4,510 Independent Nursing Homes in the United States

Nurse hours

3.25 /day

Staff turnover

32%

Serious cites

0

Salem Care Center runs 60 certified beds under for-profit LLC ownership, and its staffing sits at 3.25 nurse hours per resident day, roughly 16% under the national average of 3.86. Weekends dip about 11% below the home's own weekday level, so coverage thins out right when families tend to visit. Turnover is the better number here: 32.4% against a national average of 45.8%, meaning aides and nurses stick around longer than at most homes. The tradeoff shows up in its record, 21 deficiencies, including 2 tied to abuse, with a 1-out-of-5 rating on quality measures and 2 out of 5 on staffing. Its last inspection was August 2024.

Nurse hours

2.21 /day

Staff turnover

—

Serious cites

0

Johnson County Care Center runs on 2.21 nurse staffing hours per resident day, roughly 43% under the national average of 3.86, and weekends dip about 24% below its own weekday levels. That thin coverage shows up in the staffing star rating of 1 out of 5, even though the quality measure score sits at 5 out of 5, a gap worth asking about, since quality scores lean on self-reported data while staffing is payroll-verified. The inspection record is mixed: 40 deficiencies, none at harm or jeopardy level, but three tied to abuse, plus nine fines totaling $59,085. The last inspection was October 14, 2025. Corporate-owned and for-profit, 87 beds.

Nurse hours

2.86 /day

Staff turnover

48%

Serious cites

0

Accura Healthcare of Kenesaw runs 76 certified beds under corporate for-profit ownership, and its nurse staffing sits at 2.86 hours per resident day, roughly a quarter below the national average of 3.86. Weekends dip about 10% below the home's own weekday coverage, and turnover lands at 47.8%, a couple points above the national rate. The inspection record is the harder part: 29 deficiencies, two of them at harm or jeopardy level and two tied to abuse, plus two fines totaling $65,129. A recent August 2025 inspection keeps that record current rather than historical. Quality measures score well, but low staffing and a serious deficiency history are what family members should weigh when deciding.

Nurse hours

3.72 /day

Staff turnover

58%

Serious cites

0

Christian Homes in Holdrege runs 86 beds as a nonprofit corporation, and its staffing sits at 3.72 nurse hours per resident day, about 4% under the national average of 3.86. Weekends drop roughly another 10% below its own weekday coverage, which matters when residents need help on a Saturday. Annual turnover is 58.3%, well above the 45.8% national figure, so aides and nurses are cycling through faster than average. The inspection record carries 25 deficiencies, none at harm or jeopardy level but three tied to abuse, and the last survey was March 2026. CMS rates its health inspection, quality measures, and staffing each at 2, 1, and 2 stars out of five. Nothing here is dangerous, but the pattern is thin coverage and high churn.

Nurse hours

3.47 /day

Staff turnover

50%

Serious cites

0

Chimney Rock Villa is city-owned and holds 49 beds, and its staffing looks decent on paper, 3.47 nurse hours per resident day, about 10% under the national average, with a 4-out-of-5 staffing rating. The problems sit elsewhere. Inspectors have cited 30 deficiencies, four of them at the level where residents were harmed or put in jeopardy, plus one abuse-related finding, and the health inspection rating is 1 out of 5. Annual turnover runs 50%, above the national 45.8%, and weekends are staffed about 6% leaner than weekdays. Two fines total $110,988, and the most recent inspection was July 2025. Ask about the harm-level citations and what changed since.

Nurse hours

3.12 /day

Staff turnover

36%

Serious cites

0

Park Nursing Home runs 3.12 nurse hours per resident day against a national average of 3.86, and weekends dip about 6% below its own weekdays, so coverage is thinnest exactly when families tend to visit. Turnover at 36.4% is better than the 45.8% national figure, which matters, but the current record carries 21 deficiencies, including 2 at the harm level and 4 tied to abuse. The last inspection was August 2025, so the picture is recent, and the quality measure rating of 1 out of 5 suggests resident outcomes aren't tracking well either. Two fines totaling $12,463 round out the record.

Nurse hours

3.68 /day

Staff turnover

35%

Serious cites

0

New Vanderbilt runs 320 beds on Staten Island under corporate for-profit ownership, and its staffing sits at 3.68 nurse hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than its own weekdays. Turnover is 35.1%, which is actually better than the 45.8% national figure, so the same faces are more likely to stick around. The harder numbers are on the inspection side: 40 deficiencies on the current record, eight tied to abuse, and a one-star health inspection rating from CMS, with the last survey in July 2024. Zero of those deficiencies rose to harm or jeopardy level, which matters, but the volume is still high.

