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
North Bay Post Acute is a for-profit LLC operation with 98 certified beds in Petaluma, and its staffing numbers are actually a point in its favor: 4.02 nurse hours per resident day, roughly 4% above the national average. Weekend coverage dips about 7% below weekdays, which is common but worth knowing if your family visits then. The bigger concern sits in its inspection record, 91 deficiencies, including 4 at the harm or jeopardy level and 8 tied to abuse, with two fines totaling $142,877. A 1-out-of-5 health inspection rating alongside those numbers is what's really driving the low overall picture here, despite decent quality and staffing scores.
Chestnut Ridge runs on 4.29 nurse hours per resident day, about 11% above the national average, and its staff turnover of 21.8% is roughly half the national rate, that kind of consistency usually shows up in daily care. But the inspection record is where the problems sit: 69 deficiencies on the current record, including four at the harm or jeopardy level and five tied to abuse, plus three fines totaling $105,201. Weekend staffing also drops about 14% below weekday levels, so coverage thins out when families tend to visit. The most recent inspection was November 2025, so the record is current. Good staffing numbers and a bad survey history can both be true at once.
La Brea Rehabilitation Center runs 141 beds in Los Angeles under corporate ownership, and its staffing is the strongest card it holds, 4.55 nurse hours per resident day, about 18% above the national average, with turnover at 30.6% against a national 45.8%. Weekend coverage dips roughly 6% below its own weekday level, so care thins out a bit on Saturdays and Sundays. The inspection record is where the concern sits: a 1-out-of-5 health inspection rating, 98 deficiencies on the current record, including 6 at the harm or jeopardy level and 7 tied to abuse. One fine totaling $33,091 has been levied, and the last inspection was June 19, 2025.
University Park Healthcare Center has real staffing strengths: 4.05 nurse hours per resident day, about 5% above the national average, with turnover at 41.3%, lower than the typical 45.8%. Weekends dip roughly 7% below weekday coverage, but that's a modest gap. The problem isn't the floor staff, it's the record. Seventy-seven deficiencies, 8 involving actual harm or jeopardy, 13 tied to abuse, and $230,606 in fines across four actions. A 1-out-of-5 inspection rating against a 4-out-of-5 on quality measures tells you the clinical metrics look fine on paper while the survey history says otherwise. This for-profit, LLC-owned home was inspected as recently as April 2026.
Golden Haven Care Center runs 99 certified beds in Glendale under corporate for-profit ownership, and its staffing sits at 3.98 nurse hours per resident day, a bit above the national average, though weekends run about 7% thinner than weekdays. The bigger problem is what inspectors have found: 73 deficiencies on the current record, including 8 at the harm or jeopardy level and 5 tied to abuse, with three fines totaling $74,602. That record produced a one-star health inspection rating, and staff turnover at 47.2% runs slightly above the national rate, so the people providing care keep changing. The most recent inspection was January 16, 2026.
Olympia Convalescent Hospital in Los Angeles runs 135 certified beds under for-profit LLC ownership, and its staffing is genuinely above average: 4.10 nurse hours per resident day against a national 3.86. Weekend coverage dips about 6% below its own weekday level, though, and turnover sits at 23.5%, well below the 45.8% national figure, which suggests a relatively steady crew.
The trouble is on the inspection side. Forty-two deficiencies are on the current record, including two at the harm or jeopardy level and two tied to abuse. Two of three CMS star ratings land at 2 out of 5, and a $8,278 fine is on file. The last inspection was May 2025. Good staffing alone doesn't offset that record.
Sierra Vista runs 116 beds in Highland under for-profit LLC ownership, and its nurse staffing sits at 2.46 hours per resident day, roughly 36% under the national average of 3.86. Weekends dip about 5% below its own weekday numbers, so coverage thins right when families tend to visit. Staff turnover is 29.5%, meaningfully better than the 45.8% national figure, which suggests the people who work here tend to stay. The inspection record shows 30 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was February 2026. Quality measures score well; the health inspection side of the record is where the friction sits.
Landmark Medical Center runs 95 beds in Pomona under corporate for-profit ownership, and its record splits in two directions. Nurse staffing sits at 3.36 hours per resident day, roughly 13 percent under the national average, and weekends run about 9 percent thinner than weekdays. What stands out is staff retention: 26 percent turnover against a national average near 46 percent, which suggests people stay here. The trouble is inspection history. CMS gives it 1 out of 5 stars, with 54 deficiencies on the current record, including 3 at harm or jeopardy level and 12 tied to abuse. The most recent inspection was August 2025. Low turnover is real, but it hasn't kept the care problems out of the building.
Meadowbrook runs on thin nursing coverage: 2.47 hours per resident per day, about a third below the national average, and weekends drop another 13% below its own weekday pace. Turnover sits at 31.9%, better than the national 45.8%, so the staff who are there tend to stay, but there are fewer of them. The inspection record is where the real concern lives: 42 deficiencies, including four at the harm or jeopardy level and eight tied to abuse. That's a lot of serious findings for a 77-bed home, and it lines up with the 2/5 inspection rating despite strong quality measures and a recent April 2026 visit.
La Paz Geropsychiatric Center runs on 2.82 nursing hours per resident day, roughly 27% under the national average, and weekends dip about 9% below its own weekday levels, so the thinnest coverage lands when families tend to visit. The inspection record is the harder number: 69 deficiencies, one of them serious enough to put residents in harm's way, and 11 tied to abuse. Staff turnover at 18.6% is well below the national 45.8%, which suggests a steadier workforce than most. A 5/5 quality measure score sits alongside a 1/5 inspection score, a split worth asking about directly.
