4,510 Independent Nursing Homes in the United States

Nurse hours

— /day

Staff turnover

38%

Serious cites

0

Delaware Valley Skilled Nursing & Rehabilitation C runs 70 certified beds in Matamoras under corporate for-profit ownership, and its state inspection history is mixed. The home carries 22 deficiencies, two of them tied to abuse, though none rose to the harm or jeopardy level. Federal ratings put staffing and quality measures at one star each, while health inspections sit at three. Annual staff turnover of 37.7% actually beats the national average of 45.8%, which matters for continuity of care. With the most recent inspection dated March 2026, the record is current. What stands out is the gap between decent inspection performance and weak staffing and quality scores, worth asking about directly before deciding.

Nurse hours

3.06 /day

Staff turnover

44%

Serious cites

0

Mansion Nursing and Rehab Center runs on 3.06 nurse hours per resident per day, roughly 21% under the national average of 3.86, that gap is the main thing to weigh here. Weekend coverage slips about 4% below its own weekday level, so the thinnest shifts land when oversight is lightest. Turnover sits at 43.6%, slightly better than the 45.8% national figure, and a July 2025 inspection found 27 deficiencies with none at harm level, though one is abuse-related. The four-star inspection rating reflects a recent, mostly clean survey; the two-star quality measure rating is the weaker signal on resident outcomes.

Nurse hours

3.13 /day

Staff turnover

67%

Serious cites

0

Beverly Park Place runs 271 certified beds as a nonprofit, and its biggest problem shows up in the staffing numbers. At 3.13 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly 11% below its own weekday level. Turnover is 66.7%, well above the 45.8% national figure, so the aides and nurses your family would see are cycling through fast. Inspections tell a similar story: 14 deficiencies on record, six related to abuse, none rising to harm or jeopardy, and the last full look was in October 2022. Quality measures score well; staffing doesn't.

Nurse hours

3.58 /day

Staff turnover

43%

Serious cites

0

Reelfoot Manor runs 116 certified beds in Tiptonville under for-profit LLC ownership, and the numbers tell a mixed story. Nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86, and weekends drop roughly 12% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 42.5% is slightly better than the 45.8% national figure, which is worth noting. What pulls the record down is oversight: 27 deficiencies on file, including one at the harm level and three tied to abuse, with the last inspection dating to May 2022. That's a long stretch without a fresh look at a home carrying those findings.

Nurse hours

3.10 /day

Staff turnover

66%

Serious cites

0

Chandler Nursing Center runs 90 beds under limited liability ownership, and its inspection record looks better than its day-to-day staffing. A February 2026 inspection with 21 deficiencies, none at harm or jeopardy level and none abuse-related, earned 4 out of 5 stars from CMS on health inspections and the same on quality measures. The staffing side tells a different story: 3.10 nurse hours per resident day, roughly a fifth below the national 3.86 average, with weekends about 13 percent thinner than weekdays. Annual turnover sits at 66.2 percent against a national 45.8. That gap is really what's holding the grade back.

Nurse hours

3.24 /day

Staff turnover

70%

Serious cites

0

Daleville Health and Rehabilitation runs 90 beds under corporate ownership, and the staffing numbers are where your attention should go first. At 3.24 nurse hours per resident day, it sits roughly 16 percent under the national average, and weekends drop about 8 percent below its own weekday level, so the thinnest coverage lands when families tend to visit. Annual turnover of 69.8 percent is well above the national 45.8 percent, which means the person caring for your relative is often new. The inspection record shows 32 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in April 2024. Quality measures score well; staffing is the weak point.

Nurse hours

3.59 /day

Staff turnover

49%

Serious cites

0

Mulberry Creek runs 300 beds in Martinsville under for-profit LLC ownership, and its inspection record is genuinely strong, a 5/5 federal rating with the most recent survey in May 2024 and 11 total deficiencies, none at the harm level. But staffing tells a different story: 3.59 nurse hours per resident day sits about 7% under the national average, weekend coverage drops roughly 13% below its own weekday level, and annual turnover hits 49.3% against a 45.8% national figure. The 2/5 staffing and quality-measure ratings line up with that. Two abuse-related deficiencies also appear on the current record, which families should ask about directly.