Nurse hours

3.62 /day

Staff turnover

45%

Serious cites

0

Putnam Ridge is a 160-bed for-profit home in Brewster, and its inspection record is the thing to look at first. Forty-four deficiencies are on file, including four tied to abuse and one at the level where a resident was actually harmed or put in jeopardy. That's a lot of findings, and the one-star health inspection rating reflects it. Nurse staffing runs 3.62 hours per resident day, about 6% under the national average, and weekends dip roughly 9% below its own weekday numbers, so coverage thins out exactly when families tend to visit. Turnover sits near the national average, which is the one number here that isn't a concern. The last full inspection was in October 2023, so ask what's changed since.

Nurse hours

3.79 /day

Staff turnover

52%

Serious cites

0

The Oaks of West Kettering runs 118 certified beds under corporate for-profit ownership, and its staffing sits at 3.79 nurse hours per resident day, just under the national average of 3.86, with weekends running roughly 4% thinner than weekdays. Turnover tells a bigger story: 52.1% of staff leave annually, against a national rate of 45.8%. On inspections, the record is rough: 60 deficiencies, including five at the harm or jeopardy level and five tied to abuse, plus three fines totaling $75,572. The last inspection was July 30, 2024. Its quality measure star rating is strong at 5/5, but staffing sits at 2/5 and health inspections at 1/5, a split worth asking about directly.

Nurse hours

— /day

Staff turnover

64%

Serious cites

0

Hill View Skilled Nursing and Rehabilitation Center is a 72-bed nonprofit home in Portsmouth with strong inspection and quality scores from CMS, 4 out of 5 on both. But look past the stars and the picture gets mixed: 19 deficiencies on its current record, including one that caused actual harm or put a resident in jeopardy. Staff turnover runs at 64.3%, well above the national average of 45.8%, which matters more than any rating when you're thinking about who's actually at the bedside day after day. The most recent inspection was July 2024, so the record is reasonably current. If you're considering this home, ask directly about that harm-level deficiency and how they've kept licensed staff from walking out the door.

Nurse hours

3.17 /day

Staff turnover

68%

Serious cites

0

The numbers at Embassy of Lebanon are hard to get past: 49 deficiencies on the current record, five of them serious enough to cause harm or jeopardy, and four tied to abuse. One fine totals $197,584, and nothing has been inspected since October 2022. Nurse staffing sits at 3.17 hours per resident day, roughly 18% under the national average, weekends run thinner than weekdays, and 68% of staff turned over in a year against a national 45.8%. A 5/5 on quality measures doesn't offset a 1/5 on both inspections and staffing, especially in a for-profit building. When staffing is this thin and oversight this distant, the daily experience for residents is the real question.

Nurse hours

3.39 /day

Staff turnover

57%

Serious cites

0

Hanover Hall runs about 3.39 nurse hours per resident per day, roughly 12% under the national average of 3.86, and weekends drop another 10% below its own weekday staffing. That matters in a 151-bed for-profit building, because the aides and nurses on Saturday and Sunday are the same thin pool stretched further. Turnover sits at 56.9% against a national 45.8%, so many of the people providing that care are new or on their way out. The current inspection record carries 49 deficiencies, three serious enough to involve harm or jeopardy, and one tied to abuse, and the most recent inspection was January 2026, so the history is recent, not stale.

Nurse hours

3.40 /day

Staff turnover

60%

Serious cites

0

Sapphire Care And Rehab Center runs on thin staffing. At 3.40 nurse hours per resident day, it sits about 12% under the national average of 3.86, and weekends drop roughly another 8% below its own weekday levels. The 60% annual turnover rate, against a national 45.8%, means the people providing that care are constantly changing. Inspections back this up: a 2/5 health inspection rating, 50 deficiencies on record including 2 abuse-related, with the most recent inspection in August 2025. There's a real split here, the 4/5 quality measure rating shows clinical outcomes can look good on paper, but the 1/5 staffing rating tells you how hard that's being pushed. For-profit, limited liability ownership. Worth asking direct questions about weekend coverage and how they retain aides.

