4,510 Independent Nursing Homes in the United States

Nurse hours

4.27 /day

Staff turnover

58%

Serious cites

0

Parkway Health & Rehab runs on more nursing hours than most homes, 4.27 per resident day, about 11% above the national average, but the weekend dip means coverage thins out when families tend to visit. The bigger issue is who's staying: annual turnover of 58.1% sits well above the 45.8% national figure, and 26 deficiencies on the current record include two at the harm level and three tied to abuse. Inspectors were last in on February 26, 2026, and the health inspection rating sits at 2 out of 5 while quality measures come in at 1. The single fine, $8,278, is modest for that volume of findings, which tells you the problems are persistent rather than catastrophic.

Nurse hours

2.96 /day

Staff turnover

58%

Serious cites

0

Oak Grove runs leaner than most homes in the country, 2.96 nurse hours per resident per day against a national average of 3.86, with weekends dipping a bit further below its own weekday pace. That staffing level shows up in a 58.1% annual turnover rate, well above the 45.8% norm, meaning the people caring for residents are often new to the building. The current inspection record carries 21 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus $16,195 in fines across two penalties. The most recent inspection was November 13, 2025, so the picture is current. For-profit ownership through a limited liability company. Families should ask directly how the home covers weekends and what it has changed since those harm-level findings.

Nurse hours

4.06 /day

Staff turnover

65%

Serious cites

0

Maple Lawn has a staffing edge on paper, 4.06 nurse hours per resident day, roughly 5% above the national average, but that number hides two problems. Weekend coverage drops about 9% below its own weekday level, and 65% of staff turn over each year against a national rate near 46%, so the people providing that care keep changing. The inspection record is harder to explain away: 44 deficiencies, five of them serious enough to put residents at risk of harm, seven tied to abuse, and two fines totaling $74,653. County ownership and a December 2025 inspection don't offset what those findings describe.

Nurse hours

3.18 /day

Staff turnover

49%

Serious cites

0

Avenir At Maple Grove runs lean on nursing hours, 3.18 per resident day against a national average of 3.86, and weekends drop about 12% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The 48.8% turnover rate tops the national figure, meaning the aides and nurses on the floor are often new to the building. Its record shows 32 deficiencies, two tied to abuse, with a 2/5 inspection rating and a 1/5 staffing rating; the quality measures also sit at 2. That total comes with real context: none of the deficiencies were cited at harm or jeopardy level. Ownership changed within the past year, and the last inspection was April 2025.

Nurse hours

3.52 /day

Staff turnover

48%

Serious cites

0

Birch Healthcare Center runs about 3.52 nursing hours per resident day, roughly 9% under the national average, and weekends dip another 7% below its own weekday numbers. That thin coverage shows up in its staffing rating, and turnover sits at 47.6%, a bit above the national rate, so the aides and nurses working these shifts keep changing. Inspections tell a mixed story: ten deficiencies on record, including one involving actual harm and one abuse-related, plus a $10,655 fine, though the most recent inspection came in September 2025 and the quality measures score well above average. It's a for-profit limited liability company with 79 beds.

Nurse hours

3.63 /day

Staff turnover

62%

Serious cites

0

Colonial Poplin runs a 50-bed for-profit home in Fremont, and the inspection record is genuinely its strong suit: a four-star health inspection rating, only two deficiencies on file, none of them involving harm or abuse, and a survey completed just this April. Staffing is where the picture shifts. At 3.63 nurse hours per resident day, it sits about 6 percent under the national average, and weekends drop roughly 11 percent below its own weekday coverage. Annual turnover of 61.5 percent is well above the 45.8 percent national figure, which means the people caring for residents keep changing. For a family weighing a visit, ask how the weekend shift is actually covered.

Nurse hours

3.12 /day

Staff turnover

52%

Serious cites

0

Warren Haven runs about 3.12 nurse hours per resident per day, roughly 19 percent under the national average of 3.86, and weekends dip another 14 percent below its own weekday coverage. That thin staffing shows up in the numbers: 52.2 percent annual turnover against a national 45.8, and 19 deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse. The health inspection rating sits at 2 out of 5, and there's one fine on file for $156,485. What the quality measure score of 5 out of 5 reflects is how residents are faring on paper, not whether enough hands are there to care for them.

