4,510 Independent Nursing Homes in the United States

Nurse hours

3.19 /day

Staff turnover

35%

Serious cites

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Harborview Health Systems Thomaston runs 119 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.19 hours per resident day, about 18 percent under the national average of 3.86. Weekends dip roughly 15 percent below the home's own weekday levels, so coverage gets thinnest exactly when families tend to visit. Turnover is 34.6 percent, which is actually better than the 45.8 percent national figure, a real point in its favor. On the inspection side, the record shows 27 deficiencies, none at the harm or jeopardy level, though one is abuse-related. State inspectors were last on site in July 2025. Quality and staffing star ratings both come in at 2 out of 5.

Nurse hours

3.35 /day

Staff turnover

27%

Serious cites

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Quiet Oaks runs lean on nurses: 3.35 hours per resident day against a national average of 3.86, and weekends drop about 16% below its own weekday levels. Turnover is where it stands out, at 27.3% versus 45.8% nationally, staff tend to stay. The 12 deficiencies on record include nothing at the harm level and nothing abuse-related, and a February 2026 inspection is recent. Quality measures score low, though, so the clinical picture doesn't match the clean inspection record. For-profit corporate ownership, 61 beds, and thin daily staffing are the facts to weigh against that steady workforce.

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Sadie G. Mays Health & Rehabilitation Center is a 206-bed nonprofit home in Atlanta, and the federal numbers on it are hard to dress up. Its last inspection in December 2025 left 40 deficiencies on the record, including four at the harm or jeopardy level and six involving abuse, that's a lot of serious findings for one building, and the staffing rating of one out of five suggests there may not be enough hands to fix them. The single fine on file, just under $54,000, is modest next to the deficiency count, but the pattern matters more than the dollar figure. Quality measures score a middling three, but good clinical numbers don't mean much if a home is struggling with safety and supervision.

Nurse hours

2.48 /day

Staff turnover

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Serious cites

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La Bella Of Sterling runs a 70-bed for-profit operation, and the staffing numbers are the first thing to look at. At 2.48 nurse hours per resident day, it sits roughly 36 percent under the national average of 3.86, and weekends drop about another 10 percent below its own weekday level. That thin coverage shows up in the federal stars: one out of five for staffing. The inspection record carries 19 deficiencies, one serious enough to reach harm or jeopardy level, though none involve abuse. Inspectors were last on site in March 2025, and the health and quality ratings land at three stars each. Ownership is a limited liability company, which is worth knowing when you ask who is accountable.

Nurse hours

3.89 /day

Staff turnover

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Serious cites

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Lb Broen Home in Fergus Falls runs 74 certified beds as a nonprofit corporation, and its nurse staffing sits at 3.89 hours per resident day, just a hair above the 3.86 national average. That thin margin is worth noting, especially since weekend coverage drops about 7% below what the home staffs on weekdays. Its inspection record is the strong point: a 4-out-of-5 star rating with 10 total deficiencies and none at the harm or jeopardy level. But two of those deficiencies are abuse-related, and the quality measure score is only 2 out of 5, which suggests the clinical outcomes data isn't keeping pace with how the building looks on inspection day.

Nurse hours

3.52 /day

Staff turnover

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Serious cites

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Baptist Homes of Shelbina is county-owned, which in Missouri often means tight budgets, and the numbers here show the strain. Nurse staffing sits at 3.52 hours per resident day against a national average of 3.86, so aides and nurses have less time per resident than most homes, though weekend coverage actually runs slightly above its own weekday level, which is unusual and worth noting. What stands out more is the inspection record: 35 deficiencies currently on file, three of them at the harm or jeopardy level and two tied to abuse, with a $20,695 fine and a survey as recent as July 2025. Ask about the abuse-related citations specifically before you decide anything.

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Staff turnover

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Salem Memorial District Hospital runs a small 18-bed unit, and its recent inspection record is genuinely solid, four stars on health inspections, no deficiencies at the harm level, nothing abuse-related, and a survey as recent as October 2025. The problem sits in staffing, which CMS rates at just one star. That's a meaningful gap: a home can pass inspections and still leave residents waiting too long for help with meals, toileting, or medication. The 12 deficiencies and 13 fines totaling $106,623 also suggest recurring compliance issues despite the decent inspection score, and nonprofit ownership doesn't change the math. Ask about actual direct-care hours per resident per day, and how often the unit relies on agency or on-call staff.

