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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 3521–3540 of 4,510, best-graded first.

C

65.5/100

Quabbin Valley Healthcare

Athol, MA · Worcester County

CMS 2/5 142 beds For-profit Medicaid
Nurse hours
3.49 /day
Staff turnover
—
Serious cites
0

Quabbin Valley Healthcare runs 142 beds in Athol under for-profit LLC ownership, and the numbers show a home with real strain. Nurse staffing sits at 3.49 hours per resident day, roughly 10% under the national average, and weekends drop about 13% below its own weekday levels, so coverage thins out exactly when families tend to visit. The inspection record is heavy: 42 deficiencies, including two at the harm or jeopardy level and six tied to abuse, with $62,250 in fines across two penalties. Its last inspection was August 2025, so the record is current. All three CMS star ratings, health inspections, quality measures, and staffing, sit at 2 out of 5.

C

65.5/100

Clara City Care Center

Clara City, MN · Chippewa County

CMS 1/5 48 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Clara City Care Center is city-owned and small, 48 beds, which in a lot of towns means everyone knows someone who's stayed there. The federal numbers tell a rougher story. Inspectors have cited 12 deficiencies on the current record, three of them at the harm or jeopardy level, and the most recent inspection was April 2026. Staffing sits well below the national average, and so do the health inspection results, while the quality measures look more ordinary. That split matters: how a place scores on paper for resident outcomes can look fine even when the hands-on care and the survey record don't. One fine, $13,260. Worth asking the administrator directly what's changed since the last visit.

C

65.5/100

Hattiesburg Health & Rehab Center

Hattiesburg, MS · Forrest County

CMS 3/5 164 beds For-profit Medicaid
Nurse hours
4.83 /day
Staff turnover
64%
Serious cites
0

Hattiesburg Health & Rehab has a genuine staffing story: 4.83 nurse hours per resident day, well above the national average, and that's the kind of number that matters most on a bad night. The catch is consistency, weekend coverage drops noticeably below the home's own weekday schedule, and turnover sits at 63.5%, meaning the people providing that care keep changing. The inspection record shows nine deficiencies, including one abuse-related and one serious enough to reach harm or jeopardy, with a single fine of $8,021. Quality measures land at the bottom of CMS's scale while inspections sit near the top, a split worth asking about directly.

C

65.5/100

Webco Manor

Marshfield, MO · Webster County

CMS 2/5 90 beds Non-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Webco Manor runs 90 certified beds as a nonprofit corporation, and the staffing numbers are the first thing that stands out, one star from CMS, meaning nurse hours per resident land well below what most homes in Missouri report. That shortfall shows up on the inspection side too: 33 deficiencies on the current record, including one at the harm level and six tied to abuse. Quality measures sit at two stars. The one piece of recent news is the inspection itself, dated July 28, 2025, which at least means the record reflects how things stand now rather than two years ago. If you're weighing this one, ask the administrator directly about turnover on the nursing side and what changed after that July visit.

C

65.5/100

Baisch Nursing Center

De Soto, MO · Jefferson County

CMS 3/5 61 beds For-profit Medicaid
Nurse hours
3.00 /day
Staff turnover
—
Serious cites
0

Baisch Nursing Center runs 61 certified beds in De Soto, and its nurse staffing sits around 3.00 hours per resident day, roughly 22% under the national average of 3.86. Weekends drop about another 10% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The current record shows 36 deficiencies, none flagged at harm or jeopardy level, but two are abuse-related, which is worth asking about directly. The last inspection was in February 2025, so the picture is fairly current. For-profit corporate ownership, a 1-star staffing rating, and 2-star quality measures round out a home that passes the basics without much margin.

C

65.5/100

Independence Care Center Of Perry County

Perryville, MO · Perry County

CMS 3/5 133 beds Non-profit Medicaid
Nurse hours
2.66 /day
Staff turnover
—
Serious cites
0

Independence Care Center Of Perry County runs a 133-bed nonprofit home in Perryville, and its most recent inspection on January 9, 2026 left 16 deficiencies on the record, none at the harm or jeopardy level, but one abuse-related. Staffing is where the numbers get thin: 2.66 nurse hours per resident day against a national average of 3.86, roughly 31% below, and weekends drop about 13% below the home's own weekday level. The federal staffing star sits at 1 out of 5. Health inspections earned 4 out of 5 and quality measures 2 out of 5, so the care process looks better on paper than the hands-on coverage behind it. Ask how they staff weekends before you decide anything.

C

65.5/100

Ponderosa Villa

Crawford, NE · Dawes County

CMS 2/5 39 beds Government Medicaid
Nurse hours
2.90 /day
Staff turnover
—
Serious cites
0

Ponderosa Villa runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop about 14% below its own weekday level, so the thinnest coverage lands when families tend to visit. The city-owned home carries 13 deficiencies on its current record, none at harm or jeopardy level and none abuse-related, and it was inspected January 14, 2026. Its quality measure rating sits at 2 out of 5 and staffing at 1 out of 5, which tells you the shortfall is consistent, not a one-time dip. A 35-bed home can be worth a look for its size and local ownership, but ask directly how weekends are covered before deciding.

