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
St. Anthony Senior Services runs 79 certified beds as a church-affiliated nonprofit in Carroll, and its nurse staffing sits at 3.87 hours per resident day, essentially level with the national average of 3.86, though weekends run about 8% leaner than weekdays. The real concern is the inspection record: 19 deficiencies, three of them serious enough to put residents at harm or jeopardy, including one abuse-related finding, and a $12,038 fine. A recent inspection in February 2026 means the record is current, not stale. Quality measures score well, but strong clinical numbers don't offset a pattern of serious health and safety findings.
Tallgrass Healthcare Campus runs 100 beds in Junction City under for-profit partnership ownership, and its nurse staffing sits at 3.60 hours per resident day, about 7% under the national average, with weekends roughly 10% leaner than weekdays. Annual turnover is 49.3%, above the 45.8% national figure, which means a lot of the people providing that care are still learning the building. The inspection record is the part I'd ask about directly: 19 deficiencies, including one at the harm level and one tied to abuse, plus a $21,530 fine, and a health inspection star of 1 out of 5. The quality measure star of 5 shows the clinical numbers can look good, but that contrast is worth understanding before you decide.
Riverview Estates runs on a paradox: the aides show up, but the building keeps failing inspections. At 4.35 nurse hours per resident day, staffing sits about 13% above the national average and earns a top CMS staffing rating, though weekends run roughly 12% thinner than weekdays, and annual turnover of 51.3% tops the national 45.8%. The trouble is everything else. Health inspection and quality measure ratings both sit at the bottom, with 25 deficiencies on record, including 2 at harm or jeopardy level and 3 tied to abuse. Two fines total $35,839, and the last inspection was March 2025. Good coverage can't offset a record like that.
Attica Long Term Care runs on thin margins, and you can see it in the numbers. The hospital district that owns it staffs nurses at 3.95 hours per resident day, just above the national average, and those hours thin out on weekends, roughly 12% below what the home itself manages Monday through Friday. Turnover sits at 36.2%, better than the national 45.8%, so the people who stay tend to stay.
The problem is the record. Eighteen deficiencies, two serious enough to put residents at risk of harm, and one tied to abuse. The health inspection rating reflects that. Quality measures land in the middle. If you're weighing this one, the staffing is genuinely a strength, but ask hard questions about those harm-level findings and who's supervising on Saturdays.
Tradewater Pointe runs a lean operation in Dawson Springs, with 4.86 nurse hours per resident day, roughly 26% above the national average, and its most recent inspection in March 2026 found six deficiencies, none at the harm or jeopardy level. The catch is who's delivering that care over time: annual turnover sits at 70.5% against a national average of 45.8%, and weekend staffing drops about 14% below weekday levels, so the faces and the coverage both thin out regularly. One abuse-related deficiency also shows up on the record. Ownership is a for-profit limited liability company, and the quality measure star rating sits at 1 out of 5 despite a 4 out of 5 on inspections, worth asking about before you decide.
Staffing is the strongest part of the picture at Christian Health Center Corbin: 4.12 nurse hours per resident day, roughly 7% above the national average, with weekend coverage dipping about 13% below its own weekday level. Turnover sits at 41.1%, a bit better than the 45.8% national figure. The trouble is the inspection record. Seven deficiencies are on file, three at the harm or jeopardy level and three tied to abuse, plus a single $181,590 fine. The most recent inspection was March 2025, so the record is current, not old. Quality and staffing measures score well; the health inspection side, where a 1-out-of-5 rating reflects those harm-level findings, is what pulls the overall picture down.
Madison Health and Rehabilitation Center runs 92 certified beds in Richmond under corporate for-profit ownership, and the staffing numbers are the first thing to look at. Nurse coverage sits at 3.56 hours per resident per day, roughly 8% under the national average, and weekends drop about 9% below what the home staffs on weekdays. Annual turnover is 51.6% against a national 45.8%, so aides and nurses are cycling through steadily.
The inspection record shows 12 deficiencies, two of them serious enough to cite harm or jeopardy, though none abuse-related. CMS rates the home 2 out of 5 on health inspections and 1 out of 5 on both quality measures and staffing. The most recent inspection was July 2025, so the picture is current.
Haven Nursing Center runs 4.15 nurse hours per resident day, about 8% above the national average of 3.86, but weekends drop roughly 12% below its own weekday staffing, and annual turnover sits at 97.6% against a national average of 45.8%. Essentially the whole staff turns over every year. The 19 deficiencies on record include none at the harm level, though 2 are abuse-related, and the last inspection was May 2025. The quality measure rating is 1 out of 5, which is where the low overall grade comes from. A corporate-owned, 99-bed home in Columbia with decent weekday coverage but real questions about consistency.
Lake Charles Care Center runs 182 certified beds under for-profit LLC ownership, and its staffing sits at 3.36 nurse hours per resident day, roughly 13% under the national average of 3.86. Weekends drop about 14% below its own weekday level, and turnover hits 51.7% against a national 45.8%.