Nurse hours

3.24 /day

Staff turnover

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Serious cites

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Benefis Senior Services - Westview runs 34 certified beds in Great Falls, and the numbers there are worth a close look before you decide anything. Nurse staffing sits at 3.24 hours per resident per day, roughly 16% under the national average of 3.86, and weekend coverage barely dips below its own weekday level, so the shortfall is steady rather than occasional. The inspection record shows 18 deficiencies, two of them serious enough to involve harm or jeopardy and two tied to abuse, with one fine of $13,865 and a survey completed in May 2025. It's a nonprofit operation, which doesn't change what the staffing and survey figures show.

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Staff turnover

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Westfield Quality Care of Aurora is a 64-bed for-profit home in Hamilton County, and its record shows real strain on the care side. The most recent inspection, in April 2025, turned up 22 deficiencies, including one involving actual harm or jeopardy to a resident and two tied to abuse, and there's a $41,980 fine on the books. Staffing sits well below the national average, and the inspection history isn't clean either. The quality measures come in around average, which suggests some of the day-to-day clinical care is being tracked and met. But when you're weighing a move here, the abuse findings and the harm-level citation are the things to ask about directly, in person, before deciding.

Nurse hours

3.21 /day

Staff turnover

27%

Serious cites

0

Concourse Rehabilitation runs 240 beds in the Bronx under corporate ownership, and its nurse staffing sits at 3.21 hours per resident day, roughly 17% under the national figure of 3.86. Weekends thin out further, about 16% below the home's own weekday coverage, which matters when families can't visit and needs don't pause. The inspection record shows 13 deficiencies, including one at the harm level and two tied to abuse, with a $10,592 fine and a survey completed in April 2024. Staff turnover of 26.7% is actually well below the 45.8% national average, so retention isn't the weak spot here, coverage and compliance are.

Nurse hours

3.55 /day

Staff turnover

60%

Serious cites

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Highlands Living Center is a 122-bed nonprofit in Pittsford, and its staffing sits about 8% under the national average at 3.55 nurse hours per resident day. Weekends run roughly 15% thinner than weekdays, so coverage depends on when you visit. Annual turnover of 60.3% is well above the 45.8% norm, meaning the people caring for residents change often. The current record shows 19 deficiencies, three tied to abuse, though none reached harm or jeopardy level. State inspectors were last in on February 19, 2025, and all three CMS star ratings, health inspections, quality measures, and staffing, landed at 2 out of 5. Ask about weekend coverage and how they screen and supervise staff.

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Staff turnover

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Four Seasons Health Care in Forman runs 25 beds under nonprofit ownership, and its last inspection on February 19, 2026 turned up 29 deficiencies, two of them serious enough to cause harm or put residents in immediate jeopardy, plus one tied to abuse. The staffing picture is thin even by rural North Dakota standards, and three fines totaling $115,484 have accumulated on the current record. What keeps the quality measure rating afloat is clinical performance on paper, things like hospitalization and medication metrics, but strong outcomes data can't offset a building where the hands-on care and the oversight have both raised red flags. If you're considering this one, ask directly what changed after February.

Nurse hours

3.77 /day

Staff turnover

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Serious cites

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Gillette Nursing Home in Warren runs 99 certified beds under corporate ownership, and its inspection history is genuinely strong, a five-star health inspection rating with the most recent survey in March 2026. The catch sits in the other numbers. Total nurse staffing lands at 3.77 hours per resident day, slightly under the national average of 3.86, and weekends dip about 4% below the home's own weekday coverage. That shows up in the one-star staffing rating. Fifteen deficiencies are on the current record, none at harm or jeopardy level, but one is abuse-related. Quality measures score two stars, which means the clinical outcomes families actually watch for don't match the clean inspection sheet.