C

65.5/100

Luna Wellness Rehabilitation, Llc

Deming, NM · Luna County

CMS 2/5 66 beds For-profit Medicaid
Nurse hours
3.14 /day
Staff turnover
—
Serious cites
0

Luna Wellness Rehabilitation runs 3.14 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday staffing. That thin coverage sits behind a one-star CMS staffing rating, and the inspection record backs it up: 58 deficiencies, including two at the harm or jeopardy level and seven tied to abuse, with $66,876 in fines across two penalties. The five-star quality measure score looks better on paper, but quality measures reflect resident assessments, not how many hands are available when someone needs help. For-profit operation under a limited liability company, last inspected April 2025. Ask about weekend coverage and the abuse-related findings before deciding.

C

65.5/100

Hudson Valley Rehabilitation & Extended Care Ctr

Highland, NY · Ulster County

CMS 1/5 203 beds For-profit Medicaid
Nurse hours
3.39 /day
Staff turnover
47%
Serious cites
0

Hudson Valley Rehabilitation runs 203 beds in Highland, and its staffing comes in around 3.39 nurse hours per resident day, roughly 12% under the national average. Weekends are thinner still, about a fifth lighter than weekdays, and nearly half the staff turns over each year. The inspection record is the harder part to read past: 51 deficiencies currently on file, including one at the harm level and five tied to abuse. That last inspection was February 27, 2026, so the record is recent. A for-profit LLC operates it. Quality measures land at 2 out of 5 stars. Nothing here is catastrophic on paper, but the pattern, light coverage, heavy turnover, a long deficiency list, is worth asking about directly.

C

65.5/100

Chautauqua Nursing And Rehabilitation Center

Dunkirk, NY · Chautauqua County

CMS 1/5 216 beds For-profit Medicaid
Nurse hours
2.87 /day
Staff turnover
50%
Serious cites
0

Chautauqua Nursing and Rehabilitation Center in Dunkirk runs 216 certified beds under for-profit LLC ownership, and the numbers tell a split story. The health inspection record is genuinely strong, a five-star rating, ten deficiencies on file with none at the harm level, and just under $9,000 in fines across three citations. Where it falls down is staffing: 2.87 nurse hours per resident day sits about 26% under the national average of 3.86, weekends run roughly 16% thinner than weekdays, and turnover near 50% edges past the national figure. A clean inspection history matters, but it reflects conditions at one point in time, the last visit was December 2023. Daily coverage is what families actually live with, and that's the tradeoff here.

C

65.5/100

Greenbrier Village Health And Rehabilitation

Enid, OK · Garfield County

CMS 1/5 150 beds For-profit Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Greenbrier Village runs 150 beds as a for-profit corporation, and the numbers families tend to care about most don't flatter it. Staffing sits at the lowest tier CMS tracks, well below what the agency considers typical for a home this size, and the quality measure score is only slightly better. The inspection record shows 15 deficiencies, including one serious enough to put residents in harm's way and three tied to abuse, a pattern worth asking the administrator about directly. Five fines totaling $14,819 have accumulated, and while the most recent inspection in July 2025 is fairly current, a three-star inspection score with that violation mix suggests the problems aren't purely historical.

C

65.5/100

Lane Nursing & Ventilator Care

Inola, OK · Rogers County

CMS 1/5 65 beds For-profit Medicaid
Nurse hours
4.27 /day
Staff turnover
—
Serious cites
0

Lane Nursing & Ventilator Care sits in Inola, and the numbers tell a mixed story. The home reports 4.27 nurse staffing hours per resident day, roughly 11% above the national average, but CMS still gives it a 1 out of 5 staffing star, likely because that average hides a thin weekend, which runs about 2% below weekdays, and because staffing stars weigh registered nurse coverage heavily, not just totals. The inspection record is where the real concern lives: 29 deficiencies, three tied to abuse, with zero at the harm level. State inspectors last visited in October 2024. A for-profit limited liability company runs the 65-bed building.

C

65.5/100

Seiling Nursing Center

Seiling, OK · Dewey County

CMS 2/5 31 beds Government Medicaid
Nurse hours
0.00 /day
Staff turnover
—
Serious cites
0

Seiling Nursing Center is city-owned and holds 31 certified beds, but the number that matters most is zero, that's the reported total nurse staffing hours per resident day, against a national average near 3.86. The staffing star rating sits at 1 out of 5, and the weekend figure the data produces runs negative relative to weekday levels, which tells you the hours simply aren't there on Saturdays and Sundays. Fourteen deficiencies appear on the current record, though none rose to harm or jeopardy and none were abuse-related. The last inspection came January 22, 2026, and the health and quality ratings each land at 3 out of 5. Whatever the inspection record shows, the daily coverage is the concern.

