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
Colorado State Veterans Nursing Home - Rifle runs five stars' worth of nurse staffing, 4.12 hours per resident day, roughly 7% above the national average, but the state-run home has real problems elsewhere. Twenty-one deficiencies sit on its current record, four of them at the harm or jeopardy level, four tied to abuse, and the health inspection score came back 1 out of 5 from the last visit in November 2024. Staff turnover lands at 48.7%, a few points above the national figure, and the weekend crew runs about 15% thinner than weekdays, which matters if your family tends to visit on Saturdays and Sundays. One fine of $32,975 is on file. Strong bedside coverage alone doesn't offset that inspection history.
Bruce McCandless Co State Veterans Nursing Home runs on a state government license with 105 certified beds, and the staffing numbers are its one real strength, 3.77 nurse hours per resident day, close to the national average of 3.86, and a four-out-of-five CMS staffing rating. The problem is what happens when staff leave: turnover sits at 60% against a national 45.8%, and weekend coverage drops about 14% below weekday levels. On the record side, 20 deficiencies include four at harm or jeopardy level and two tied to abuse, with one fine of $81,520 and a 1-out-of-5 inspection rating from a January 2026 visit.
Spanish Peaks runs on a strong staffing engine, 4.68 nurse hours per resident day, about a fifth more than the national average, and it earns top marks from CMS on that measure. The catch is what inspections found: 24 deficiencies on the current record, including one serious enough to cause harm and three tied to abuse, which explains the two-star health inspection rating. Weekend coverage also dips roughly 14% below weekday levels, so care isn't perfectly even across the week. Staff turnover, at 44.3%, is slightly better than the national average, and the last inspection was in December 2024. Government hospital-district ownership means public accountability, but the inspection record is the real story here.
Greentree Manor runs 90 certified beds in Waterford under corporate, for-profit ownership, and the numbers tell a divided story. Nurse staffing sits at 3.95 hours per resident day, slightly above the national average, but weekends dip about 7% below its own weekday level, and annual turnover hits 64.9% against a national 45.8%. That churn matters more than the headline staffing figure.
The inspection record is where things get serious: 89 deficiencies on the current record, including 3 at harm or jeopardy level and 12 abuse-related, with the most recent inspection in May 2025. Both the health inspection and quality measure ratings sit at 1 out of 5 stars, while staffing earns 3. That gap between how the place is staffed and how it's actually run is worth asking about directly.
Parkway Pavilion runs 130 beds in Enfield, and the staffing numbers are where I'd start. At 3.45 nurse hours per resident day, it sits about 11% under the national average, and weekends drop roughly 6% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover, at 45.3%, is essentially the national rate, so that's not the problem here. The inspection record is: 52 deficiencies, including one at harm or jeopardy level and six tied to abuse, with a single fine of $8,018 and a one-star health inspection rating. The most recent inspection was September 2024. Quality measures score better than the health inspection does, which tells you the day-to-day care record and the paperwork don't match up.
Harbor Village North runs 128 certified beds under for-profit LLC ownership, and its 3.19 total nurse staffing hours per resident day sit about 17% under the national average of 3.86, thin coverage that gets thinner on weekends, roughly 7% below the home's own weekday level. Turnover, at 32.3%, is actually better than the 45.8% national figure, so the problem isn't retention. It's the inspection record: 49 deficiencies, including 2 at harm or jeopardy level and 9 abuse-related, plus a $106,050 fine. A 1/5 health inspection rating against 3/5 on quality and staffing measures tells you where the risk concentrates.
Ark Healthcare & Rehabilitation At Branford Hills runs 190 certified beds under for-profit LLC ownership, and its staffing sits at 3.75 nurse hours per resident day, a bit under the national average, with weekends running about 8% thinner than weekdays. Annual turnover is 54% against a national 45.8%, so the people caring for residents are changing often. The inspection record is the heavier concern: 44 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, with a 2-out-of-5 health inspection rating and a February 2026 inspection. One fine totaling $8,021 rounds out the record. Quality and staffing measures each land mid-range at 3 stars, but the inspection history is what pulls this home's profile down.
Caleb Hitchcock Health Center sits on strong staffing numbers: 5.91 nurse hours per resident day, well above the national average, and weekend coverage barely dips from weekday levels. Turnover runs about half the national rate, which matters for consistency of care. The problem is the inspection record. Twenty-one deficiencies, three serious enough to put residents in harm's way, three tied to abuse, and two fines totaling $55,350, all from a state survey dated November 2025, so it's recent. A nonprofit operator with a stable workforce still hasn't translated that into safe conditions on the ground. Families should ask directly what changed since that last survey.
Wilton Meadows runs 148 beds under for-profit partnership ownership, and its nurse staffing sits at 3.88 hours per resident day, essentially level with the national average, with weekends about 8% thinner than weekdays. Turnover at 39.7% is better than the 45.8% national figure, so the workforce is comparatively stable. The trouble is the inspection record: 39 deficiencies, three at harm or jeopardy level and five abuse-related, with a $16,452 fine and a 2/5 health inspection rating. That combination, average staffing, below-average inspections, and a recent October 2024 survey, is what pulls its standing down.
Havencare At Litchfield Woods runs 160 certified beds under for-profit LLC ownership, and its inspection record is the part that should worry you most: 69 deficiencies on the current record, three of them at the harm or jeopardy level, and 15 tied to abuse. Those numbers are what pull its health inspection rating down to the lowest tier, even though the home's quality measure and staffing stars sit higher. Nurse staffing averages 3.54 hours per resident day, about 8% under the national figure, and weekends run roughly 8% thinner than weekdays. Turnover, at 33.3%, is actually better than the 45.8% national average, so retention isn't the problem here. The state last inspected in July 2025, and one fine totaling $7,901 is on file.
