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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 3461–3480 of 4,510, best-graded first.

C

66/100

Lafayette Nursing Home

Lafayette, AL · Chambers County

CMS 2/5 63 beds For-profit Medicaid
Nurse hours
3.19 /day
Staff turnover
—
Serious cites
0

Lafayette Nursing Home runs 63 certified beds in Chambers County under individual for-profit ownership. The staffing numbers are the first thing a family should sit with: 3.19 nurse hours per resident day, roughly 17% under the national average, with weekend coverage dropping about 23% below its own weekday level. Then there's the inspection record, 13 deficiencies, three of them serious enough to reach harm or jeopardy, with the most recent state visit back in September 2022. The four-star health inspection rating looks reassuring until you pair it with a one-star staffing rating and a one-star quality measure rating. Worth asking what has changed since that 2022 survey, and who covers weekends.

C

66/100

Vacaville Ranch Post Acute

Vacaville, CA · Solano County

CMS 4/5 87 beds For-profit Medicaid
Nurse hours
4.51 /day
Staff turnover
57%
Serious cites
0

Vacaville Ranch Post Acute runs a for-profit corporation with 87 certified beds, and its staffing numbers land above the national average, 4.51 nurse hours per resident day against 3.86. That cushion thins on weekends, though, when coverage drops roughly 12% below its own weekday pace, and turnover sits at 57.1% versus a national 45.8%, meaning a lot of the people providing that care are new to the building. The current record shows 19 deficiencies, none at harm or jeopardy level but one tied to abuse, plus seven fines totaling $127,689. Its last inspection was August 2025, and inspection history earns 4 of 5 stars. Strong survey results, but the churn and weekend gaps are worth asking about directly.

C

66/100

Villa Mesa Care Center

Upland, CA · San Bernardino County

CMS 3/5 99 beds For-profit Medicaid
Nurse hours
3.61 /day
Staff turnover
53%
Serious cites
0

Villa Mesa runs 3.61 nurse hours per resident day, about 6 percent under the national average, and weekends drop roughly 7 percent below its own weekday numbers. Staff turnover sits at 53.4 percent, well above the 45.8 percent national figure, so whoever is on the floor is fairly likely to be new. The health inspection side looks strong at 4 out of 5 stars, and its last inspection was recent, in January 2026. But the record carries 20 deficiencies, one of them at the harm level, and the staffing rating comes in at just 1 out of 5. The state inspected this one recently, so the findings are current.

C

66/100

Mayers Memorial Hospital

Fall River Mills, CA · Shasta County

CMS 2/5 99 beds Government Medicaid
Nurse hours
4.97 /day
Staff turnover
64%
Serious cites
0

Mayers Memorial Hospital sits in Fall River Mills and runs 99 certified beds as a hospital-district operation. Nurse staffing averages 4.97 hours per resident day, roughly 29% above the national figure of 3.86, but weekend coverage drops about 15% below its own weekday level, and annual turnover hits 64.2% against a national 45.8%, that much churn undercuts the staffing advantage over time. The inspection record is where the real weight sits: 36 deficiencies on file, including one at the harm level and 10 tied to abuse, plus a $62,258 fine. The most recent inspection was August 2025.

C

66/100

Norwich Sub-Acute And Nursing

Norwich, CT · Southeastern Ct County

CMS 4/5 120 beds For-profit Medicaid
Nurse hours
3.33 /day
Staff turnover
38%
Serious cites
0

Norwich Sub-Acute and Nursing runs 120 certified beds, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends are thinner still, about 9% below the home's own weekday level, which matters when families visit and needs don't pause. The inspection record shows 22 deficiencies, three of them at harm or jeopardy level and two tied to abuse, with $47,483 in fines across two penalties. Staff turnover is 37.6%, better than the 45.8% national figure, though the last full inspection dates to March 2023. For-profit, LLC-owned, with middling quality and inspection scores but the weakest marks on staffing.

C

66/100

Cherry Brook Health Care Center

Canton, CT · Capitol County

CMS 2/5 100 beds Non-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
55%
Serious cites
0

Cherry Brook runs about 3.59 nurse hours per resident day, roughly 7% under the national average, and staffing thins further on weekends, about 10% below its own weekday level. Turnover sits at 55.4% against a national 45.8%, so a large share of the people caring for residents are new to the building and still learning it. The inspection record is the harder read: 28 deficiencies on file, including one at the harm level and two tied to abuse, plus a $17,192 fine. The most recent inspection was in December 2024. Quality and inspection ratings both land at 2 out of 5. Nonprofit ownership doesn't offset the numbers here, ask direct questions about weekend coverage and what changed after that harm-level finding.

C

66/100

Heritage Park Health Center By Harborview

Bradenton, FL · Manatee County

CMS 3/5 120 beds For-profit Medicaid
Nurse hours
3.46 /day
Staff turnover
56%
Serious cites
0

Heritage Park Health Center runs on 3.46 nurse hours per resident day, roughly 11 percent under the national average, and weekends drop about 10 percent below what the home itself staffs on weekdays. That thinner weekend coverage matters because staff turnover sits at 55.5 percent against a national 45.8 percent, meaning fewer familiar faces when supervision is already lighter. The record shows 12 deficiencies, none at harm or jeopardy level and none abuse-related, with one fine of $4,475 and an inspection completed in April 2026. Its quality measure rating of 2 out of 5 is the weakest of its three CMS scores.

