4,510 Independent Nursing Homes in the United States

Nurse hours

3.69 /day

Staff turnover

63%

Serious cites

0

Seven Sisters Living Center sits in Hot Springs with 52 certified beds and a nonprofit corporate owner. Staffing runs 3.69 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 11% below its own weekday coverage. The bigger concern is turnover: 63.2% of staff left over the past year, against a national average of 45.8%, which means the people caring for residents are often new to the building. Inspections look strong on paper, a 4-out-of-5 health inspection star, with the most recent visit in August 2025, but the record holds 10 deficiencies, including one at the harm level and one tied to abuse, plus an $8,278 fine. Quality measures land at 2 out of 5 stars, suggesting resident outcomes don't match the inspection score.

Nurse hours

3.00 /day

Staff turnover

42%

Serious cites

0

Dells Nursing and Rehab runs a 50-bed for-profit operation in Dell Rapids with a staffing picture that's thinner than most: 3.00 nurse hours per resident day, roughly 22% under the national average of 3.86, and weekends drop another 10% below its own weekday levels. Turnover sits at 41.5%, a bit better than the national 45.8%, so the people who stay seem to stay. The trouble shows up in the record: 16 deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus three fines totaling $173,010. A 4/5 inspection rating and a December 2025 visit suggest regulators saw improvement lately. Ask about weekend coverage and how those abuse findings were resolved.

Nurse hours

3.16 /day

Staff turnover

46%

Serious cites

0

Olney Rehabilitation And Care Center runs 99 certified beds under corporate for-profit ownership, and its inspection record is the bright spot: a four-out-of-five health inspection rating, with the most recent visit in December 2025 and 20 deficiencies on file, none of them tied to harm, jeopardy, or abuse. Staffing is where it gets thinner. At 3.16 nurse hours per resident day, this home sits roughly 18% under the national average, weekend coverage drops about 10% below its own weekday level, and turnover of 46.4% edges just past the national figure. Quality measures land mid-range. The inspection side looks steady; the day-to-day coverage is the part worth asking about directly.

Nurse hours

3.19 /day

Staff turnover

50%

Serious cites

0

Oak Park runs on 3.19 nursing hours per resident each day, roughly 17% under the national average of 3.86, and weekends dip even below its own weekday numbers. Staff turnover sits at 50% against a national rate near 46%, so the people caring for residents keep changing. Behind those numbers is an inspection record with 53 deficiencies, including one at the harm level and two tied to abuse, plus a $9,280 fine. All three CMS star ratings, health inspections, quality measures, staffing, come in at 2 out of 5. Ownership is for-profit and individual. The last inspection was March 13, 2026, so the record is recent, not stale.

Nurse hours

4.19 /day

Staff turnover

64%

Serious cites

0

The Manor in Morrisville is a nonprofit with 72 beds, and its staffing is the one number that stands out in a good way: 4.19 nurse hours per resident day, roughly 9% above the national average. Weekends dip about 6% below its own weekday levels, so coverage thins out when families tend to visit. The trouble sits elsewhere. Staff turnover runs 63.6% against a national 45.8%, meaning nearly two-thirds of the nursing staff leaves each year, and that churn shows up in 14 deficiencies, three of them at harm or jeopardy level and three tied to abuse, plus two fines totaling $140,856. Quality measures score 2 out of 5.

Nurse hours

3.95 /day

Staff turnover

69%

Serious cites

0

Pendleton Manor in Franklin runs a tight ship on the clinical side: nurse staffing sits at 3.95 hours per resident day, slightly above the national average, and the home's last inspection in March 2026 found no deficiencies at the harm or jeopardy level. But the workforce picture is unstable. Staff turnover hits 68.6%, well above the national rate of 45.8%, and weekend staffing drops about 13% below weekday levels. Twenty-four deficiencies sit on the current record, three of them abuse-related. Quality measures tell another story, scoring poorly despite solid staffing numbers. Nonprofit ownership doesn't erase those gaps.

Nurse hours

2.91 /day

Staff turnover

54%

Serious cites

0

Greenway Manor runs about 2.91 nursing hours per resident each day, roughly a quarter below the national average, and its weekend coverage dips another 6% below its own weekday level. Staff turnover sits at 53.8% against a national 45.8%, which means more than half the nursing team turns over in a year, that's the number behind its one-star staffing rating from CMS. The health inspection side looks better: a four-star rating and a clean recent inspection on 2026-02-25. But the record carries eight deficiencies, five of them abuse-related, and a corporation owns the place. Fewer hands and a revolving door tend to matter most on evenings and weekends, when families aren't watching.

