4,510 Independent Nursing Homes in the United States

Nurse hours

3.26 /day

Staff turnover

42%

Serious cites

0

Falcon Lake runs lean on nursing hours, 3.26 per resident day against a national average of 3.86, and weekends drop roughly another 15% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, which matters because consistent caregivers tend to know residents' routines. The health inspection side looks solid, with a 4-out-of-5 star rating and a recent August 2025 survey, and none of the 18 deficiencies on record rose to harm or jeopardy, with no abuse citations. Where it slips is quality measures at 1 star, and that gap between clean inspections and weak clinical outcomes is worth asking the administrator about directly.

Nurse hours

3.41 /day

Staff turnover

66%

Serious cites

0

Trucare Living Centers - Selma runs 128 certified beds under corporate, for-profit ownership, and its nurse staffing sits at 3.41 hours per resident day, roughly 12% under the national average of 3.86. Weekends drop about 16% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Annual turnover of 66.3% is well above the national 45.8%, meaning many of the aides and nurses your relative sees may be fairly new. The current record shows 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was February 2026. Quality measures score well; staffing is where this home falls short.

Nurse hours

3.39 /day

Staff turnover

46%

Serious cites

0

Yampa Valley Healthcare Center runs 58 certified beds in Craig, and it's owned by a for-profit corporation. The staffing numbers are mixed: 3.39 nurse hours per resident per day lands about 12% under the national average of 3.86, but turnover sits at 45.5%, essentially matching the national rate, and weekend coverage only dips about 3% below weekday levels. So consistent hands, fewer of them. The inspection record is the real concern, 40 deficiencies, 10 serious enough to involve harm or jeopardy, 3 tied to abuse, and $120,965 in fines across three penalties. Combine that with the two-out-of-five inspection and quality ratings and a survey from late 2024, and the pattern is clear.

Nurse hours

3.88 /day

Staff turnover

38%

Serious cites

0

Ingraham Manor runs 3.88 nurse hours per resident day, which is essentially the national average of 3.86, but look closer and the weekend tells a different story, running about 11% under its own weekday staffing. Turnover sits at 38.1%, meaningfully better than the 45.8% national figure, though a recent ownership change adds uncertainty. The inspection record is the real concern: 17 deficiencies, three serious enough to reach harm or jeopardy level, plus $34,369 in fines across three penalties. Two of five stars on health inspections and quality measures, last surveyed in October 2023, suggests a home where the care floor isn't the problem so much as consistency and follow-through.

Nurse hours

3.45 /day

Staff turnover

44%

Serious cites

0

Nurse staffing here runs about 3.45 hours per resident day, roughly 11 percent under the national average of 3.86, and weekends dip slightly below the home's own weekday level. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with 16 fines totaling $117,410. Staff turnover sits at 44.1 percent, marginally better than the 45.8 percent national figure, but that's cold comfort against a one-star health inspection rating and a July 2025 inspection that found serious problems. If you're weighing this one, ask pointed questions about the abuse-related citations and what has actually changed since.

Nurse hours

2.28 /day

Staff turnover

47%

Serious cites

0

Ryze West runs 2.28 nurse hours per resident per day, roughly 41% under the national average of 3.86, and weekend coverage dips about 10% below its own weekday level. That thin staffing shows in the federal stars: one out of five for staffing, two for health inspections. The inspection record carries 72 deficiencies, including three at the harm or jeopardy level and five tied to abuse, plus three fines totaling $127,940. Turnover sits at 47.3%, slightly above the national 45.8%. The five-star quality measure rating reflects resident assessments, not the hands available to help. The most recent inspection was May 24, 2024. For-profit corporate ownership, 234 beds.

Nurse hours

3.00 /day

Staff turnover

49%

Serious cites

0

Inverness Rehab runs 142 certified beds under for-profit LLC ownership, and its staffing is the number that stands out. At 3.00 nurse hours per resident per day, it sits about 22% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 48.6% edges past the 45.8% national figure, meaning nearly half the nursing staff turns over each year. The current record carries 34 deficiencies, six of them at harm or jeopardy level and six abuse-related, plus one fine of $22,679. The last inspection was August 2025. Quality measures score well; staffing does not.

