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
Medina Nursing Center sits on the high side for nurse coverage, 4.27 hours per resident per day, roughly 11% above the national average, but that staffing thins out on weekends, dropping about 12% below its own weekday level. Turnover is the bigger concern: 53.1% of staff leave each year, against a national average of 45.8%, so the people providing that care keep changing. The inspection record is where this home really struggles: 31 deficiencies, five serious enough to put residents in harm's way, eight tied to abuse, and four fines totaling $69,289, with the most recent inspection in April 2025. Corporate ownership, and the numbers behind them, warrant a close look.
Winning Wheels runs 88 certified beds in Prophetstown under nonprofit ownership, and the staffing numbers are the first thing to notice: 3.78 nurse hours per resident day, slightly under the national average, with weekends running about 6% thinner than weekdays. That leaner weekend coverage matters because turnover sits at 50.6%, higher than the 45.8% national figure, meaning the aides and nurses at the bedside keep changing.
The inspection record is the heavier concern, 54 deficiencies on file, including 5 at the harm or jeopardy level and 10 tied to abuse. A single fine of $12,258 and a July 2025 inspection round out the picture. Ask about weekend coverage, staff retention, and how those abuse-related findings were resolved.
Montgomery Place sits in Chicago with 40 certified beds and a nonprofit owner, and its nurse staffing comes in at 3.82 hours per resident day, just under the national average of 3.86. Weekend coverage dips about 3% below its own weekday level, so the difference between a Tuesday and a Sunday is real. The inspection record is the harder part: 33 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with two fines totaling $19,752. That health inspection rating lands at 2 out of 5, though quality measures score 5 and staffing scores 4, a split worth asking about directly when you tour.
Smith Village is a nonprofit home on Chicago's South Side with 93 certified beds, and its staffing is genuinely heavy, 5.27 nurse hours per resident day, roughly 36% above the national average, though weekends run about 10% thinner than weekdays. The trouble sits elsewhere: 23 deficiencies on the current record, five of them serious enough to put residents in harm's way and one tied to abuse, plus a $16,350 fine and a November 2025 inspection that landed at two stars for health inspections and two for quality measures. Staff turnover of 57.3% is well above the national 45.8%. Generous staffing only helps if the same caregivers stay long enough to know the residents.
Scott County Nursing Center runs on county money, and its staffing numbers are its strongest card: 3.76 nurse hours per resident day, just under the national average of 3.86, with a 5-star CMS staffing rating. Turnover sits at 40%, better than the 45.8% national figure. But the care record tells a harder story. Nine deficiencies are on file, four at harm or jeopardy level and four tied to abuse, plus a $29,295 fine. The most recent inspection was April 2026, so the findings are current, not stale. Weekend staffing drops about 12% below weekday levels. Adequate hands, but serious quality and safety problems documented recently.
On Chicago's Southwest Side, a 46-bed for-profit home run by a limited liability company sits well under the national staffing benchmark, about 16% below it, and weekends run roughly 12% thinner than its own weekdays. Turnover lands at 39.4%, better than the 45.8% national figure, so the consistent staff largely stay. What stands out more is the record: 58 deficiencies, three at harm or jeopardy level, six tied to abuse, and a $151,119 fine, with the last inspection in October 2024. Federal inspectors rated health inspections 2 out of 5, though quality measures scored 4 out of 5.
Resthave Home in Morrison runs a nonprofit shop with 70 beds, and its staff retention is genuinely better than most, 34.7% turnover against a national average near 46%. That stability matters, but it doesn't cancel out what inspections found: 33 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was April 2025. Nurse staffing sits at 3.64 hours per resident day, about 6% under the national figure, and weekends drop roughly 13% below the home's own weekday coverage, worth asking about if your family member needs more help on Saturdays and Sundays. State surveyors rated the health inspection side 2 out of 5.
Asbury Court runs a lean ship on turnover: 29.9% annual staff turnover sits well below the 45.8% national average, and total nurse staffing of 4.94 hours per resident day beats the typical 3.86. That's a real advantage, though weekends dip about 17% below weekday coverage, so care may thin out when families visit most.
The inspection record tells a harder story. Nineteen deficiencies, including three at harm or jeopardy level and four abuse-related, produced a 2/5 health inspection rating and a $9,200 fine. The most recent inspection was May 2025, so the record is current.
For-profit, individually owned, 79 beds. Strong staffing and retention, but the harm-level and abuse citations are the kind of thing worth asking the administrator about directly before deciding.
Winston Manor runs on 1.39 nurse hours per resident per day, about 64 percent below the national average of 3.86, and weekend staffing drops another 7 percent below its own weekday level. That thin coverage sits behind a one-star CMS staffing rating and a two-star inspection record: 36 deficiencies, five of them at the harm or jeopardy level, and eight tied to abuse. The five-star quality measure score looks strong, but those numbers come from resident assessments, not from how many hands are actually on the floor. This is a 180-bed for-profit corporate home in Chicago last inspected in June 2024.
Crestwood Terrace runs lean on the floor: 2.27 nurse hours per resident day against a national average of 3.86, with weekends staffed roughly 14% thinner than weekdays. That gap matters most on Saturdays and Sundays, when questions go unanswered longer. Turnover is the bright spot, 19.6% against a national 45.8% means the aides you meet are more likely to still be there next year. But the inspection record is heavy: 29 deficiencies, 8 involving harm or jeopardy, 6 tied to abuse, and a recent inspection in August 2024. For-profit individual ownership runs the building, and quality scores look strong while staffing and inspection scores sit at 2 out of 5.
