record with none at harm or jeopardy level and none abuse-related, plus three fines totaling $19,408. The last inspection was May 2025, so the picture is current.

A

93/100

Ashton Memorial Living Center

Ashton, ID · Fremont County

CMS 5/538 bedsFor-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
52%
Serious cites
0

Ashton Memorial Living Center runs on unusually generous nurse staffing for a 38-bed home, 4.65 hours per resident day, roughly a fifth more than the national average, which is the main reason its marks come out as strong as they do. The catch is consistency: weekend coverage drops about 12% below the home's own weekday level, and staff turnover sits at 52.4%, several points above the national figure. The inspection record shows 24 deficiencies, none at the harm level, but one tied to abuse. Corporate-owned and last inspected in December 2025, it's a small rural facility that performs well on paper and depends heavily on whether it can hold onto the people providing that care.

A

93/100

Idaho State Veterans Home - Pocatello

Pocatello, ID · Bannock County

CMS 5/566 bedsGovernmentMedicaid
Nurse hours
4.95 /day
Staff turnover
49%
Serious cites
0

The Idaho State Veterans Home in Pocatello runs on state government ownership and 66 certified beds, and its nurse staffing sits at 4.95 hours per resident day, roughly 28% above the national average of 3.86. That number carries real weight, though weekends dip about 14% below the home's own weekday levels, so coverage isn't perfectly even across the week. Turnover runs 48.6%, a bit above the national 45.8%. The current inspection record shows 23 deficiencies, none at the harm or jeopardy level, but 4 are abuse-related, which families should ask about directly. The last inspection was in August 2025, so the record is recent.

A

93/100

Blessing Hospital Snu

Quincy, IL · Adams County

CMS 5/520 bedsNon-profit
Nurse hours
6.69 /day
Staff turnover
33%
Serious cites
0

Blessing Hospital Snu runs 20 certified beds in Quincy, and the numbers behind its record are strong. Nurse staffing sits at 6.69 hours per resident day, roughly 73% above the national average of 3.86, and weekend staffing dips about 32% below its own weekday level, so coverage is thinner on Saturdays and Sundays even though the overall floor is high. Annual turnover is 33.3%, better than the 45.8% national average, which matters for consistency of care. The home carries only two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection in October 2024.

A

93/100

Renaissance Care Center

Canton, IL · Fulton County

CMS 4/5120 bedsFor-profitMedicaid
Nurse hours
7.80 /day
Staff turnover
26%
Serious cites
0

Renaissance Care Center runs 7.80 nurse hours per resident day, roughly double the national average, and that staffing shows up in a lower turnover rate too, 26.1% against a national 45.8%. Weekend coverage dips about 8% below weekdays, which is a normal pattern but worth knowing if your visits fall on Saturdays. The tradeoff sits on the inspection side: 28 deficiencies on record, including 3 at the harm or jeopardy level and 4 tied to abuse. State surveyors were last in on January 9, 2025, so the findings are recent. Corporate-owned and Medicare-certified at 120 beds, this is a home with real bedside hours and a compliance record that needs a closer look before you decide.

A

93/100

Apostolic Christian Skylines

Peoria, IL · Peoria County

CMS 5/562 bedsNon-profitMedicaid
Nurse hours
4.92 /day
Staff turnover
42%
Serious cites
0

Apostolic Christian Skylines runs on 4.92 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. Weekends dip about 12% below its own weekday levels, so ask how that plays out on a Sunday afternoon. The 42.2% turnover is a touch better than the national 45.8%, meaning most caregivers who start here tend to stay a while. State inspectors visited in October 2024 and found nine deficiencies, one serious enough to involve harm or jeopardy, and none tied to abuse. Five stars on both inspections and staffing, four on quality measures, the weaker numbers sit in care outcomes, not in who's on the floor.

A

93/100

Admiral At The Lake, The

Chicago, IL · Cook County

CMS 4/536 bedsNon-profit
Nurse hours
4.45 /day
Staff turnover
15%
Serious cites
0

The Admiral At The Lake runs on 4.45 nurse hours per resident day, roughly 15 percent above the national average, and its staff turnover of 15.2 percent sits far below the 45.8 percent typical elsewhere. Weekend staffing dips about 11 percent under weekday levels, which is worth asking about. The 25 deficiencies on record include one at the harm level and none tied to abuse, and the last inspection was in March 2026. For a 36-bed nonprofit, the pattern is steady care with a stable workforce, though that single harm-level finding deserves a direct question about what happened and what changed.

A

93/100

Westminster Village Muncie Inc

Muncie, IN · Delaware County

CMS 5/576 bedsNon-profitMedicaid
Nurse hours
4.35 /day
Staff turnover
34%
Serious cites
0

Westminster Village Muncie is a 76-bed nonprofit home, and the numbers behind it are steady. Nurse staffing runs 4.35 hours per resident day, about 13% above the national average, with weekend coverage dipping roughly 8% below its own weekday level, normal, but worth asking about. Staff turnover sits at 34.2% against a national average near 46%, which suggests people tend to stay. The inspection record shows 11 deficiencies, none at the harm level and none abuse-related, with the most recent inspection in May 2026. For a family weighing options, this reads as a well-staffed, stable nonprofit with a clean serious-deficiency record.

