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
Binger Nursing and Rehabilitation sits in a small Caddo County town with 65 certified beds, run by a for-profit limited liability company. The inspection record is the strong point: nine deficiencies on file, none of them at the harm or jeopardy level, and nothing abuse-related, with the most recent survey in October 2024. Where it falls short is staffing and resident outcomes, both rate a single star out of five, meaning nurse hours and quality measures land well below what the typical Medicare-certified home reports. That split is worth asking about directly: a clean inspection tells you the state didn't find harm, but it doesn't tell you whether there are enough hands on shift or how residents are actually faring day to day.
Forrest Manor Nursing Center sits in Dewey, Oklahoma with 116 certified beds under individual for-profit ownership, and the federal ratings come back low across the board, one star each for health inspections, quality measures, and staffing. The inspection record shows 33 deficiencies, one of them abuse-related, though none rose to the level of actual harm or jeopardy. Staffing hours fall below what CMS expects for a home this size, which matters most for residents who need daily hands-on help. The last full inspection was September 11, 2024, so the picture is reasonably current. If you're considering this home, ask specifically about direct care hours per resident per day and how the abuse-related finding was resolved.
Tulsa Center for Rehabilitation and Healthcare is a for-profit, 180-bed home that just got inspected in August 2025, so its record is current. The inspection side looks solid, a 4 out of 5 star rating with no deficiencies at the harm or jeopardy level. But 18 deficiencies total, including two abuse-related ones, is still a lot of findings to have on the books at once. What pulls the overall picture down is the day-to-day care: both staffing and quality measures sit at 1 out of 5 stars, meaning resident outcomes and nurse coverage fall well short of what you'd expect. Good inspections don't fix thin staffing. Ask about direct-care hours per resident before you visit.
St. William's runs lean on direct care: 3.11 nurse hours per resident per day, roughly 20 percent under the national average, and weekends drop about 18 percent below its own weekday staffing. The inspection record is the bigger concern, 25 deficiencies, including 5 at harm or jeopardy level and 7 tied to abuse, plus four fines totaling $146,129, with the most recent inspection in February 2026. Turnover at 39.1 percent actually beats the national 45.8 percent, and the non-profit owner isn't chasing quarterly returns. But steady retention can't offset thin daily coverage and a harm-level citation history. Ask about weekend nurse coverage and the abuse-related plan of correction before you decide.
Custer Care And Rehab Center is a 43-bed nonprofit home in Custer County, and its most recent inspection, in August 2025, is about as current as records get, that matters, because federal data ages quickly and an inspection this recent is a real signal. The 17 deficiencies on the current record is a number worth asking about directly: none rose to harm or jeopardy level, and none were abuse-related, so what you're looking at is paperwork, environment, and process issues rather than immediate danger to residents. Zero harm-level findings alongside that many total citations usually points to a home that gets cited on technical compliance while keeping residents basically safe. Ask the administrator which deficiencies are still being corrected.
Skyline Healthcare Center, La has 4.37 nurse hours per resident per day, about 13% above the national average, and weekends dip roughly 10% below its own weekday staffing. The inspection record is where the real trouble sits: 120 deficiencies, seven at harm or jeopardy level, eight abuse-related, five fines totaling $251,090, and a spot in CMS's Special Focus Facility program, a designation reserved for the small share of homes with a persistent pattern of serious problems. That combination, solid staffing layered over a failing inspection history and a 2025 revisit, is why the numbers behind this for-profit, individually owned home come out where they do.
Enterprise Health & Rehabilitation Center runs 257 certified beds as a nonprofit corporation, and its nurse staffing of 5.19 hours per resident day sits well above the national average of 3.86, roughly a third more hands-on care. Weekend coverage, though, drops about 16% below its own weekday level, and annual turnover of 40.5% is only slightly better than the 45.8% national figure. The trouble here isn't the payroll, it's the record: a 1-star inspection rating, 12 deficiencies including 3 at harm or jeopardy level, 3 tied to abuse, and an $85,230 fine. Staffing can't offset that pattern, and a January 2026 inspection makes the findings recent.
Desert Haven Care Center is a for-profit LLC home in Phoenix with 115 certified beds, and its federal record is rough. The staffing rating sits at 1 out of 5, well below what CMS expects for this resident census, and the health inspection rating matches it at 1. Twenty-six deficiencies show up on the current record, three of them serious enough to reach harm or jeopardy, and six tied to abuse. Three fines total $100,018. The quality measure score of 3 is the one bright spot, but good clinical numbers don't offset thin staffing and repeat survey problems. The most recent inspection was September 5, 2025, so the record is fresh, what you see is current, not old history.
Rim Country Health & Retirement Community runs 109 certified beds in Payson under corporate for-profit ownership, and its staffing sits just under the national mark at 3.80 nurse hours per resident day. That small gap matters less than the weekend pattern, where coverage drops roughly 8% below the home's own weekday level. The inspection record is the harder read: 58 deficiencies on file, including one at the harm level and 21 tied to abuse, with a single fine of $10,358. State surveyors last visited in February 2025. Staffing and quality measures both land at two stars, so the numbers point to a home where consistent daily care and a clean compliance history aren't yet in place.
Desert Peak Care Center runs 194 beds in Phoenix under corporate for-profit ownership, and the staffing numbers are genuinely better than most: 4.68 nurse hours per resident day against a national average of 3.86. That's real coverage, though weekends drop about 13% below the home's own weekday level, and turnover sits at 45.6%, essentially matching the national rate.
The problem isn't hands on deck, it's what inspectors found. Forty deficiencies on the current record, three at harm or jeopardy level, and eleven tied to abuse. Two fines totaling $64,873. The most recent inspection was January 2025, so the record is fresh, not stale. Strong daily staffing and a clean quality measure score don't cancel out that inspection history.