Joliet Living & Rehab Center runs 2.26 nurse hours per resident day against a national average of 3.86, roughly 42% less hands-on time than the typical home. Weekends dip about another 10% below its own weekday level, so the thinnest coverage lands when families often visit. On paper the quality measure rating is perfect, but the 37 deficiencies on record, eight tied to abuse, and a two-star inspection rating tell a more mixed story. Staff turnover at 24.5% is actually well below the 45.8% national average, meaning the people who are there tend to stay. The last inspection was May 2025.
West Chicago Living and Rehab Center runs on 2.06 nurse staffing hours per resident day, roughly half the national figure of 3.86, and weekends drop another 11% below its own weekday level, so coverage is thinnest exactly when families tend to visit. The inspection record is where the real weight sits: 45 deficiencies, three serious enough to involve harm or jeopardy, ten tied to abuse, and a $143,375 fine, with the most recent inspection in May 2025. Staff turnover of 18.9% is well below the national 45.8%, meaning the people who are there tend to stay, but that stability hasn't translated into a clean survey history.
Big Meadows runs leaner on nursing hours than most homes, about 3.31 per resident per day against a national average near 3.86, with weekends slightly thinner than weekdays. Turnover sits below the national rate, which works in its favor, but the inspection record is where things get harder to explain: 30 deficiencies, six of them serious enough to involve harm or jeopardy, four tied to abuse. Ownership is for-profit corporate, and the most recent inspection was February 2025. A single $4,500 fine doesn't capture the weight of those harm-level citations. If you're considering this home, ask directly how the abuse-related findings were resolved and who is on staff on weekends.
Hooverwood has real nursing hours behind it, 4.80 per resident day, roughly a quarter above the national average, and that's the strongest thing in its file. The rest is harder to sit with. State inspectors have cited 35 deficiencies, four of them at a level where residents were harmed or put in immediate jeopardy, and five tied to abuse. Three fines total $41,064. Weekend coverage dips about 7% below its own weekday staffing, so the hours you see aren't evenly spread across the week. This is a nonprofit with enough direct care on paper but a documented pattern of serious problems, including one of the most recent inspection dates on record.
Majestic Care Of Bedford runs 142 beds under corporate ownership, and its nursing hours come in around 3.26 per resident day, roughly 16% under the national average of 3.86. Weekend coverage drops about 13% below what the home staffs on weekdays, so families should ask who's actually on the floor Saturday and Sunday. The inspection history shows 22 deficiencies, two of them abuse-related, though none rose to harm or jeopardy level, and the last survey was in May 2026. Turnover sits at 37.2%, better than the 45.8% national figure. Quality measures score well; staffing and inspections don't.
Majestic Care of Connersville runs 113 certified beds under corporate ownership, and the staffing numbers are the real story here. At 3.72 nurse hours per resident day, it trails the national average of 3.86, and weekends drop roughly 19% below its own weekday level, that's when coverage thins out most. The inspection record backs up the concern: 34 deficiencies on file, including two at the harm or jeopardy level and three tied to abuse. The last inspection was August 2025, so the findings are recent. Quality measures score well, but staffing and inspection results tell the more important part of this home's story.
Heritage Pointe of Huntington is a nonprofit home with 78 beds, and its staffing is the strongest part of the picture, 4.33 nurse hours per resident day, about 12% above the national average, with turnover at 38.2% compared to 45.8% nationally. Weekend coverage dips roughly 9% below weekday levels, so ask how that plays out on Saturdays and Sundays.
The inspection record is where the concern sits. Sixteen deficiencies are on file, including one at the harm or jeopardy level and two tied to abuse, and the last inspection was February 11, 2026. That combination, solid staffing alongside a 2-out-of-5 inspection rating and serious citations, is worth asking the administrator about directly before you decide.
Northview Health And Living runs 94 certified beds in Anderson under nonprofit ownership, and the staffing picture is genuinely above average, 4.94 nurse hours per resident day against a national 3.86. That advantage narrows on weekends, which run about 9% lighter than weekdays, and turnover sits at 40.4%, a bit better than the 45.8% national figure. The inspection record is where it gets harder to defend: 20 deficiencies on file, including one at the harm or jeopardy level and six tied to abuse. Both the health inspection and quality measure ratings come in at 2 out of 5, and the most recent survey dates to March 2026. Strong hours don't cancel out that many serious findings.
Summit Health And Living runs 34 beds as a nonprofit, and its nurse staffing sits at 4.85 hours per resident day, roughly a quarter above the national average of 3.86. Weekend coverage dips about 7% below its own weekday levels, and turnover lands at 45.2%, essentially matching the national 45.8%. The inspection history is where families should look closely: 13 deficiencies on the current record, none flagged at harm or jeopardy level, but four tied to abuse. The last inspection was May 7, 2026. Federal inspectors gave four stars for health inspections but only two for quality measures, so the day-to-day care numbers don't match the clean inspection sheet.
Perry Lutheran Homes Eden Acres sits in Dallas County with 57 certified beds and a for-profit LLC owner. The staffing picture is mixed: 3.43 nurse hours per resident day lands about 11% under the national average, and weekends run roughly 15% lighter than weekdays, but turnover at 36.2% beats the national 45.8%, a sign this home can hold onto aides better than most. What stands out is the inspection record: six deficiencies, two at harm or jeopardy level and two tied to abuse, plus a $9,110 fine, with the most recent inspection in June 2025. Those harm-level and abuse findings are the kind regulators treat seriously, and they're the real weight on this home's 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?