A

93/100

Timbercrest Church Of The Brethren Home

North Manchester, IN · Wabash County

CMS 4/565 bedsGovernmentMedicaid
Nurse hours
4.62 /day
Staff turnover
25%
Serious cites
0

Timbercrest runs on 4.62 nurse hours per resident day, roughly a fifth more staffing than the typical American nursing home, and it earns the top federal staffing rating for it. Weekend coverage dips about 7% below weekday levels, which is a real gap but a modest one. Staff turnover sits at 25%, well under the national 45.8%, so the people caring for residents tend to stay. The health inspection record shows 11 deficiencies, none involving harm, jeopardy, or abuse, and the most recent inspection was in August 2025. County-owned and small at 65 beds, it pairs strong quality measure scores with a solid but not flawless inspection history.

A

93/100

Hubbard Hill Estates Inc

Elkhart, IN · Elkhart County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
4.27 /day
Staff turnover
32%
Serious cites
0

Hubbard Hill Estates runs a tight ship on the numbers that matter most. Nurse staffing sits at 4.27 hours per resident day, about 11% above the national average, and weekend coverage stays reasonably close to weekday levels even though it dips roughly 14%. Staff turnover of 31.5% is well below the national 45.8%, which suggests people stick around, a good sign for residents who value consistent caregivers. The inspection record backs that up: five total deficiencies on file, none at the harm or jeopardy level and none abuse-related, with the most recent state visit in December 2025. For a 66-bed nonprofit in Elkhart, that combination of low turnover, solid staffing, and a clean complaint history is what a family should be looking for.

A

93/100

Friendship Haven, Inc

Fort Dodge, IA · Webster County

CMS 4/5155 bedsNon-profitMedicaid
Nurse hours
4.41 /day
Staff turnover
40%
Serious cites
0

Friendship Haven runs 155 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.41 hours per resident day, roughly 14% above the national average of 3.86. That cushion shows up in turnover too: 40.1% annually against a national 45.8%, and weekend coverage only dips about 6% below weekdays, so care doesn't fall off a cliff on Saturdays. The tradeoff is inspection history. The current record carries 16 deficiencies, five of them abuse-related, though none rose to harm or jeopardy, and the last survey was in July 2025, so it's recent. Quality measures score well, and the staffing numbers are the real story here, steady hands, adequate hours, and a survey record that's worth asking about directly.

A

93/100

Lone Tree Health Care Center Inc

Lone Tree, IA · Johnson County

CMS 5/544 bedsFor-profitMedicaid
Nurse hours
4.45 /day
Staff turnover
32%
Serious cites
0

Lone Tree Health Care Center runs 4.45 nursing hours per resident each day, roughly 15% above the national average, and its staff turnover of 32.4% sits well under the 45.8% national figure, a sign people tend to stay. Weekend coverage dips about 10% below weekday levels, worth asking about if your family visits Saturdays or Sundays. The inspection record shows 8 deficiencies with none at the harm level, though one is abuse-related, and the most recent inspection was November 2025. This is a small for-profit home, 44 beds, in Johnson County.

A

93/100

St Luke's Helen G Nassif Transitional Care Center

Cedar Rapids, IA · Linn County

CMS 5/546 bedsNon-profitMedicaid
Nurse hours
4.21 /day
Staff turnover
37%
Serious cites
0

St Luke's Helen G Nassif runs 46 certified beds as a nonprofit, with nurse staffing at 4.21 hours per resident day, roughly 9% above the national average. Weekend coverage dips about 14% below its own weekday level, a gap worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 36.6%, well under the national 45.8%, which suggests caregivers tend to stay. The current record shows six deficiencies, none at the harm or jeopardy level and none abuse-related, and the most recent inspection was in March 2026. All three CMS star ratings, health inspection, quality measures, and staffing, come in at 4 or 5 out of 5.

A

93/100

Mayflower Home

Grinnell, IA · Poweshiek County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
4.65 /day
Staff turnover
41%
Serious cites
0

Mayflower Home runs on 4.65 nurse staffing hours per resident day, well above the national average, and weekends dip only about 10% below its own weekday level, a modest drop, not a staffing cliff. Turnover sits at 40.5%, better than the 45.8% typical elsewhere, and its six deficiencies include nothing at the harm level and nothing abuse-related, with the last inspection in May 2025. The church-affiliated nonprofit has 40 certified beds, so it's small enough that you can ask pointed questions about who covers nights and weekends. The numbers describe steady, well-staffed care without red flags, worth a visit to see whether the day-to-day matches.

A

93/100

Wesley Towers Inc

Hutchinson, KS · Reno County

CMS 5/552 bedsNon-profitMedicaid
Nurse hours
4.00 /day
Staff turnover
42%
Serious cites
0

Wesley Towers runs on more nursing hours than most homes in the country, 4.00 per resident day against a national average of 3.86, and its staff tends to stay, with turnover at 41.9% versus 45.8% nationally. The tradeoff shows up on weekends, when coverage drops about 12% below its own weekday level, so ask how that plays out on a Sunday afternoon. Its last inspection was in March 2026, and the record shows 12 deficiencies, none at the harm or jeopardy level, though one is abuse-related and worth asking about directly. A nonprofit corporation operates the 52-bed home.

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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