C

66/100

Oasis At The Conch Republic Nursing And Rehab

Key West, FL · Monroe County

CMS 1/5 120 beds For-profit Medicaid
Nurse hours
3.23 /day
Staff turnover
52%
Serious cites
0

The Oasis at the Conch Republic runs 3.23 nursing hours per resident day, about 16% under the national average of 3.86, so the staffing cushion isn't there. You see it in the margins: weekend coverage sits roughly 6% below the home's own weekday level, and annual turnover hits 51.8% against a national 45.8%, which means residents see a lot of new faces. The inspection record is the harder read, 21 deficiencies, four at harm or jeopardy level, one abuse-related, and $195,071 in fines across three events, with the last inspection in June 2024. For-profit ownership under an LLC, and a one-star health inspection rating, round out a picture where care quality has repeatedly fallen short.

C

66/100

Chatuge Regional Nursing Home

Hiawassee, GA · Towns County

CMS 1/5 112 beds Non-profit Medicaid
Nurse hours
3.78 /day
Staff turnover
46%
Serious cites
0

Chatuge Regional runs a nonprofit shop in Hiawassee with 112 certified beds, and the staffing numbers tell a mixed story. Total nurse coverage sits at 3.78 hours per resident day, just under the national average, but weekends drop about 13% below the home's own weekday level, meaning the thinnest coverage lands when families tend to visit. Turnover is 46.3%, slightly above the national figure, and the inspection record is the real concern: 33 deficiencies, five at harm or jeopardy level, six abuse-related, and one fine of $64,214 from a December 2025 inspection. The quality measure score is as low as it gets.

C

66/100

Mesun Health And Rehabilitation Center

Lawrenceville, GA · Gwinnett County

CMS 2/5 100 beds For-profit Medicaid
Nurse hours
3.63 /day
Staff turnover
42%
Serious cites
0

Mesun runs 3.63 nurse hours per resident day, about 6% under the national average, and weekends dip roughly 7% below its own weekday staffing. Staff turnover sits at 42.1%, a little better than the 45.8% norm, though the current record carries 31 deficiencies, 8 of them abuse-related, with no harm-level findings and one fine of $4,017. The last inspection was November 2025, so the record is fresh. Health inspection and quality measure ratings both land at 2 out of 5, staffing at 3. For-profit individual ownership in Lawrenceville. The C reflects a home where staffing holds near average but the inspection and quality picture pulls it down.

C

66/100

Accolade Healthcare Of Waterloo

Waterloo, IL · Monroe County

CMS 4/5 144 beds Government Medicaid
Nurse hours
3.77 /day
Staff turnover
81%
Serious cites
0

Accolade Healthcare Of Waterloo is county-owned, which usually signals steadier funding than a for-profit chain, and its health inspection record is genuinely solid, four stars, last surveyed in July 2025. The staffing side is where it frays. At 3.77 nurse hours per resident day it sits just under the national average, but that gap widens on weekends, when coverage drops roughly 11% below its own weekday level. Annual turnover of 81.2% is nearly double the national figure, meaning the aides and nurses your family member sees most may not be there next year. Eight deficiencies are on record, two involving harm or jeopardy and two tied to abuse.

C

66/100

University Park Rehabilitation And Healthcare

Fort Wayne, IN · Allen County

CMS 2/5 104 beds Non-profit Medicaid
Nurse hours
3.13 /day
Staff turnover
55%
Serious cites
0

University Park Rehabilitation and Healthcare runs on 3.13 nurse staffing hours per resident day, roughly 19% under the national average of 3.86, and weekend coverage dips about 7% below its own weekday level. Staff turnover sits at 55.4% against a national average of 45.8%, so the people caring for residents change often. The inspection record shows 33 deficiencies, one serious enough to cause harm or jeopardy, and a $15,646 fine, with the most recent inspection dated February 2026. Strong quality measure scores don't offset a one-star inspection and staffing picture at a 104-bed nonprofit home.

C

66/100

Caring Acres Nursing And Rehab Center

Anita, IA · Cass County

CMS 1/5 41 beds For-profit Medicaid
Nurse hours
3.60 /day
Staff turnover
73%
Serious cites
0

Caring Acres runs 41 beds in Anita under for-profit LLC ownership, and the numbers split sharply depending on where you look. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekend coverage roughly 9% thinner than weekdays, and annual turnover of 73.3% against a national 45.8% means most of the people caring for residents are new to the building. The current record carries 53 deficiencies, including 7 at harm or jeopardy level and 11 tied to abuse; CMS has placed the home in its Special Focus Facility program and fined it $73,488 across two penalties. The most recent inspection was February 12, 2026.