Nurse hours

3.98 /day

Staff turnover

98%

Serious cites

0

Bedford County runs this 90-bed home itself, and it earns a 4-out-of-5 on health inspections with no abuse citations on record. The problem sits underneath that: staff turnover hit 97.7% last year, more than double the national rate, meaning roughly the entire nursing workforce turned over. Total nurse hours per resident (3.98) edge out the national average, but weekends run about 13% below weekdays, so coverage thins exactly when inspections rarely happen. One deficiency reached harm or jeopardy level, and the last full inspection was August 2023. Stable leadership and staffing matter more here than the inspection score suggests, ask who's actually on the floor on Saturdays.

Nurse hours

3.12 /day

Staff turnover

43%

Serious cites

0

Peterson Rehabilitation and Healthcare is a 150-bed for-profit home in Wheeling, and the staffing numbers are the first thing to look at. At 3.12 nurse hours per resident per day, it runs about 19% under the national average of 3.86, and weekends dip roughly 6% below its own weekday level, so coverage thins out exactly when families tend to visit. The inspection record is heavier: 61 deficiencies on file, including 4 at the harm or jeopardy level and 6 tied to abuse, plus four fines totaling $147,234. Staff turnover of 43.4% is slightly better than the 45.8% national figure, which is worth something, but the most recent inspection in February 2025 feeds a 2-out-of-5 health inspection rating, and the quality measure score of 5 doesn't offset staffing and compliance concerns.

Nurse hours

4.49 /day

Staff turnover

—

Serious cites

0

Majestic Care Of Beckley runs 199 certified beds under corporate for-profit ownership, and its nurse staffing sits at 4.49 hours per resident day, roughly 16% above the national average of 3.86. That's a genuine plus, though weekends drop about 16% below its own weekday level, so coverage thins out when families tend to visit. The current record carries 36 deficiencies, including one at the harm or jeopardy level and six tied to abuse, plus two fines totaling $88,503; the most recent inspection was March 5, 2026. Staffing looks solid on paper, but the inspection history and quality measure score of 2 out of 5 are where the concerns concentrate.

Nurse hours

4.53 /day

Staff turnover

74%

Serious cites

0

Green House Living for Sheridan has real staffing depth, 4.53 nurse hours per resident day, roughly 17% above the national average, and that shows up in its staffing rating. But look at what else the record holds: 35 deficiencies, four of them serious enough to involve harm or jeopardy, two tied to abuse, and $61,929 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Its last inspection was March 2025, and with 73.5% annual turnover, well above the 45.8% national figure, the people delivering that care keep changing. Good hours don't fix a troubled inspection history.

Nurse hours

4.25 /day

Staff turnover

37%

Serious cites

0

Colonial Gardens runs 4.25 nurse hours per resident day, about 10% above the national average, and its 36.6% turnover beats the 45.8% national figure. That's the good news, and it's real. The rest is harder: a 1/5 inspection rating and 107 deficiencies on the current record, including 12 tied to abuse and two serious enough to put residents in harm's way. Weekend coverage slips roughly 10% below weekday levels, so the hours thin out exactly when families tend to visit. One fine of $36,700 is on file, but the last inspection was May 2025, so the record is current. Staffing looks adequate on paper. The inspection history is the part to weigh.

Nurse hours

3.67 /day

Staff turnover

41%

Serious cites

0

Briarcliff Health Center runs 230 beds in Tyler under corporate ownership, and the numbers show a home that's struggling on care quality even where it looks average on paper. Nurse staffing sits at 3.67 hours per resident day, about 5% under the national figure, and weekends drop roughly 11% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is the bigger concern: 14 deficiencies, five serious enough to put residents at harm or jeopardy, three tied to abuse, and two fines totaling $51,034. Staff turnover at 41% is slightly better than the national rate, but that's small comfort against a quality-measure score at the bottom of the scale and a citation history this recent.

Nurse hours

3.09 /day

Staff turnover

45%

Serious cites

0

Cascades At Jacinto Rehab runs 148 certified beds in Houston under for-profit LLC ownership, and its staffing is the part I'd want you to sit with. At 3.09 nurse hours per resident per day, it sits about 20% under the national average of 3.86, and weekends drop roughly 11% below its own weekday level, so coverage thins exactly when families tend to visit. Turnover at 44.8% is basically in line with the national 45.8%, so that's not the outlier here; the raw hours are. The current inspection record shows 36 deficiencies, including 3 at harm or jeopardy level and 2 abuse-related, with three fines totaling $64,326. CMS gave it 1 out of 5 stars for staffing and 2 for health inspections, and the last inspection was February 2026.