Resolve Harmony Center is a for-profit LLC home in Phoenix with 115 certified beds, and its nurse staffing sits at 3.42 hours per resident day, about 11 percent under the national average. Weekend coverage runs roughly 7 percent thinner than weekdays, so the hours a resident gets on a Saturday aren't the hours they get on a Tuesday. The inspection history is where the real weight sits: 43 deficiencies on the current record, 13 of them abuse-related, though none reached the harm or jeopardy level. The last inspection was in March 2026. Quality measures score well, but that reflects clinical outcomes on paper, not the day-to-day floor. The staffing and inspection picture is what a family should actually weigh here.
The staffing numbers here are genuinely strong, 5.32 nurse hours per resident day, well above the national average, with turnover at 29.2% versus 45.8% nationally. That kind of consistency matters for daily care. But the inspection record tells a different story: 40 deficiencies, including three at the harm level and seven tied to abuse. That combination, good staffing, troubling oversight findings, is what pulls the overall picture down.
Immanuel Campus Of Care runs 228 certified beds in Peoria under corporate for-profit ownership, and the numbers pull in two directions. Nurse staffing sits at 4.75 hours per resident day, roughly 23% above the national average, and turnover is 23.1% against a national 45.8%, so the people providing care are largely staying put, and weekend coverage drops only about 9% from weekday levels. What undercuts that is the inspection record: 36 deficiencies, including 2 at harm or jeopardy level and 16 tied to abuse, with a January 2025 inspection date and $18,529 in fines. Strong staffing and a troubled compliance history can coexist, and here they do.
The Lingenfelter Center runs 88 certified beds in Kingman under corporate for-profit ownership, and its staffing sits at 3.72 nurse hours per resident day, roughly 4% under the national average of 3.86. Weekends drop about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover is 46.4%, close to the national 45.8%, meaning nearly half the nursing staff turns over in a year. The current record holds 20 deficiencies, none at harm or jeopardy level, but six are abuse-related, which is worth asking about directly. Inspectors last visited in June 2024.
Oasis Pavilion runs leaner on nursing hours than most homes, 3.30 per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage, so a Saturday problem may take longer to catch. Turnover sits at 41.6%, a bit better than the 45.8% national figure, which matters because familiar aides notice changes sooner. The inspection record shows 34 deficiencies, including 8 tied to abuse, though none rose to harm or jeopardy, and three fines total $13,761. Ownership is a for-profit limited liability company. A recent inspection closed in December 2025, so the picture is current. Ask about weekend coverage and how abuse allegations get investigated.
The Arizona State Veteran Home in Yuma runs 80 certified beds and puts 5.58 nursing hours behind each resident every day, roughly 44 percent above the national average of 3.86. That staffing shows up in its four-star rating, though weekends dip about 11 percent below its own weekday coverage.
The inspection side is where it gets less comfortable. Eight deficiencies sit on the current record, none at harm or jeopardy level, but three tied to abuse. Its health inspection rating is 2 out of 5, and the most recent survey was September 20, 2024.
State-run ownership with that much daily nursing time is a genuine strength. The abuse-related findings and the thin inspection score are the parts worth asking about directly.
Edgemoor Hospital is county-run, and the staffing shows it: 6.43 nurse hours per resident day, roughly two-thirds more than the national average of 3.86, with turnover at 21% against a national 45.8%. Weekends run about 10% thinner than weekdays, but that's a mild dip for a nursing home. The caution is inspections. The current record holds 25 deficiencies, including five tied to abuse and one at the harm level, with a $41,895 fine, and the most recent inspection dates to December 2025. Strong care measures and staffing don't erase a citation record like that. Ask about those abuse deficiencies directly.
Maple Healthcare Center is a for-profit, LLC-owned home with 59 beds in Los Angeles. Its nurse staffing sits at 4.10 hours per resident day, about 6% above the national average, but weekends run roughly 10% thinner than weekdays, and annual turnover hits 51.9% against a national 45.8%. The inspection record is where the real weight sits: 77 deficiencies on file, including 8 at the harm or jeopardy level and 8 tied to abuse, plus five fines totaling $164,264, with the most recent inspection in July 2025. A 4-out-of-5 quality measure score doesn't offset a 1-out-of-5 inspection rating when the harm-level and abuse findings are this numerous.
Infinity Care of East Los Angeles runs 99 beds under for-profit LLC ownership, and its staffing sits at 3.63 nurse hours per resident day, roughly 6% under the national average of 3.86, with weekends dipping about 5% below its own weekday levels. That thin coverage shows up in the government's own ratings: one star for staffing and one star for health inspections, even as its quality measures score five stars. The inspection record is the harder read: 76 deficiencies, four serious enough to involve harm or jeopardy, 11 tied to abuse, and $65,817 in fines. The most recent inspection was June 12, 2025, so the record is current, not stale. For a family weighing this one, the staffing numbers and the abuse-related findings are what matter most.
Blue Oak Post-Acute runs 181 certified beds in Santa Rosa under corporate ownership, and its inspection record is the thing to look at first. Sixty-six deficiencies are on file, two of them at the harm or jeopardy level and thirteen tied to abuse, a count that heavy usually reflects a building where problems recur between surveys rather than a single bad week, and the most recent inspection was November 2025. The staffing picture is genuinely mixed: 3.44 nurse hours per resident day sits about 11% under the national average, and weekends run roughly 11% below its own weekday coverage. What holds up better is retention, 18.5% turnover against a 45.8% national average means the people who do show up tend to stay.
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?