Nurse hours

3.58 /day

Staff turnover

64%

Serious cites

0

The Villages of Orleans runs 120 certified beds in Albion under for-profit LLC ownership, and its last health inspection in January 2025 left a record of 26 deficiencies, five tied to abuse and one serious enough to reach harm or jeopardy level. Staffing sits at 3.58 nurse hours per resident day, about 7% under the national average, and weekend coverage drops roughly 6% below its own weekday levels. The number that stands out most is turnover: 63.7% of nursing staff leaving annually against a national average of 45.8%. With one $71,112 fine on file and a one-star health inspection rating, the pattern points to a building where care depends heavily on a constantly changing workforce.

Nurse hours

3.33 /day

Staff turnover

35%

Serious cites

0

Brooklyn United Methodist Church Home runs on thinner nurse coverage than most places, about 3.33 hours per resident day against a national average near 3.86, and weekends get even leaner, dropping roughly 14% below its own weekday numbers. Inspectors cited 37 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, and the last inspection was in January 2025. Staff turnover sits at 35.2%, which is actually better than the national 45.8%, and this is a nonprofit, not a chain. The quality measure rating of 1 out of 5 is the part worth pressing the administrator on when you visit.

Nurse hours

3.16 /day

Staff turnover

23%

Serious cites

0

Northern Manhattan Rehabilitation and Nursing Center runs 320 certified beds under for-profit partnership ownership, and its staffing sits at 3.16 nurse hours per resident day, roughly 18 percent under the national average of 3.86. Weekends drop about another 10 percent below the home's own weekday levels, so coverage thins exactly when families tend to visit. Turnover is the one bright spot: 22.6 percent, well under the 45.8 percent national figure. But the inspection record is the real story here. Twenty-eight deficiencies, four of them serious enough to involve harm or jeopardy, four tied to abuse, plus two fines totaling $67,412. The most recent inspection was December 2, 2025.

Nurse hours

3.81 /day

Staff turnover

76%

Serious cites

0

The Brook at High Falls runs 28 certified beds in Rochester under individual for-profit ownership, and its staffing tells a complicated story. Total nurse coverage sits at 3.81 hours per resident day, just under the national average, but weekends drop about 9% below its own weekday numbers, so the thinnest coverage lands when families tend to visit. The bigger flag is turnover: 76.2% annually against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. Its last inspection was January 2026, with 24 deficiencies on record, none at harm or jeopardy level, none abuse-related. Quality measures score well above its inspection and staffing marks.

Nurse hours

3.25 /day

Staff turnover

35%

Serious cites

0

Compass Healthcare and Rehab Rowan runs 70 certified beds in Spencer, and it's owned by an individual for-profit operator. Nurse staffing sits at 3.25 hours per resident per day, roughly 16% under the national average of 3.86, with weekends running about 9% thinner than weekdays, so the coverage gap widens when families visit most. Turnover is 35.1%, better than the 45.8% national figure, which suggests some stability in the workforce even if raw hours are light. The inspection record shows 9 deficiencies, one at the harm or jeopardy level, and a single fine of $10,039. The last inspection was December 10, 2025. A 2/5 staffing star and 3/5 marks on health inspections and quality measures tell you where the pressure sits.

Nurse hours

2.94 /day

Staff turnover

39%

Serious cites

0

Elderberry Health Care runs on 2.94 nursing hours per resident per day, roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday staffing. That thin coverage shows up in the inspection record: 18 deficiencies, including one abuse-related citation, though none rose to the harm or jeopardy level, and the state was last in the building in November 2025. Turnover of 38.7% is better than the 45.8% national figure, which matters for continuity of care, but the 1-out-of-5 quality measure rating is the weakest part of the picture. Corporate-owned, 80 beds, and staffing that asks a lot of the people who show up.