Nurse hours

3.69 /day

Staff turnover

54%

Serious cites

0

Green Valley runs 48 beds in Pottsville under for-profit LLC ownership, and the numbers show a building stretched thin. Nurse staffing sits at 3.69 hours per resident day, about 4% under the national average, and weekends drop roughly 10% below its own weekday levels, so families visiting Saturday or Sunday may find fewer hands on deck. Staff turnover is 54% against a national 45.8%, meaning more than half the nursing workforce turns over in a year. The inspection record is heavier: 26 deficiencies, including one at the harm level and four tied to abuse, plus a $10,033 fine. The last inspection was December 18, 2025. All three CMS star categories land at 2 out of 5. If you're considering this home, ask specifically how weekend coverage and turnover are being managed, and request the abuse-related plans of correction.

Nurse hours

2.67 /day

Staff turnover

—

Serious cites

0

Tekakwitha Living Center runs about 2.67 nursing hours per resident per day, roughly a third below the national average, and weekends drop another 17% beneath its own weekday staffing. That thin coverage shows up in the inspection record: 28 deficiencies, two of them serious enough to put residents in harm's way, plus an abuse-related citation and $37,079 in fines across three penalties. Its last inspection was January 2026, so the record is recent. Ownership is nonprofit, which can mean steadier local commitment, but the staffing numbers and the harm-level findings are what families should weigh here.

Nurse hours

4.28 /day

Staff turnover

48%

Serious cites

0

Humphreys County Care and Rehabilitation runs a nonprofit home of 91 beds in Waverly, and the staffing numbers are the strongest part of the picture: 4.28 nurse hours per resident day, roughly 11% above the national average. That edge narrows on weekends, which run about 11% below the home's own weekday level. Turnover sits at 48.4%, a bit above the national 45.8%. The inspection record is the bigger concern, 25 deficiencies, including one at the harm or jeopardy level and three related to abuse, with two fines totaling $14,013. The last inspection was in September 2025.

Nurse hours

3.15 /day

Staff turnover

48%

Serious cites

0

Knopp Healthcare and Rehab Center runs 119 certified beds in Fredericksburg under corporate for-profit ownership, and its nurse staffing sits at 3.15 hours per resident day, roughly 19% under the national average of 3.86, with weekend coverage dipping about 3% below its own weekday levels. Staff turnover is 47.8%, a couple points above the national figure. The current record shows 25 deficiencies, none at the harm or jeopardy level but three tied to abuse, and the most recent inspection was January 9, 2026. What stands out is the split: a four-star health inspection rating next to a one-star quality measure score, meaning the care process itself is where the numbers look weakest.

Nurse hours

4.19 /day

Staff turnover

67%

Serious cites

0

Our Lady of Hope Health Center runs under a church-affiliated nonprofit, and its 4.19 nurse hours per resident day sit about 8% above the national average, real coverage on paper. But weekends drop roughly 9% below its own weekday level, and annual turnover of 67.3% is well above the 45.8% national figure, so the faces around a resident change often. The inspection history shows 33 deficiencies, including three tied to abuse, though none reached harm or jeopardy level, and the most recent look came in May 2023. Federal quality and staffing stars both land at 2 out of 5, which tells you the day-to-day experience doesn't match the raw staffing number.

Nurse hours

2.86 /day

Staff turnover

56%

Serious cites

0

Carrington Place of Tappahannock runs about 2.86 nurse hours per resident per day, roughly a quarter below the national average of 3.86, and weekends dip another 8% below its own weekday level. That thin coverage shows up in the staffing rating: one star out of five. Staff turnover sits at 56.3%, well above the 45.8% national figure, so the people caring for residents keep changing. The current record carries 33 deficiencies, though none at the harm or jeopardy level and none abuse-related, and the last inspection was July 15, 2024. Quality measures score well at four stars, but with this few hands on deck, that gap is worth asking about directly.

Nurse hours

4.13 /day

Staff turnover

78%

Serious cites

0

The Kroontje Health Care Center runs a tight ship on inspections, a perfect 5 out of 5 on CMS's health inspection score, with 15 deficiencies on record but none rising to harm or jeopardy, and no abuse citations. Staffing sits at 4.13 hours per resident day, about 7% above the national average, though weekends dip roughly 11% below its own weekday levels. The number that should give you pause is turnover: 78.3% annually, well above the 45.8% national average. That kind of churn makes it harder to keep consistent caregivers at the bedside, which matters more than a star rating on a given day.