4,510 Independent Nursing Homes in the United States

Nurse hours

3.78 /day

Staff turnover

28%

Serious cites

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Valley Healthcare Center runs 87 beds in Bakersfield under for-profit LLC ownership, and its staffing sits just under the national average, 3.78 nurse hours per resident day, with weekends about 9% thinner than weekdays. That modest shortfall isn't the real story. The inspection record is: a 1-out-of-5 health inspection rating, 78 deficiencies on file, including 3 at harm or jeopardy level and 4 tied to abuse. Five fines total $99,934. One thing cuts the other way, 28% annual turnover is well below the 45.8% national figure, so workers tend to stay. But stable staff haven't translated into safe care here, and the last inspection was January 2026. Ask about those abuse deficiencies specifically before you visit.

Nurse hours

5.07 /day

Staff turnover

50%

Serious cites

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Newport Subacute runs 139 beds in Costa Mesa under corporate for-profit ownership, and its staffing numbers look strong on paper: 5.07 nurse hours per resident day, roughly 31% above the national average. But that same CMS data gives it a one-star staffing rating, and turnover sits at 50.4%, higher than the national 45.8%. The inspection record is the harder read, 120 deficiencies, two at harm or jeopardy level, 13 abuse-related, and a one-star health inspection rating, with the last survey in August 2025. Weekend coverage also dips about 6% below its weekday level. High hours can coexist with thin stability, and the abuse-related findings are the part worth asking about directly.

Nurse hours

3.04 /day

Staff turnover

61%

Serious cites

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Farwell Care and Rehabilitation Center runs on thin nursing coverage: 3.04 hours per resident day against a national average of 3.86, and weekends dip about 10% below what the home already provides on weekdays. Staff turnover sits at 60.9% while the national figure is 45.8%, so residents see a lot of new faces. The inspection record shows 31 deficiencies, including two at the harm level and four related to abuse, plus one fine of $13,397; the last inspection was in December 2025. Government hospital district ownership doesn't change what those numbers say about daily staffing and oversight.

Nurse hours

2.65 /day

Staff turnover

37%

Serious cites

0

Sunset Home is run by the local hospital district, and its 128 beds are staffed at 2.65 nurse hours per resident day, roughly 31% under the national average of 3.86. Weekends run about 14% thinner than weekdays, so if your family visits on a Saturday, expect less coverage than a Tuesday. Turnover sits at 37.2%, which is actually better than the 45.8% national figure, so the people who stay tend to stay. Inspectors were last in on May 29, 2025, and found 13 deficiencies, one serious enough to put a resident in harm's way, no abuse citations, and fines total $14,020.

Nurse hours

3.32 /day

Staff turnover

61%

Serious cites

0

Azle Manor runs 142 certified beds under for-profit LLC ownership, and its nursing hours come in around 3.32 per resident day, roughly 14% under the national average. Weekends dip about 13% below the home's own weekday staffing, and annual turnover sits at 61.3% against a national figure near 45.8%, meaning a large share of the people caring for your relative are new to the building. The current inspection record shows 13 deficiencies, five serious enough to involve harm or jeopardy, with four fines totaling $44,548 and a February 2026 inspection. Resident outcome measures score better than the staffing or inspection picture suggests, so the question worth asking on a tour is who's actually on the floor, especially Saturday and Sunday.

Nurse hours

5.42 /day

Staff turnover

68%

Serious cites

0

Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.

Nurse hours

3.31 /day

Staff turnover

41%

Serious cites

0

Los Arcos Del Norte runs on lean nursing hours, 3.31 per resident day, roughly 14% under the national average, and weekends are thinner still, about 7% below its own weekday pace. That shows up in the staffing rating, which sits at the bottom of CMS's scale. The inspection record is heavy: 72 deficiencies, including one at the harm level and two tied to abuse, with a $14,130 fine. Turnover at 40.8% is actually a little better than the 45.8% national figure, so the problem looks less like a churning workforce than like not enough hands on shift. A hospital district owns it, and its last inspection was March 2025, so the record is current.