C

65.5/100

Colonial Manor Ii

Hollis, OK · Harmon County

CMS 3/5 92 beds Government Medicaid
Nurse hours
— /day
Staff turnover
—
Serious cites
0

Colonial Manor II is county-owned and holds 92 certified beds in Hollis. Its last inspection came January 8, 2026, and the health inspection record earned a 4 out of 5 star rating, a strong result on that front. The staffing side tells a different story: 1 out of 5 stars, meaning nurse hours per resident sit well below what CMS expects. The quality measure rating is 2 out of 5. Thirteen deficiencies are on record, including one at the harm or jeopardy level and three tied to abuse. So you have a home that inspects well but runs thin on direct care, which is the tension a family should weigh.

C

65.5/100

Hospital De La Concepcion Inc

San German, PR · San German County

CMS 2/5 30 beds Non-profit
Nurse hours
3.24 /day
Staff turnover
—
Serious cites
0

Hospital De La Concepcion is a small nonprofit home in San German, just 30 certified beds, and its nurse staffing sits at 3.24 hours per resident per day, roughly 16 percent under the national average of 3.86. Weekends run about 18 percent thinner than weekdays there, so coverage depends on when you visit. The inspection record carries 51 deficiencies, two of them abuse-related, though none rose to the harm or jeopardy level; the last survey was March 5, 2026. Federal inspectors rated health inspections 2 out of 5 stars while staffing earned 3. For a 30-bed home, that many deficiencies is worth asking about directly.

C

65.5/100

Multy Medical Skilled Nursing Facility

Rio Piedras, PR · San Juan County

CMS 1/5 35 beds For-profit
Nurse hours
1.89 /day
Staff turnover
—
Serious cites
0

Multy Medical runs 35 certified beds in Rio Piedras under corporate for-profit ownership, and its nurse staffing sits at 1.89 hours per resident day, roughly half the national average of 3.86. Weekend coverage drops about 19% below what the home staffs on weekdays, so the thinnest shifts are also the ones families tend to visit. The inspection record shows 77 deficiencies, including eight tied to abuse, with zero at the harm or jeopardy level; the most recent inspection was March 26, 2026. A 1/5 health inspection rating and 2/5 staffing rating reflect those numbers rather than any single incident. If you're considering this home, ask directly how weekend nurse coverage is handled and how the abuse-related citations were resolved.

C

65.5/100

Community Care Center Of Hondo

Hondo, TX · Medina County

CMS 1/5 75 beds For-profit Medicaid
Nurse hours
3.41 /day
Staff turnover
—
Serious cites
0

The staffing numbers at Community Care Center of Hondo are the first thing I'd want you to see: CMS gives it a single star there, against a national average that sits around three. That's the weakest possible rating, and it shows up alongside a two-star inspection history with 22 deficiencies on the current record, three serious enough to reach harm or jeopardy level, one tied to abuse. The quality measure score looks good at four stars, but that's built from resident assessment data the facility reports itself, and it doesn't offset what surveyors actually found in the building. Two fines totaling $19,096 are on file from a 75-bed for-profit home owned by an individual, last inspected in September 2025.

C

65.5/100

Union House Nursing Home

Glover, VT · Orleans County

CMS 4/5 44 beds For-profit Medicaid
Nurse hours
4.06 /day
Staff turnover
78%
Serious cites
0

Union House Nursing Home in Glover runs on thin margins when it comes to people. The 4.06 nurse hours per resident day looks better than average on paper, but weekends drop about 18% below weekday coverage, and turnover sits at 77.6%, far above the 45.8% national figure. That churn matters more than the headline staffing number. Its current record carries 27 deficiencies, including 2 at harm or jeopardy level and 7 tied to abuse. Two fines total $18,418. The last inspection was February 2026. A for-profit LLC owns the 44-bed home. Staffing stars look strong; inspection and quality scores don't match. Ask about weekend coverage and how abuse-related findings were resolved.

C

65.5/100

Prairie Acres

Friona, TX · Parmer County

CMS 4/5 83 beds Government Medicaid
Nurse hours
3.32 /day
Staff turnover
53%
Serious cites
0

Prairie Acres runs on a hospital district's budget in Friona, and the numbers show a home that inspects well but staffs thin. Its last inspection came back in mid-2025 with a four-star health rating, yet the record still carries 16 deficiencies, including one that put a resident in harm's way and two tied to abuse. Nurse coverage sits at 3.32 hours per resident day, roughly 14% under the national figure, and weekends drop about 19% below the home's own weekday staffing. With turnover at 52.5%, well above the 45.8% national average, consistent caregivers are hard to keep. One fine of $10,033 rounds out the picture.

C

65.5/100

Legacy At Corsicana Rehabilitation And Healthcare

Corsicana, TX · Navarro County

CMS 3/5 148 beds For-profit Medicaid
Nurse hours
3.18 /day
Staff turnover
—
Serious cites
0

Legacy At Corsicana runs on 3.18 nurse hours per resident day, roughly 18% under the national average of 3.86, and weekends dip about 12% below its own weekday coverage. That thin staffing shows up in the CMS staffing rating, 1 out of 5, even though the inspection record is perfect at 5 out of 5 with the most recent survey just completed in February 2026. Nine deficiencies sit on the current record, none at harm or jeopardy level, but two are abuse-related, which families should ask about directly. Quality measures land at 2 out of 5. The corporate for-profit owner runs 148 beds; ask how nurse coverage holds up on Saturday nights.

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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