Mary Wade Home puts more nurses on the floor than most places, 4.76 hours per resident day against a national average of 3.86, and that shows up in its staffing and quality ratings. The catch is what inspectors have found: 51 deficiencies on the current record, including one at the harm level and eight tied to abuse, which is why its health inspection rating sits at the bottom. Weekend coverage also drops about 13% below weekdays, so care can thin out when families visit. Staff turnover runs 51.8%, higher than the 45.8% national figure, and the nonprofit has paid $20,144 in fines across two penalties. The last inspection was February 2025.
Havencare At Valerie Manor runs 151 certified beds under corporate for-profit ownership, and the staffing numbers are the first thing worth noticing. At 3.50 nurse hours per resident day, it sits about 9% under the national average of 3.86, and weekends drop roughly 8% below its own weekday level, so coverage is thinnest exactly when families tend to visit. Annual turnover of 48.5% runs slightly above the 45.8% national figure, which usually means less continuity for residents. The 45 deficiencies on the current record include nine tied to abuse, though none reached harm or jeopardy level, and the last inspection was January 21, 2026.
Monsignor Bojnowski Manor runs 60 beds as a nonprofit, and its quality measure scores are strong, a 5 out of 5 there. The problem is the people delivering that care. Nurse staffing sits at 3.30 hours per resident per day, well under the 3.86 national average, and weekends run thinner than weekdays. Turnover hits 70% against a 45.8% national rate, meaning most of the aides and nurses you'd meet this year won't be there next year. Add 37 deficiencies on the current record, including one at harm level and six tied to abuse, plus five fines totaling about $22,000 from a February 2025 inspection. Good outcome scores are harder to trust when the workforce behind them keeps changing.
Kutz Rehabilitation And Nursing has real staffing depth, 5.15 nurse hours per resident day, about a third more than the national average, and that's the strongest thing it has going for it. But the compliance record is heavy: 61 deficiencies, four of them at harm or jeopardy level and nine tied to abuse, plus two fines totaling $168,019. Staff turnover sits at 75.3% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out, and weekend coverage drops about 17% below weekday levels. The 1-out-of-5 inspection rating fits that picture. Ask about the abuse findings and who's actually on the floor on Saturdays.
Gilpin Hall runs on a nonprofit model with 96 beds, and its staffing is the clearest strength here: 4.95 nurse hours per resident day, about 28% above the national average, with a 5/5 staffing rating and turnover at 27.8% versus 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, which matters if your visits or care concerns cluster around Saturdays and Sundays. The harder question is the inspection record, 23 deficiencies on file, 7 of them abuse-related, none at the harm or jeopardy level, and the most recent inspection was August 2025. Strong staffing and a thin inspection history can coexist; ask what those abuse citations involved before deciding.
The Delaware Veterans Home runs on unusually heavy nurse staffing, 7.08 hours per resident day, roughly 83% above the national figure, and its quality measure and staffing ratings both come back at the top of CMS's scale. That's the case for the place. The case against sits in the inspection record: 21 deficiencies, two of them serious enough to involve harm or jeopardy, three tied to abuse, and $118,757 in fines across two penalties. Staff turnover runs 54%, above the national average, and weekend coverage drops about 11% from weekday levels. The most recent inspection was March 2026. Strong day-to-day care numbers, a troubled survey history, and a workforce that keeps changing.
Newark Manor runs on a for-profit, individually owned model, and its staffing is the strongest part of the picture: 4.27 nurse hours per resident day, about 11% above the national average, which is why it earns top marks on that measure alone. The catch is that weekends run roughly 13% thinner than weekdays, so coverage can shift depending on when you visit. Turnover sits at 32.8%, lower than the national 45.8%, which suggests a relatively stable crew. But the health inspection record is weaker, 26 deficiencies, including three tied to abuse and two at the harm level, with the last inspection in January 2024. Good staffing, real compliance problems.
Deanwood Rehabilitation and Wellness Center is a 296-bed for-profit home where the staffing numbers look strong on paper, 4.06 nurse hours per resident day, about 5% above the national average, and turnover sits at 31%, well below the 45.8% national figure. But the inspection record tells a different story: 111 deficiencies on file, including six at the harm or jeopardy level and eight tied to abuse, plus two fines totaling $106,947. The last full inspection was in April 2022, so that record is years old. Weekend staffing also runs about 8% below its own weekday level, meaning coverage thins out exactly when families tend to visit.
Villa Maria Nursing Center runs 212 certified beds in North Miami as a nonprofit, and its 23.6% annual staff turnover is roughly half the national rate, that kind of retention usually means a steadier crew than most homes manage. Nurse staffing sits at 3.77 hours per resident day, about 2% under the national average, and weekends dip another 7% below its own weekday levels, so coverage thins out when families tend to visit. The inspection record is the trouble spot: 23 deficiencies, three at harm or jeopardy level, one abuse-related, and $161,110 in fines, with the most recent inspection in July 2025. Ask about those harm-level findings specifically.
Woodside is a for-profit LLC home in Naples with 120 beds, and its numbers tell a split story. The health inspection record is the weak spot: 35 deficiencies, including 3 at harm or jeopardy level and 4 tied to abuse, most recently inspected May 2025. Nurse staffing sits at 3.48 hours per resident day, roughly 10% under the national 3.86 average, and weekends drop another 9% below its own weekday levels. Turnover is 66.7% against a national 45.8%, two of every three staff leaving in a year. Quality measures score well, but that reflects resident outcomes, not the care environment itself. One $56,166 fine is on record.
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?