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White River Healthcare in Calico Rock runs 70 certified beds under for-profit LLC ownership, and the federal stars tell a fairly consistent story: staffing sits at 1 out of 5, quality measures also at 1, and health inspections at 2. The current record shows 14 deficiencies, one of them abuse-related, though none rose to the harm or jeopardy level. State surveyors were last in the building on November 21, 2024, so that inspection is still recent rather than a stale snapshot. The staffing number is the one that matters most day to day, it reflects how many aides and nurses are actually present for residents, and at this level it tends to shape everything else.

Nurse hours

0.59 /day

Staff turnover

—

Serious cites

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Sierra View Homes in Reedley is a 59-bed nonprofit, and its last state inspection was in February 2026, so the record is current. What that record shows is 29 deficiencies, none of them at the harm or jeopardy level, though one is abuse-related, worth asking about directly. The bigger issue is staffing: 0.59 nurse hours per resident day against a national average of 3.86, with weekends running about 15% below its own weekday numbers. That's the thinnest coverage in the building when families tend to visit and when problems often surface. Inspection and quality measures both land mid-range, but the staffing figure is the one to press on before deciding.

Nurse hours

3.04 /day

Staff turnover

53%

Serious cites

0

Evercare Of Calhoun runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends drop about 17% below what the home staffs during the week. That thin coverage sits alongside a 53.2% annual turnover rate, higher than the 45.8% national figure, so the people showing up are often new. The current record carries 29 deficiencies, four of them serious enough to involve harm or jeopardy and one tied to abuse, plus a $25,740 fine. The last inspection was July 2024. Quality measures score well, but staffing and inspection history are what pull the overall picture down.

Nurse hours

3.76 /day

Staff turnover

—

Serious cites

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Ahva Care of Stickney runs 51 certified beds under corporate ownership, and its nurse staffing sits at 3.76 hours per resident day, roughly 3% under the national average, with weekends dipping about 5% below its own weekday levels. That thin margin is the kind of thing that shows up on a 1-out-of-5 staffing star, and the inspection record backs it up: 10 deficiencies, two of them serious enough to reach harm or jeopardy, plus one tied to abuse, and a $41,250 fine. The health inspection rating itself is decent at 4 out of 5, and the most recent survey was May 2024, so the picture isn't old. It's the day-to-day coverage that's the question mark here, not the paperwork.

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Staff turnover

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Russell Regional Hospital Ltcu is a 23-bed nonprofit unit, and the numbers here deserve a close look before you decide anything. The inspection history shows 33 deficiencies on the current record, including three tied to abuse, none of those reached the level of actual harm or jeopardy, but the volume still stands out for a home this small. Staffing and quality measures both sit at one star out of five, meaning the direct-care hours and clinical outcomes fall well below what CMS expects. The most recent inspection was in September 2025, so the picture is fairly current. With a record this heavy on a 23-bed unit, ask hard questions about turnover and who's actually on the floor at night.

Nurse hours

4.31 /day

Staff turnover

63%

Serious cites

0

Spring Creek runs 226 certified beds in Murray under for-profit LLC ownership, and its nurse staffing averages 4.31 hours per resident day, about 12% above the national figure of 3.86. That headcount looks good until you notice weekends run roughly 16% below the home's own weekday level, and annual turnover sits at 62.8% against a national average of 45.8%, so the people providing that care are cycling through fast. The current record carries 21 deficiencies, five of them at harm or jeopardy level, plus five fines totaling $52,540, with the last inspection in May 2025. One star for health inspections and two for staffing tell you where the trouble sits, even though the quality measure rating is four.