Nurse hours

4.31 /day

Staff turnover

63%

Serious cites

0

St. Anthony's runs about 4.31 nurse hours per resident per day, roughly 12% above the national average, so there's real coverage on weekdays. Weekends run about 13% thinner, and annual turnover sits at 62.8% against a national 45.8%, meaning that staffing edge is being delivered by a constantly changing crew, which is hard on residents who need consistency. The health inspection side looks solid at 4 of 5 stars with no abuse findings, but 16 deficiencies, 2 of them at harm level, plus a recent ownership change, suggest the operation is still settling in. Quality and staffing measures both land at 2 of 5, and that gap between inspection results and daily care measures is the real story here.

Nurse hours

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Staff turnover

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Serious cites

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Greene County Nursing Home sits in Eutaw with 72 certified beds and a for-profit corporation behind it. Federal inspectors handed it the lowest marks possible for both health inspections and staffing, and a below-average score for quality measures, and the last full inspection was back in February 2022, which is a long stretch without a fresh look. Thirteen deficiencies sit on the current record, though none reached harm or jeopardy, and there's no abuse history. One fine of $13,635 has been levied. What stands out is a pattern: thin staffing measured against national norms, weak inspection results, and little recent scrutiny to test whether anything has changed.

Nurse hours

3.32 /day

Staff turnover

64%

Serious cites

0

Ridgewood Manor runs a non-profit shop with 102 beds in Dalton, and the inspection record is the strongest part of the story: 11 deficiencies on file, none involving harm or jeopardy to residents, none abuse-related, and a survey completed as recently as May 2026. Where it gets thinner is daily coverage. At 3.32 nurse hours per resident day, staffing sits roughly 14 percent under the national average, and weekends dip about 22 percent below the home's own weekday level. Annual turnover of 63.9 percent is well above the 45.8 percent national figure, which matters most for whether residents see the same faces week to week. A clean inspection history and steady aide turnover rarely arrive together, here, they don't.

Nurse hours

3.41 /day

Staff turnover

47%

Serious cites

0

Thomson Health and Rehabilitation runs 3.41 nursing hours per resident day, roughly 12 percent under the national average of 3.86, and weekends drop another 15 percent below its own weekday staffing. That matters because 150 beds is a lot of residents to cover when the schedule thins out. The home carries 17 deficiencies on its current record, though none at the harm or jeopardy level and none abuse-related, and its last inspection was in February 2026. Ownership is for-profit through a limited liability company, and turnover sits at 46.7 percent, essentially the national average of 45.8 percent, so this isn't a retention crisis so much as steady churn. The staffing and quality measures both score 2 out of 5.

Nurse hours

3.06 /day

Staff turnover

—

Serious cites

0

Stephenson Nursing Center is county-run, which often means a public meeting before anything changes, slower fixes, but also a paper trail. The numbers here show a building running lean: 3.06 nursing hours per resident per day against a national average of 3.86, with weekends about 10% thinner than weekdays. State inspectors have logged 37 deficiencies, four serious enough to put a resident in harm's way and nine tied to abuse. One fine of $18,450 is on record, and the last inspection was in February 2025. Ask the administrator how they cover weekend call-offs and what changed after those abuse findings.

Nurse hours

4.04 /day

Staff turnover

39%

Serious cites

0

White County Rehab and Nursing runs 4.04 nurse hours per resident day, a bit above the national average, and its staff turnover of 38.5% is better than the typical 45.8%. The catch is weekends: coverage drops roughly a fifth below the weekday level, and a 1-out-of-5 staffing star says the daily numbers don't hold up. Its record shows 39 deficiencies, including 2 at harm level and 10 tied to abuse, with one $142,002 fine. Inspectors last visited in February 2025, so the picture is current. Ownership is a for-profit partnership. Quality measures score 5 out of 5, but good resident outcomes don't cancel out a thin, unstable floor staff.