Nurse hours

3.25 /day

Staff turnover

61%

Serious cites

0

Florence Nursing Home runs on thin staffing. At 3.25 nurse hours per resident day, it sits about 16% under the national average, and weekends dip slightly below its own weekday levels, so the coverage gap isn't just a weekday problem. Annual turnover of 61.3% is well above the 45.8% national figure, meaning a large share of the people caring for residents are still learning the building. What keeps this from being a bigger concern is the inspection record: a 5/5 health inspection rating, nine deficiencies with none at the harm level, and no abuse findings, most recently surveyed in May 2025. The state didn't find dangerous care here, the numbers suggest the risk is more about consistency than safety.

Nurse hours

1.58 /day

Staff turnover

59%

Serious cites

0

Avenues At Springfield runs 65 certified beds under for-profit limited liability ownership, and the staffing numbers are where the trouble sits. At 1.58 nurse hours per resident day, it's roughly 59% below the national average of 3.86, with weekends running about 13% lighter than weekdays already short of help. Annual turnover of 59.3% against a 45.8% national average means aides and nurses cycle through fast, which matters most for residents who need consistent hands. The inspection record shows 28 deficiencies, four at harm or jeopardy level and one abuse-related, though the most recent inspection was January 2026. Quality measures score well, but that's largely built from documentation, not from people in the building.

Nurse hours

3.20 /day

Staff turnover

58%

Serious cites

0

Majestic Care of Lafayette runs 122 certified beds under corporate ownership, and the staffing numbers are where your attention should go. At 3.20 nurse hours per resident day, it sits about 17% under the national average of 3.86, with weekends roughly 12% thinner than weekdays, and turnover at 57.5% against a national 45.8%, that's a lot of new faces learning your family member's needs. The inspection record shows 32 deficiencies, one tied to abuse and none flagged at harm or jeopardy level, with the most recent survey in August 2025. Quality measures score well; actual direct-care hours don't. Ask about weekend coverage and how they keep consistent caregivers.

Nurse hours

2.90 /day

Staff turnover

41%

Serious cites

0

Transcendent Healthcare Of Owensville runs 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends are thinner still, about 13% under its own weekday coverage. That staffing shortfall is the number to sit with, since it's the one families feel most directly. The inspection record isn't clean either: 30 deficiencies, two of them serious enough to involve harm or jeopardy, plus one tied to abuse, with two fines totaling $16,036. Turnover at 40.5% is actually a little better than the 45.8% national figure, which is worth noting. The most recent inspection was in May 2025, so the picture is current. A nonprofit operator, 68 beds. Ask about weekend coverage and that abuse deficiency before you decide.

Nurse hours

3.06 /day

Staff turnover

44%

Serious cites

0

Morgantown Woods Of Journey runs 39 certified beds under county government ownership, and its staffing sits at 3.06 nurse hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 10% below the home's own weekday level, so coverage thins out exactly when families tend to visit. Turnover lands at 44.4%, slightly better than the 45.8% national figure, but the inspection record is the harder read: 15 deficiencies, including one at the harm or jeopardy level and three tied to abuse. The last inspection was March 11, 2026, and CMS gives the home 2 out of 5 stars on health inspections, quality measures, and staffing alike.

Nurse hours

3.44 /day

Staff turnover

46%

Serious cites

0

Maple Heights runs on thinner nurse coverage than most homes, 3.44 hours per resident day against a national average of 3.86, with weekends dipping roughly 12% below its own weekday numbers. That gap matters most on Saturdays and Sundays, when families often visit and when backup is hardest to find. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, and a $12,735 fine; the most recent inspection was in March 2025. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the standout problem here, day-to-day staffing depth is. The quality measure score of 2 out of 5 suggests clinical outcomes have room to improve even where inspections look more middling.

