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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 341 to 360 of 4,510, best-graded first.

A

93/100

Charlestown Community Inc

Catonsville, MD · Baltimore County

CMS 5/5103 bedsFor-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
33%
Serious cites
0

Nurse staffing at Charlestown Community runs 4.78 hours per resident per day, roughly a quarter above the national average of 3.86, and the weekend dip of about 12% below weekday levels is modest compared with what many homes show. Annual turnover of 33.3% sits well under the national 45.8%, so the aides and nurses here are more likely to be people who know the residents. The record isn't clean: 44 deficiencies, one at the harm level, and eight flagged as abuse-related. The most recent inspection was September 2025. A corporate-owned home with above-average staffing, below-average turnover, and a recent inspection that still turned up abuse citations, worth asking about directly before you decide.

A

93/100

Spaulding Nursing And Therapy Center - Brighton

Boston, MA · Suffolk County

CMS 5/5123 bedsNon-profitMedicaid
Nurse hours
7.35 /day
Staff turnover
31%
Serious cites
0

Spaulding Brighton runs nurse staffing at 7.35 hours per resident day, roughly double the national figure of 3.86. That's the kind of number that shows up in daily care, not on a brochure. Weekend coverage dips about 14% below its own weekday level, and annual turnover sits at 30.5%, better than the 45.8% national average, so the people providing that care are more likely to still be there next year. The inspection record is strong: a 5/5 health inspection rating, and six total deficiencies with none at the harm or jeopardy level. One is abuse-related, which is worth asking about directly. The nonprofit's last survey was March 5, 2026, so the picture is recent.

A

93/100

Rivercrest Long Term Care

W Concord, MA · Middlesex County

CMS 5/5151 bedsNon-profitMedicaid
Nurse hours
4.44 /day
Staff turnover
27%
Serious cites
0

Rivercrest runs 4.44 nurse hours per resident day, roughly 15% above the national figure, and its weekend staffing only dips about 6% below weekdays, a narrow gap by industry standards. The nonprofit's 27.3% turnover sits well under the 45.8% national average, meaning the people showing up are largely the same people over time. Five deficiencies on record, none involving harm or abuse, with an inspection completed in August 2025. Read together, these numbers describe a home that is staffed and stable rather than merely passing.

A

93/100

Navigator Homes Of Martha's Vineyard

Edgartown, MA · Dukes County

CMS 3/5106 bedsNon-profitMedicaid
Nurse hours
5.97 /day
Staff turnover
44%
Serious cites
0

Navigator Homes of Martha's Vineyard runs on unusually deep staffing for a nursing home: nearly six nurse hours per resident day, about 55% above the national average, and weekend coverage dips only modestly below weekdays. Turnover sits right around the national figure, so the clinical team is fairly stable. The trade-off shows up in inspections, where the home holds a below-average two stars and 16 deficiencies on its current record, including one abuse-related citation, though none reached harm or jeopardy level, and the most recent inspection was in March 2026. Quality measures rate well above average. High hands-on care paired with inspection problems is the pattern here.

A

93/100

Maples Benzie County Medical Care

Frankfort, MI · Benzie County

CMS 5/580 bedsGovernmentMedicaid
Nurse hours
5.05 /day
Staff turnover
40%
Serious cites
0

Maples Benzie County Medical Care runs on unusually heavy nurse staffing, 5.05 hours per resident day against a national average of 3.86. That's about a third more hands-on care than most homes, and it shows in a five-star CMS staffing rating, even if weekends dip roughly 14% below the home's own weekday coverage. Staff turnover sits at 40.2%, better than the 45.8% national figure but still meaning two in five caregivers left within a year. The record isn't spotless: 21 deficiencies, including one at the harm level and one tied to abuse, plus a single $1,398 fine. County-owned, inspected in January 2026. Strong care capacity, some compliance concerns worth asking about directly.

A

93/100

Isabella County Medical Care Facility

Mt. Pleasant, MI · Isabella County

CMS 5/5100 bedsGovernmentMedicaid
Nurse hours
5.86 /day
Staff turnover
28%
Serious cites
0

Isabella County Medical Care Facility runs on a county-owned model, and the numbers show it: 5.86 total nurse hours per resident day, roughly half again the national figure, with a 5/5 CMS staffing rating to match. Turnover sits at 27.5% against a national average near 46%, meaning the aides and nurses your family would see day to day are likelier to still be there next year. Weekend coverage dips about 11% below weekdays, the one soft spot in the staffing picture. Four deficiencies on record, none involving harm or abuse, and a clean 5/5 inspection rating from a visit in March 2026. Quality measures come in at 3/5, decent, not standout.

A

93/100

Mclaren Lapeer Region

Lapeer, MI · Lapeer County

CMS 5/519 bedsFor-profitMedicaid
Nurse hours
6.81 /day
Staff turnover
46%
Serious cites
0

Mclaren Lapeer Region runs small, 19 certified beds, and it's staffed far more heavily than most American nursing homes, at 6.81 nurse hours per resident day against a national average of 3.86. That cushion matters most on weekends, when hours drop roughly 15% below the home's own weekday levels. Staff turnover sits at 45.5%, essentially the national average, so the team isn't unusually stable, just unusually large for the census. Inspectors were last in on September 4, 2025, and the home carries 22 deficiencies with none rising to harm or jeopardy, though two are abuse-related. Ownership is a for-profit corporation, and its quality and staffing ratings both came back at the top of CMS's scale.