Nurse hours

3.64 /day

Staff turnover

55%

Serious cites

0

Asbury Gardens is a 75-bed for-profit home in North Aurora, and its inspection record is the strongest part of the picture: a 4-out-of-5 health inspection rating, with the most recent survey completed in January 2026. The trouble sits elsewhere. Nurse staffing runs 3.64 hours per resident day, about 6% under the national average, and weekends drop roughly 17% below what the home staffs on weekdays, so the hours get thinnest exactly when families tend to visit. Annual turnover of 55.4% is well above the 45.8% national figure, which means aides and nurses are cycling through steadily. Twenty deficiencies sit on the current record, one serious enough to involve harm or jeopardy, plus $6,350 in fines across two penalties.

Nurse hours

5.67 /day

Staff turnover

37%

Serious cites

0

Mississippi Valley runs 5.67 nurse hours per resident day, roughly 47% above the national average of 3.86, and its 36.8% turnover sits below the national 45.8%. Those are real strengths. The rest of the record is harder to read. State inspectors cited 25 deficiencies, four of them at harm or jeopardy level and two tied to abuse, with $19,663 in fines across two penalties. Quality measures score 2 out of 5, and weekends run about 21% thinner than weekdays, so the staffing cushion doesn't hold steady across the week. The last inspection was April 2025. A for-profit LLC operates the 83-bed home. Strong hours, but a deficiency record that includes harm and abuse findings is what families should weigh hardest.

Nurse hours

3.53 /day

Staff turnover

54%

Serious cites

0

Metcalfe Nursing and Rehabilitation Center runs on thinner nurse coverage than most homes nationally, 3.53 hours per resident day against a 3.86 average, and weekends drop roughly 18% below what it staffs on weekdays, which is when gaps tend to show up. Staff turnover sits at 54.3%, well above the 45.8% national figure, so familiar faces are not a given. Its last health inspection was October 2022, and the record carries 14 deficiencies, none flagged for harm or abuse. As a nonprofit, it answers to a board rather than shareholders, but that structure hasn't translated into stronger staffing or quality scores here.

Nurse hours

3.68 /day

Staff turnover

39%

Serious cites

0

Mountain Manor Of Paintsville runs 126 certified beds under for-profit LLC ownership, and the nurse staffing number comes in at 3.68 hours per resident day, about 5% under the national average of 3.86. Weekends are thinner still, roughly 18% below the home's own weekday coverage. Turnover sits at 39.4%, which is actually better than the 45.8% national figure, so that's one number working in its favor. Inspections are recent (July 2025) with 17 deficiencies on record, none at harm or jeopardy level, though two are abuse-related. CMS gives it 2 stars each for health inspections and staffing, and 1 star on quality measures, a split record worth asking about directly.

Nurse hours

3.34 /day

Staff turnover

49%

Serious cites

0

Mary Goss Nursing Home runs 91 certified beds in Monroe, and the numbers behind its record deserve a close look. Nurse staffing sits at 3.34 hours per resident day, roughly 13 percent under the national figure, and weekend coverage drops about 21 percent below what the home staffs on weekdays, so families visiting Saturday or Sunday may see a thinner floor. Annual turnover of 49 percent tops the national average, meaning nearly half the nursing staff leaves each year. The inspection record shows 34 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with ten fines totaling $88,800. Its last inspection was in August 2025, and all three CMS star ratings sit at 2 out of 5.

Nurse hours

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Staff turnover

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Serious cites

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Bayou Vista's inspection history looks decent on paper, a recent survey in August 2025 and a four-star health inspection rating. But twenty deficiencies on the current record, including two at the harm level and two tied to abuse, tell a more complicated story than that star suggests. The bigger issue is staffing: one star, the lowest CMS gives, and with 92 beds to cover, that shortfall affects daily care more than any inspection score. Quality measures sit at two stars, and the home has paid $16,267 across two fines. For-profit ownership under an LLC means margins matter here, and the numbers suggest where they're being protected. Ask about direct-care hours per resident before you decide.

Nurse hours

3.25 /day

Staff turnover

36%

Serious cites

0

Egle Nursing Home runs on 3.25 nurse staffing hours per resident day, roughly 16 percent under the national average, and weekends drop about 22 percent below its own weekday levels, meaning the thinnest coverage lands when families tend to visit. The 42 deficiencies on record include four abuse-related citations, though none rose to harm or jeopardy, and the last inspection was in October 2025. Turnover at 35.9 percent is actually better than the 45.8 percent national figure, which suggests some stability in who's showing up. A for-profit corporation operates the 66-bed building, and its federal quality and staffing ratings both sit at one star. Low staffing plus a long deficiency history explains the middling grade.