C

66/100

Tabor Manor Care Center

Tabor, IA · Fremont County

CMS 1/5 46 beds For-profit Medicaid
Nurse hours
3.76 /day
Staff turnover
60%
Serious cites
0

Tabor Manor Care Center runs 46 beds under corporate ownership, and the numbers worth knowing are on the inspection side. The current record carries 59 deficiencies, including one at the harm or jeopardy level and five tied to abuse, a heavy load for a home this size, and the federal inspection rating sits at 1 out of 5. Staffing lands slightly under the national average at 3.76 hours per resident day, and weekends run about 15% thinner than weekdays. Annual turnover of 60.4% is well above the 45.8% national figure, meaning familiar faces are hard to count on. Four fines totaling $17,996 round out the record, with the most recent inspection dated March 2026.

C

66/100

Sandstone Heights

Little River, KS · Rice County

CMS 1/5 36 beds Non-profit Medicaid
Nurse hours
4.18 /day
Staff turnover
59%
Serious cites
0

Sandstone Heights has a staffing story worth noticing: 4.18 nurse hours per resident day sits about 8% above the national average, and weekends only dip roughly 9% below weekdays. That consistency matters. Less encouraging is who's providing that care, nearly 59% of staff turned over in a year, well above the national 45.8%. The inspection record is where things get concerning: 20 deficiencies, two at harm or jeopardy level and one abuse-related, with two fines totaling $67,763. The last inspection was March 2025, so the record is current. Nonprofit ownership offers some stability, but with quality measures scoring 1 out of 5 and health inspections at 2, the strong staffing numbers aren't translating into strong outcomes.

C

66/100

Brandenburg Nursing And Rehabilitation Center

Brandenburg, KY · Meade County

CMS 3/5 57 beds For-profit Medicaid
Nurse hours
3.40 /day
Staff turnover
52%
Serious cites
0

Brandenburg Nursing and Rehabilitation Center runs on thinner nurse coverage than most homes, about 3.40 hours per resident day against a national average near 3.86, with weekends dipping roughly another 10% below its own weekday pace. Staff turnover sits at 52%, compared to 45.8% nationally, so the people caring for your relative are changing fairly often. The inspection record is the bright spot: one deficiency on file, nothing at the harm level, no abuse findings, and the most recent survey was in April 2026. It's a for-profit LLC with 57 beds. The quality measures land mid-range. What you're weighing is a clean inspection history against staffing that's consistently under the norm.

C

66/100

Courtyard Manor Nurse Care Center & Assisted Liv

Lafayette, LA · Lafayette County

CMS 4/5 92 beds For-profit Medicaid
Nurse hours
4.09 /day
Staff turnover
64%
Serious cites
0

Courtyard Manor runs 4.09 nurse hours per resident day, about 6% above the national average, but that average hides a staffing hole on weekends, when hours drop roughly 12% below the home's own weekday level. Annual turnover is 63.8% against a national 45.8%, so nearly two-thirds of the nursing staff leaves each year, which is a lot of new faces learning residents' routines. The current record shows 23 deficiencies, none at harm or jeopardy level, but one tied to abuse, plus two fines totaling $22,388. Inspectors were last in on January 7, 2026, and the state's health inspection rating sits at 4 out of 5 while quality measures land at 2.

C

66/100

South Mountain Rehab Center

Boonsboro, MD · Washington County

CMS 3/5 157 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
48%
Serious cites
0

South Mountain Rehab Center runs on thinner nurse coverage than most homes, 3.39 hours per resident day against a national average of 3.86, with weekends dipping about 8% below its own weekday levels. That staffing gap shows up in its CMS staffing rating of 2 out of 5, and turnover sits at 47.6%, slightly above the national figure. The inspection record carries 39 deficiencies, including one at the harm level and two tied to abuse. A 157-bed for-profit LLC, it was last inspected March 6, 2026, and its health and quality ratings both land at 3 out of 5. If you're weighing this one, ask about weekend coverage and how abuse allegations were resolved.

C

66/100

Ridgeway Rehab Center

Catonsville, MD · Baltimore County

CMS 3/5 61 beds For-profit Medicaid
Nurse hours
3.52 /day
Staff turnover
58%
Serious cites
0

Ridgeway Rehab Center runs 61 certified beds in Catonsville under for-profit LLC ownership, and the staffing numbers are the first thing worth knowing. At 3.52 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, so the coverage your family member gets on a Saturday looks different from a Tuesday. Annual turnover is 57.9% against a national 45.8%, meaning more than half the nursing staff leaves each year. The inspection record shows 53 deficiencies, four tied to abuse, with no harm-level findings, and one fine of $37,805. The last inspection was February 2026, so the record is current.

C

66/100

Care Village At Parkway

Boston, MA · Suffolk County

CMS 2/5 141 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
24%
Serious cites
0

Care Village At Parkway runs on 3.14 nurse hours per resident per day, roughly 19 percent under the national figure, and weekends drop about 12 percent below its own weekday staffing. That thin coverage shows up in the inspection record: 56 deficiencies, two serious enough to cause harm or jeopardy, four tied to abuse, and $29,489 in fines, with the most recent inspection dated February 27, 2026. One bright spot is turnover at 23.9 percent, well under the 45.8 percent national rate, so the staff who are there tend to stay. The company is a for-profit limited liability operation with 141 certified beds.

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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