A

93/100

Michigan Veteran Homes At Grand Rapids

Grand Rapids, MI · Kent County

CMS 5/5128 bedsGovernmentMedicaid
Nurse hours
7.21 /day
Staff turnover
45%
Serious cites
0

Michigan Veteran Homes At Grand Rapids runs a state-owned, 128-bed operation where nurse staffing sits at 7.21 hours per resident day, roughly 87 percent above the national average of 3.86. Weekends dip about 12 percent below weekday coverage, so ask how that gap gets filled. The inspection record is clean where it counts: five deficiencies total, none at harm or jeopardy level, none abuse-related, with the most recent survey in April 2025. Staff turnover of 44.9 percent lands just under the national 45.8 percent. Combined with 5/5 stars on health inspections and staffing and 4/5 on quality measures, the numbers point to a home that's well-run on paper and worth a visit.

A

93/100

Country Manor Healthcare And Rehab Center

Sartell, MN · Stearns County

CMS 5/5131 bedsNon-profitMedicaid
Nurse hours
5.63 /day
Staff turnover
44%
Serious cites
0

Country Manor in Sartell runs 5.63 nurse hours per resident day, roughly 46% above the national average of 3.86, and that staffing depth shows up in its five-star staffing rating. Weekend coverage dips about 12% below its own weekday level, so the schedule thins out on Saturdays and Sundays even though the floor stays well staffed overall. Turnover sits at 44.4%, landing right around the national 45.8%, which is normal for the industry rather than a warning sign. Four deficiencies on record, none at harm or jeopardy level and none abuse-related, with a five-star health inspection rating from a visit dated April 2026.

A

93/100

Grand Village

Grand Rapids, MN · Itasca County

CMS 5/582 bedsGovernmentMedicaid
Nurse hours
4.20 /day
Staff turnover
37%
Serious cites
0

Grand Village is county-owned, which matters less than what the numbers show. Its 4.20 nurse hours per resident day sit about 9% above the national average, and weekend staffing dips only 7% below weekdays, a modest gap that suggests the place doesn't hollow out on Saturdays and Sundays, which is where a lot of homes quietly struggle. Staff turnover of 37.2% is meaningfully below the national 45.8%, so the people caring for residents tend to stick around. The inspection record shows 21 deficiencies with none at the harm or jeopardy level, though one is abuse-related. CMS rated staffing and quality measures 5 out of 5; inspections came in at 3. The last survey was May 2025, so the picture is current.

A

93/100

St John Lutheran Home

Springfield, MN · Brown County

CMS 4/565 bedsNon-profitMedicaid
Nurse hours
3.92 /day
Staff turnover
34%
Serious cites
0

St John Lutheran Home runs 3.92 nurse staffing hours per resident day, a hair above the national average of 3.86, and its 34% turnover is well below the 45.8% typical elsewhere, both signs of a stable, adequately staffed floor. Weekend coverage dips about 7% below weekdays, so ask how that gap gets filled. The 14 deficiencies on record include none at the harm level and none related to abuse, and the last inspection was in June 2026, so the picture is current. Quality measures score well, though the three-star health inspection rating shows some room in how care is delivered day to day.

A

93/100

Pioneer Care Center

Fergus Falls, MN · Otter Tail County

CMS 5/5105 bedsNon-profitMedicaid
Nurse hours
4.55 /day
Staff turnover
33%
Serious cites
0

Pioneer Care Center runs on a nonprofit model with 105 certified beds in Fergus Falls, and the staffing numbers are the strongest part of the picture: 4.55 nurse hours per resident day, roughly 18% above the national average. Weekend coverage dips about 9% below its own weekday levels, which is worth asking about if your family visits mainly on Saturdays and Sundays. Turnover sits at 32.7%, well under the 45.8% national figure, so the aides and nurses you meet are more likely to still be there next year. The 16 deficiencies on record include two tied to abuse, though none reached harm or jeopardy level, and the most recent inspection was in June 2026.

A

93/100

Capital View Transitional Care Center

Saint Paul, MN · Ramsey County

CMS 5/532 bedsNon-profit
Nurse hours
6.76 /day
Staff turnover
24%
Serious cites
0

Capitol View runs 6.76 nurse hours per resident day, roughly three hours more than the typical Minnesota home, and that shows up in a staffing rating that's hard to argue with. Weekend coverage only dips about 6% below weekdays, which matters because short-staffed weekends are where a lot of problems start. The 24.2% turnover is about half the national rate, so the people caring for residents tend to stick around. State inspectors gave it a clean five-star health inspection after their November 2025 visit, with seven deficiencies on record and none causing harm, though one is abuse-related, worth asking about directly.