Crestwood runs on thin staffing: 2.47 nurse hours per resident day, roughly a third below the national average, and weekends drop about 24% below its own weekday levels. Turnover at 31.1% is actually better than the 45.8% national figure, so the problem isn't retention so much as how few hours are budgeted per resident in the first place. The inspection record shows 14 deficiencies with no harm-level findings, but 5 are abuse-related, which is worth asking about directly. Inspectors were last out in June 2025. The 5/5 quality measure score sits oddly against a 2/5 staffing rating, quality measures can look strong while daily coverage stays lean.
Garfield Neurobehavioral Center runs on unusually steady staffing for a for-profit home: 4.58 nurse hours per resident day, roughly 19% above the national average, with a 5/5 CMS staffing rating. Turnover sits at 13.2% against a national 45.8%, which means the people caring for residents mostly stay. The friction shows up in inspections. Seventeen deficiencies on the current record, including two at harm or jeopardy level and four tied to abuse, pulled the health inspection rating down to 2/5 despite a recent August 2025 survey. Weekend coverage also dips about 9% below weekday levels. Solid, consistent staffing paired with a troubled inspection history is the tradeoff here.
Eben Ezer Lutheran Care Center runs a nonprofit home in Brush with 125 certified beds, and its staffing is the strongest part of the picture: 4.22 nurse hours per resident day, about 9% above the national average, with turnover at 40.4%, better than the 45.8% norm. Weekends run roughly 9% leaner than weekdays, so coverage thins out when families tend to visit. The harder reading is on inspections. Thirteen deficiencies sit on the current record, four of them at the harm or jeopardy level and two tied to abuse, from an inspection dated August 2024. Strong direct-care hours don't cancel out serious findings on safety and oversight. Ask to see the plan of correction for those four harm-level citations before you decide.
Wellsprings Care Center runs 81 beds in Englewood under corporate ownership, and the staffing numbers are the first thing I'd flag. At 2.92 nurse hours per resident per day, it's roughly a quarter below the national average of 3.86, and weekends drop another 13% below its own weekday levels, so the thinnest coverage lands exactly when families tend to visit. Annual turnover sits at 55.4% against a national 45.8%, which means a lot of unfamiliar faces. The 38 deficiencies on record include nine tied to abuse, though none reached the harm or jeopardy level. Its last inspection was in September 2025, so the record is recent, not stale.
Canyon View Care Center runs 88 certified beds in Palisade under corporate for-profit ownership, and its staffing sits at 3.45 nurse hours per resident day, roughly 11% under the national average of 3.86, with weekends about 12% thinner than its own weekdays. Turnover is 31.7%, well below the national 45.8%, so the crew that's there tends to stay. What pulls the record down is the inspection side: 43 deficiencies on file, four of them at harm or jeopardy level and three tied to abuse, plus two fines totaling $28,322, with the most recent inspection in July 2024. The quality measures look strong; the survey history is where the risk sits.
Cambridge Care Center runs a leaner nursing floor than most. At 2.90 nurse hours per resident day, it sits roughly a quarter under the national figure of 3.86, and weekends dip about 6% below its own weekday coverage, the stretch when families often notice less attention. Turnover, though, is genuinely low at 32.8% against a 45.8% national average, which matters for consistency of care. The inspection record is mixed: 16 deficiencies, including one at harm level and one abuse-related, plus $8,151 in fines, but the last survey was April 2024 and the health inspection rating still lands at 4 of 5 stars.
Uptown Care Center runs a lean ship in a way that cuts both directions. Its 2.99 nurse hours per resident day sit roughly 22% under the national average, and weekends drop about 14% below its own weekday levels, so coverage thins out exactly when families tend to visit. What stands out against that is a 17.6% turnover rate, well under the 45.8% national figure, meaning the staff who are there tend to stay. The inspection record is the weaker side: fifteen deficiencies, including one at the harm level and two tied to abuse, with a $8,278 fine and a survey from August 2025.
Larchwood Health and Rehab runs 130 certified beds in Grand Junction under corporate for-profit ownership, and its nurse staffing sits at 3.40 hours per resident day, roughly 12% under the national average of 3.86. Weekends are thinner still, down about 19% from its own weekday coverage, which is where gaps tend to show up.
The inspection record is the bigger concern: 38 deficiencies on file, including 4 at the harm or jeopardy level and 7 tied to abuse. Two fines totaling $28,685 and a 2-out-of-5 inspection rating point the same direction. The last inspection was April 2024, so that record is fairly recent. Ask about weekend coverage and how abuse allegations get investigated before you decide.
Brookside Inn runs 4.18 nurse hours per resident day, about 8% above the national average, and weekends dip roughly 8% below its own weekday staffing. That cushion didn't translate into clean inspections: the current record shows 29 deficiencies, three at harm or jeopardy level and ten abuse-related, with two fines totaling $63,246. The last inspection was March 12, 2026. Staff turnover sits at 47%, slightly above the 45.8% national figure. Quality measures score well, but a one-star health inspection record with ten abuse-related citations is the number a family should weigh hardest here. Limited liability ownership means the operating entity, not a person, answers for it.
Adara Living runs 210 certified beds in Broomfield under corporate for-profit ownership, and its staffing sits at 3.66 nurse hours per resident day, about 5% under the national average of 3.86, with weekends roughly 8% thinner than weekdays. Turnover is the bigger signal: 64.4% of staff leave annually against a national norm near 45.8%, which means the people caring for residents are often new to the building. The current inspection record carries 39 deficiencies, four serious enough to involve harm or jeopardy and four tied to abuse, plus two fines totaling $48,954. CMS rated its health inspection one star out of five; the quality measures scored five. That gap is worth asking about directly, strong reported outcomes sitting on top of a weak inspection history and constant staff churn.
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?