Nurse hours

3.16 /day

Staff turnover

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Serious cites

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Muskogee Nursing Center runs on 3.16 nurse hours per resident day, roughly 18% under the national average, with weekend staffing about 1% below its own weekday level. The health inspection record is thin: 12 deficiencies, one of them at harm or jeopardy level, plus six fines totaling $59,711. No abuse-related citations appear in the current data. Ownership is for-profit, individual. The last inspection was January 8, 2025, so the record is recent. With 58 certified beds and inspection, quality, and staffing ratings all low, the picture is a home that has drawn repeated regulatory attention, and families should ask directly how the harm-level deficiency was resolved and what nurse coverage looks like on weekends.

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Staff turnover

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The Flandreau Santee Sioux Tribe Care Center runs 42 certified beds as a nonprofit, and its last inspection came in August 2025, so you're looking at recent information rather than stale records. The inspection history is the part worth sitting with: ten deficiencies on the current record, three of them serious enough to reach harm or jeopardy level, and one tied to abuse. Three fines totaling $27,967 back that up. Federal ratings put both health inspections and quality measures at three out of five stars, middle of the road. For a home this small, a single serious finding weighs heavily, and three does more so. If you're considering it, ask directly what changed after that abuse-related citation and how the facility corrected the jeopardy-level problems.

Nurse hours

3.94 /day

Staff turnover

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Serious cites

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San Mateo Medical Center's skilled nursing unit runs on county money and county rules, and the staffing numbers show it: 3.94 nurse hours per resident day, a hair above the national average, with a 4-out-of-5 staffing rating from CMS. Weekend coverage drops about 8% from weekday levels, so families should ask who's actually on the floor on Saturdays and Sundays. The trouble sits elsewhere. Fifty-six deficiencies on the current record, ten of them serious enough to cite harm or jeopardy, ten tied to abuse, against a 1-out-of-5 inspection rating, two fines totaling $104,000, and a survey completed in July 2025. Good staffing can't offset that inspection history.

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Staff turnover

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Mountain Manor is a 47-bed for-profit in Carmichael, and the number that stands out is staffing: the federal data puts it at one star, the lowest tier, well below what CMS considers adequate for a building this size. That shortfall sits behind a C grade, and it's the piece families should weigh hardest, since daily care depends on who's actually on the floor. The inspection record shows 53 deficiencies, none of them at harm or jeopardy level and none abuse-related, though three fines totaling $38,855 have been issued. State surveyors were last in on April 24, 2025, so the record is recent, and quality measures land at three stars, middle of the pack. Ask about direct-care hours per resident before you visit.

Nurse hours

4.24 /day

Staff turnover

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Serious cites

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Sage Park Austin runs 46 beds under a for-profit partnership, and its nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average of 3.86. That's the good news, and it's real. But weekends run about 13% thinner than weekdays, and the quality measure rating is 2 out of 5, so the care people actually receive doesn't track with the hours on paper. Twelve deficiencies sit on the current record, two of them serious enough to cause harm or jeopardy, plus one fine of $99,713. The last inspection was May 2025, so the picture is recent.

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Staff turnover

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Matlock Place runs on 2.99 nursing hours per resident day, about a quarter below the national average, and the weekend shift is even thinner than its weekdays. That staffing sits alongside a 54.6% annual turnover rate, higher than the 45.8% national figure, which means the people caring for residents are, more often than not, new to the building. The current record carries 47 deficiencies, five of them at the level where harm or immediate jeopardy was found, and five tied to abuse. Three fines totaling $26,006 are on file, with the most recent inspection in May 2025. The quality measure score sits mid-range, but the inspection and staffing numbers tell the more troubling story.

Nurse hours

2.36 /day

Staff turnover

22%

Serious cites

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Clarendon Nursing Home runs lean on nursing staff, 2.36 hours per resident day against a national average of 3.86, and weekends drop about 18% below its own weekday coverage. That thin floor is the real story behind its staffing grade. Turnover at 22.2% is genuinely low compared to the 45.8% national average, so the people who are there tend to stay, which matters for continuity. But the record shows 23 deficiencies, including one at the harm level and two tied to abuse, plus a $7,551 fine. Its last inspection was January 2026, and the health inspection rating sits at 4 of 5. Ownership is corporate, for-profit.