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Staff turnover

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Terrebonne General's skilled unit is tiny, six beds, run by a nonprofit, and its last inspection in February 2026 found ten deficiencies, none of them causing harm or jeopardy, though two were abuse-related. That's a lot of paperwork for a six-bed operation, and it's why the inspection record looks better than the overall picture. The quality measure side is the real drag: residents here fare poorly on the clinical benchmarks CMS tracks nationally, and on a unit this small, even one or two residents having a bad stretch moves the numbers hard. The inspection itself is recent, which is a point in its favor. If you're considering it, ask directly what those two abuse deficiencies involved and how the unit's staffing compares to what you'd expect for skilled care.

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Staff turnover

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Maison Teche runs 121 certified beds under for-profit limited liability ownership, and the numbers show a split picture. The health inspection side holds up reasonably well at three stars, with a recent survey in January 2026 and 30 deficiencies on record, none of them at the harm or jeopardy level, and none tied to abuse. Where it falls down is day-to-day care: both the staffing and quality measure ratings sit at one star, well below what you'd want for a resident with ongoing clinical needs. That combination matters more than the inspection result alone. A home can pass its survey and still be stretched thin on the floor, and that's the pattern here.

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The Northwest Louisiana Veterans Home is a small state-run home in Bossier City, just 8 certified beds, and its inspection record is genuinely strong: a 5-star health inspection rating, with all 6 deficiencies cited at the lowest severity level and none causing harm or jeopardy. That matters. But there's a real split in the numbers. Quality measures sit at 1 out of 5 stars, the weakest tier, meaning the clinical outcomes tracked by Medicare lag well behind what most homes achieve. One abuse-related deficiency also appears on the current record, which deserves a direct question when you visit. The state inspection from April 2026 is recent enough to reflect current conditions. Small government homes can be excellent or stretched thin; here the care process looks better than the outcomes.

Nurse hours

3.96 /day

Staff turnover

55%

Serious cites

0

Maple Valley Nursing Home runs a small 25-bed operation in Leelanau County, and the numbers pull in different directions. Nurse staffing sits slightly above the national average at 3.96 hours per resident day, but weekends run about 16% thinner than weekdays, and more than half the staff turns over each year, 55.2% against a national 45.8%. The inspection record is where the trouble concentrates: 63 deficiencies, eight serious enough to cause harm or jeopardy, eight tied to abuse, and two fines totaling $119,265. That April 2025 inspection is recent, so the picture is current, not stale. For-profit corporate ownership, high turnover, and a thin weekend crew are the context behind a one-star health inspection rating.

Nurse hours

4.40 /day

Staff turnover

100%

Serious cites

0

Driftwood Nursing Center runs a nonprofit home with 151 beds in Gulfport, and the staffing numbers are genuinely better than average, 4.40 nurse hours per resident day against a national 3.86. That's real coverage, though weekends drop about 17% below the home's own weekday level, and the entire nursing staff turns over roughly once a year, more than double the national rate. Inspections look solid at 4 stars and the home was last surveyed in January 2026, with 11 deficiencies on record, none at harm or jeopardy level, one abuse-related. The quality measure star sits at just 1 out of 5, which is where the otherwise decent picture gets complicated.

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Staff turnover

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St. Johns Place is a 94-bed for-profit home in St. Louis County with a recent inspection on record from December 2025, so the findings are current. That inspection record carries 36 deficiencies, one of them abuse-related, though none rose to the level of immediate harm or jeopardy. Staffing is where the numbers get harder to explain away: the federal staffing rating sits at 1 out of 5, and the quality measure rating is also 1 out of 5, against a national average that most homes at least approach. Health inspections came in slightly better at 2 stars, but a low mark across all three categories at once is the pattern worth paying attention to.

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Staff turnover

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Blackfeet Care Center is a 47-bed for-profit home in Browning, and the numbers split in an unusual way. Residents' clinical outcomes look decent, four out of five stars on quality measures, but that's happening with one of the thinnest staffing levels CMS records, a single star. Inspections back that up: 32 deficiencies on the current record, including 2 at the harm or jeopardy level and 6 tied to abuse, with $87,690 in fines across two penalties. The last inspection was in March 2026. Fewer hands on deck tends to show up exactly where it did here.