Nurse hours

3.05 /day

Staff turnover

71%

Serious cites

0

Heritage Healthcare of Painesville runs on 3.05 nurse hours per resident per day, roughly a fifth below the national average of 3.86, and weekends drop about 11% below its own weekday staffing. Turnover sits at 70.5% against a national average of 45.8%, so the aides and nurses around your relative are likely to change often, and CMS gives staffing one star out of five. The quality measure score is five stars, which sounds great until you notice it's built on data the home largely reports itself. Twenty-four deficiencies are on the current record, two tied to abuse, none rising to actual harm. The last inspection was September 2024. Ask about weekend coverage and who actually supervises evenings.

Nurse hours

3.44 /day

Staff turnover

59%

Serious cites

0

Adams County Manor runs on thinner staffing than most homes, 3.44 nurse hours per resident day against a national average of 3.86, with weekends dipping about 9% below its own weekday levels. That's the number behind its one-star staffing rating, and the 59.3% annual turnover (well above the 45.8% national figure) means the aides and nurses cycling through are often new to the building. Inspections tell a different story: a four-star health inspection rating, no deficiencies at the harm or jeopardy level, and a clean record since March 2024. Still, 11 deficiencies in total, three tied to abuse, is not nothing. A for-profit corporation owns the 74 beds.

Nurse hours

3.35 /day

Staff turnover

61%

Serious cites

0

Woods Edge runs on 3.35 nurse hours per resident day, about 13% under the national average, and weekends dip roughly 10% below its own weekday numbers. Staff turnover sits at 61.2%, well above the 45.8% national figure, so the people caring for residents keep changing. The inspection record shows 45 deficiencies, one serious enough to cause harm, plus a $21,645 fine, and the most recent inspection was April 2026. Ownership is a for-profit limited liability company. Quality measures look strong on paper, but the staffing and inspection sides of the federal data tell a different story.

Nurse hours

2.88 /day

Staff turnover

26%

Serious cites

0

Vineyards At Concord runs 2.88 nursing hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 9% below its own weekday levels. Turnover sits at 26.1%, well under the 45.8% national figure, so the staff who are there tend to stay. The inspection record is the harder part: 30 deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection on April 28, 2026. Thirty-two beds under corporate ownership, and quality measures landing at the bottom of CMS's scale.

Nurse hours

4.00 /day

Staff turnover

73%

Serious cites

0

New Hope runs 4.00 nurse hours per resident day, about 4% above the national average, and that earns a 4-star staffing rating. But look at turnover: 73.1% of staff leave each year, against a national average of 45.8%. Weekend coverage also drops roughly 9% below its own weekday level. The inspection record shows 27 deficiencies, including one at the harm level and three tied to abuse, with a $7,371 fine and a 2-star health inspection rating. The most recent inspection was December 31, 2025. This for-profit, individually owned home has the raw hours, but keeping people is the problem, and that shows up in the quality and inspection scores.

Nurse hours

3.63 /day

Staff turnover

67%

Serious cites

0

Beaver County Nursing Home runs on thin staffing. At 3.63 nurse hours per resident day, it sits about 6% under the national average of 3.86, and weekends drop roughly 12% below its own weekday levels, so the coverage gap widens exactly when families tend to visit. Annual turnover of 66.7% is well above the 45.8% national figure, meaning aides and nurses cycle through quickly. The inspection record shows 13 deficiencies, including one at the harm level and one abuse-related, with a $15,642 fine. County ownership provides some public accountability, but the last inspection in December 2024 and 2/5 ratings across all three CMS measures point to persistent problems worth asking about directly.

Nurse hours

3.61 /day

Staff turnover

59%

Serious cites

0

Perry Health & Rehab Center is a 182-bed for-profit home in Wexford, and the staffing numbers are where I'd start. At 3.61 nurse hours per resident day, it runs about 6% below the national average, and weekends dip roughly 9% below its own weekday staffing, so coverage thins out exactly when families tend to visit. Annual turnover of 58.7% is well above the 45.8% national figure, meaning more than half the nursing staff leaves each year. The inspection record is heavier still: 116 deficiencies, including 2 at the harm or jeopardy level and 14 tied to abuse. Last inspected in December 2025, with $18,223 in fines.