A

93/100

Sholom Home West

Saint Louis Park, MN · Hennepin County

CMS 5/5139 bedsNon-profitMedicaid
Nurse hours
5.39 /day
Staff turnover
19%
Serious cites
0

Sholom Home West runs 5.39 nurse hours per resident per day, roughly 40% above the national average, and its weekend staffing dips only about 6% below its own weekday level. Staff turnover sits at 18.8% against a national average near 46%, so the people caring for residents tend to stay. The home has 17 deficiencies on its current record, none at the harm level and none abuse-related, with its last inspection in March 2026. Ownership is nonprofit. One caveat worth knowing: the quality measure rating is 3 out of 5, softer than the staffing picture, so ask what specifically drives that before deciding.

A

93/100

Mn Veterans Home-Luverne

Luverne, MN · Rock County

CMS 5/585 bedsGovernmentMedicaid
Nurse hours
5.24 /day
Staff turnover
21%
Serious cites
0

Nurse staffing at the state veterans home in Luverne runs 5.24 hours per resident per day, roughly a third more than the national average of 3.86, and weekend coverage stays within about 10% of weekday levels, a gap that trips up plenty of homes. Staff turnover is 20.9% against a national 45.8%, so the people providing that care tend to stick around. The trade-off sits in the inspection record: nine deficiencies, including one at the harm level and three tied to abuse. That's worth asking about directly, even with a recent March 2026 inspection and a four-star health inspection rating behind it.

A

93/100

St John's Lutheran Home

Billings, MT · Yellowstone County

CMS 3/5186 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
45%
Serious cites
0

St. John's Lutheran Home runs on 5.40 nurse hours per resident day, roughly 40% more than the national average of 3.86, and that staffing depth is what carries the rest of its record. Weekend coverage dips about 8% below its own weekday level, and turnover sits at 44.6%, essentially matching the national rate of 45.8%. The trade-off shows up in its inspection history: 33 deficiencies on the current record, two of them abuse-related, though none rose to the level of actual harm or jeopardy. Its most recent inspection was in July 2025, so the picture is reasonably current. As a nonprofit, it isn't answering to shareholders, and the quality measure rating suggests the clinical care generally holds up.

A

93/100

St. Jane De Chantal

Lincoln, NE · Lancaster County

CMS 4/5103 bedsNon-profitMedicaid
Nurse hours
7.36 /day
Staff turnover
32%
Serious cites
0

St. Jane De Chantal runs on 7.36 nurse hours per resident day, nearly double the national average of 3.86, and that staffing depth shows up in a 5/5 CMS staffing rating. Turnover sits at 32.3%, well under the 45.8% national figure, so the people providing that care tend to stick around; weekend coverage dips only about 8% from weekday levels, a modest slide rather than a cliff. The trade-off is a 3/5 inspection rating with 11 deficiencies on record, one tied to abuse, though none reached harm or jeopardy. The most recent inspection was January 8, 2026. Quality measures score 4/5, and nonprofit ownership rounds out the picture.

A

93/100

Eventide Crete

Crete, NE · Saline County

CMS 5/538 bedsNon-profitMedicaid
Nurse hours
4.93 /day
Staff turnover
39%
Serious cites
0

Eventide Crete runs on 4.93 nurse staffing hours per resident day, roughly 28% more than the national average, and its staff turnover sits at 38.6% against a national figure near 46%, both of which suggest a stable, well-covered floor. Weekend coverage dips about 14% below weekday levels, which is common but worth knowing if you're visiting or calling on Saturdays and Sundays. The home carries six deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with a September 2025 inspection behind those findings. As a nonprofit with 38 beds, it's small enough that you can reasonably ask who actually owns the place and how long the director has been there.

A

93/100

Eventide Williamsburg

Lincoln, NE · Lancaster County

CMS 5/550 bedsNon-profitMedicaid
Nurse hours
5.89 /day
Staff turnover
54%
Serious cites
0

Eventide Williamsburg runs a lean 50 beds under nonprofit ownership, and the care hours show it: 5.89 nurse staffing hours per resident day, roughly half again the national figure of 3.86. Weekend coverage dips only about 6% below weekdays, so families visiting on a Saturday aren't walking into a skeleton crew. The trade-off sits in retention, 54.2% annual turnover tops the 45.8% national average, meaning aides and nurses cycle through more often than elsewhere. Eight deficiencies appear on the current record with none at harm level, though two are abuse-related, and the most recent inspection closed in December 2025. Strong survey and quality scores, real staffing depth, and a workforce that churns faster than most.

A

93/100

Riverside Rest Home

Dover, NH · Strafford County

CMS 5/5215 bedsGovernmentMedicaid
Nurse hours
4.30 /day
Staff turnover
16%
Serious cites
0

Riverside Rest Home is county-owned, that matters here, because government-run homes often get less attention than chains but this one holds up on the numbers. Total nurse staffing sits at 4.30 hours per resident day, roughly 11% above the national average, and the 5/5 staffing rating reflects that. Turnover is the striking figure: 16.2% against a national average near 46%, meaning the people caring for residents tend to stay. Seven deficiencies on record, none at harm or jeopardy level, none abuse-related, with a recent April 2026 inspection. Weekend coverage dips about 11% below weekday levels, worth knowing if you visit Saturdays.

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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