Nurse hours

2.95 /day

Staff turnover

39%

Serious cites

0

Elkhorn Health & Rehabilitation runs lean on nurse staffing, 2.95 hours per resident day, roughly a quarter below the national average, and weekends get thinner still. That's the number to weigh, because direct care hours are what your family member actually feels. Turnover, at 38.8%, is better than the national 45.8%, so the crew that's there tends to stay, which matters for consistency. Inspections are where this home shines: a 5/5 health inspection rating, just four deficiencies on record, none involving harm or abuse, and the most recent visit was April 2025. The tension is real, though, strong inspection results alongside a 2/5 on both staffing and quality measures. A for-profit LLC with 106 beds, it's a home that keeps things clean and compliant while running tight on the floor.

Nurse hours

3.93 /day

Staff turnover

64%

Serious cites

0

Guest House Nursing and Rehabilitation runs 140 certified beds in West Monroe under for-profit LLC ownership, and its staffing numbers sit slightly above the national average at 3.93 nurse hours per resident day. But that average hides a weekend gap of about 15 percent, and turnover runs 64.1 percent against a national 45.8, meaning the people caring for residents keep changing. The current inspection record carries 27 deficiencies, five of them abuse-related, and CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on quality measures. The last inspection was July 30, 2025. Staffing hours alone don't tell you what a family wants to know.

Nurse hours

3.37 /day

Staff turnover

64%

Serious cites

0

Frostburg Rehab Center runs on thinner nursing coverage than most homes, about 3.37 nurse hours per resident each day against a national average of 3.86, and weekends drop roughly 11% below its own weekday level, so the hours when families tend to visit are the hours with the least staff. Annual turnover sits at 63.7%, well above the 45.8% national figure, which means the people caring for your relative are likely to change often. The inspection record is harder to look past: a 1-out-of-5 health inspection rating, 51 deficiencies logged, one involving harm or jeopardy, and four tied to abuse, with a $16,559 fine. The most recent inspection was August 2025.

Nurse hours

3.55 /day

Staff turnover

49%

Serious cites

0

Springside runs leaner than most. Its 3.55 nurse hours per resident day sit about 8% under the national figure of 3.86, and weekends dip another 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 49.4% edges past the 45.8% national rate, meaning nearly half the nursing staff turns over each year. The current record shows 18 deficiencies, none at harm or jeopardy level and none abuse-related, with a recent inspection in September 2025. State inspectors rate the home well; the federal quality and staffing measures tell a different story.

Nurse hours

3.57 /day

Staff turnover

44%

Serious cites

0

Chesaning Nursing and Rehabilitation Center runs 51 beds under for-profit LLC ownership, and its staffing sits at 3.57 nurse hours per resident day, roughly 8% under the national average. Weekends drop about 15% below the home's own weekday level, so coverage thins out right when families tend to visit. The inspection record is the bigger issue: 40 deficiencies, two of them serious enough to indicate harm or jeopardy, plus $41,898 in fines across two penalties. Turnover at 43.9% is slightly better than the 45.8% national figure, and there are no abuse-related citations. A December 2025 inspection is recent, but the health and quality ratings sit at 2 out of 5 stars each.

Nurse hours

2.98 /day

Staff turnover

37%

Serious cites

0

Lamar Healthcare runs 120 beds in Lumberton under for-profit LLC ownership, and its last inspection in April 2026 left 28 deficiencies on the record, four of them serious enough to involve actual harm or jeopardy, plus one abuse-related finding. Nurse staffing sits at 2.98 hours per resident day against a national average of 3.86, and weekends run about 7% thinner than weekdays, so coverage is lightest exactly when families tend to visit. Turnover at 37.3% is better than the 45.8% national figure, which is worth something, but it isn't enough to offset the inspection history. Two fines totaling $10,527 round out the picture.

Nurse hours

2.86 /day

Staff turnover

50%

Serious cites

0

Abundant Acres runs on 2.86 nurse hours per resident day, roughly a quarter below the national average, and weekends dip about 13% below its own weekday staffing. Half the staff turned over in a year, slightly worse than the 45.8% national figure. The current record shows 60 deficiencies, including one at the harm or jeopardy level and six tied to abuse; the single fine on file is $14,498, and the health inspection rating sits at 2 out of 5. Its last inspection was August 21, 2025, so that record is recent. As a nonprofit, it isn't answering to shareholders, but the numbers still describe a home where staffing thinness and a long deficiency history are the main things to ask about.