Nurse hours

3.22 /day

Staff turnover

65%

Serious cites

0

Cherokee Trails is owned by the local hospital district, and that public ownership hasn't translated into strong staffing. At 3.22 nurse hours per resident day, it sits roughly 16% under the national average, and weekends drop about 13% below its own weekday levels, so care is thinnest exactly when families tend to visit. Staff turnover is 65.3%, well above the 45.8% national figure, and the inspection record shows 43 deficiencies, including six at harm or jeopardy level and four tied to abuse, with $85,329 in fines. The quality measure score looks good on paper, but that's largely self-reported data. The recent inspection date means the record is current, not old.

Nurse hours

3.72 /day

Staff turnover

58%

Serious cites

0

Pine Ridge runs about 3.72 nurse hours per resident day, roughly 4% under the national average, and weekends dip about 10% below its own weekday staffing, so the thinnest coverage lands when families tend to visit. The bigger number is turnover: 58.1% against a national average of 45.8%, meaning more than half the nursing staff turns over in a year. On paper, the recent inspection (March 2025) went well enough for a 4-star health inspection rating, and none of the 16 deficiencies on record rose to harm or jeopardy. But two are abuse-related, and for-profit partnership ownership with that kind of churn is worth asking about directly.

Nurse hours

3.26 /day

Staff turnover

45%

Serious cites

0

Cypress Healthcare and Rehabilitation Center runs 174 certified beds in San Marcos under individual for-profit ownership, and its nurse staffing sits at 3.26 hours per resident day, roughly 16 percent under the national average, with weekend coverage about 10 percent thinner than its own weekdays. Turnover lands near the national figure at 44.9 percent, so the bigger concerns are elsewhere: 41 deficiencies on the current record, nine of them serious enough to cause harm or jeopardy, four tied to abuse, and $236,732 in fines across four penalties. The most recent inspection closed in April 2025. Quality measures score well, but that single star on health inspections and the thin weekend staffing are what a family should weigh.

Nurse hours

3.11 /day

Staff turnover

—

Serious cites

0

Mustang Park Therapy and Living Center runs 120 certified beds in Carrollton under corporate, for-profit ownership. Nurse staffing sits at 3.11 hours per resident day against a national average of 3.86, roughly 19% below, and weekends dip another 15% under the home's own weekday numbers, which is usually when families notice. The inspection record is the harder problem: 49 deficiencies, three at harm or jeopardy level, one tied to abuse, plus two fines totaling $18,275. A quality measure score of 4 out of 5 stands out against a 1 out of 5 staffing rating, and the last inspection was April 2026. When survey results and staffing both run thin, the quality numbers rarely tell the whole story.

Nurse hours

3.39 /day

Staff turnover

50%

Serious cites

0

Ashton Medical Lodge runs on thinner nursing coverage than most places, 3.39 hours per resident day against a national average of 3.86, with weekends dropping another 12% below its own weekday levels. That shows up in the federal staffing rating, which sits at 1 out of 5, and in a turnover rate of 49.6% that edges past the national figure. The inspection record carries 29 deficiencies, including one at the harm level and three tied to abuse, along with a single $13,397 fine. A February 2025 inspection is recent, and the quality measure rating of 4 suggests some clinical measures look better than the day-to-day staffing picture. Government hospital district ownership doesn't change what the numbers say about coverage.

Nurse hours

3.07 /day

Staff turnover

49%

Serious cites

0

Mont Belvieu Rehabilitation & Healthcare Center runs on less nursing time than most homes, about 3.07 hours per resident per day against a national average near 3.86, and weekends dip roughly 10% below what the building manages on weekdays. That thin margin matters more given a 48.8% annual turnover rate and a staffing rating of 1 out of 5. The record shows 40 deficiencies, including five at the harm or jeopardy level and seven tied to abuse, with three fines totaling $41,789. Its last inspection was March 2026. Quality measures score well, but the staffing and inspection numbers are what a family should weigh here.