The inspection record is the bright spot: a 4/5 health inspection rating, last survey in May 2025, with 11 deficiencies on file but none at harm or jeopardy level and none abuse-related. Quality measures tell a different story at 1/5, with staffing at 2/5. So you have a home that passes inspections cleanly while running lean on direct care and posting weaker clinical quality numbers, worth asking about weekend coverage and consistent assignment before you decide.
Village Health Care At The Glen runs 4.19 nurse hours per resident day, roughly 9% above the national average, which matters more here than the staffing star suggests. Weekend coverage dips about 5% below weekdays, and turnover sits at 33.6%, well under the national 45.8%, so caregivers tend to stick around. The concerning part is the inspection record: 23 deficiencies, including five tied to abuse and one at the harm or jeopardy level, with a $12,735 fine. That's a lot of findings for a nonprofit, and it weighs against the decent staffing.
Nurse staffing at The Oaks runs 4.35 hours per resident day, roughly 13% above the national average, which sounds reassuring until you notice weekends dip about 8% below the home's own weekday levels. Turnover sits at 58.9% against a national average of 45.8%, so the people providing that care are changing often. The inspection record shows 18 deficiencies, including one at the harm or jeopardy level and four tied to abuse, with a single fine of $27,005; the last inspection was June 2025. A for-profit limited liability company owns the 125-bed home. Strong weekday staffing is real, but weekends, turnover, and that abuse count are what a family should ask about directly.
Mary Anna Nursing Home in Wisner runs a lean ship on staffing but has real problems elsewhere. Its 4.63 nurse hours per resident day sits about 20% above the national average, and weekend coverage only dips about 10% below weekday levels, which is better than many homes manage. Turnover of 17.5% is well below the national 45.8%. The trouble is care quality and oversight: CMS gives it just 1 star for quality measures and 2 for health inspections, with 14 deficiencies on record, 2 at harm or jeopardy level, 2 abuse-related, plus one fine of $19,120. Plenty of hands on deck, but the record shows they aren't always used well.
Forestville Rehabilitation runs 162 beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86, with weekends about 10% thinner than weekdays. The inspection record is the real story here: 59 deficiencies, including one at the harm or jeopardy level and five tied to abuse, with a single $16,039 fine and a health inspection rating of 1 out of 5. What keeps the picture from being one-sided is staff turnover at 29.3%, well below the 45.8% national average, and a 5/5 quality measure rating. The last inspection was January 2026, so that record is current, not stale.
Chesapeake Shores runs at 3.57 nurse hours per resident day, about 8% under the national figure of 3.86, and weekends drop roughly another 10% below its own weekday staffing. Turnover sits at 48.9%, above the 45.8% national average, so the people caring for residents keep changing. On inspections, the home carries 40 deficiencies, none flagged at harm or jeopardy level, though one is abuse-related, and CMS has issued a single fine of $47,254. The most recent inspection came in early January 2026, so that picture is current. This is a for-profit limited liability company with 125 certified beds.
Mountain City Rehab Center runs 88 certified beds in Frostburg under for-profit LLC ownership, and its nurse staffing sits at 3.50 hours per resident day, roughly 9% under the national average of 3.86. Weekends drop about 11% below its own weekday levels, and staff turnover is 48.4% against a national figure of 45.8%.
The inspection record is where the real weight sits: 65 deficiencies on file, including 3 at the harm or jeopardy level and 9 tied to abuse, with $48,227 in CMS fines across three actions. The most recent inspection was March 6, 2026, so the picture is current, not stale. Quality measures score mid-range, but a 1-out-of-5 inspection rating tells you regulators keep finding problems.
Jml Care Center runs about 2.92 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 7% below its own weekday numbers. The staffing star rating comes in at 1 out of 5, and quality measures land at the same low mark, though turnover at 40.9% is actually a bit better than the 45.8% national figure. Inspections in February 2025 turned up 23 deficiencies, none at the harm or jeopardy level but one tied to abuse. The health inspection rating sits at 3 out of 5, which is the strongest piece of an otherwise thin record for this nonprofit.
Westfield Rehabilitation and Health Center runs 80 certified beds under for-profit LLC ownership, and its most recent inspection in January 2025 left a long paper trail: 60 deficiencies on the current record, one tied to abuse, plus a single fine of $49,296. No deficiency reached the harm or jeopardy level, which matters, but the volume still stands out.
Nurse staffing sits at 3.26 hours per resident day, roughly 16% under the national average, and weekends dip about 5% below the home's own weekday coverage. Annual turnover of 52.9% is well above the 45.8% national figure. The health inspection rating is 1 out of 5, so if you're weighing this one, ask specifically how they're holding staffing and care steady on weekends.
Odd Fellows Home of Massachusetts runs 100 certified beds in Worcester, and its staffing sits at 3.74 nurse hours per resident day, just under the national average of 3.86. Weekends dip about 9% below weekdays, but turnover is 38%, better than the 45.8% national figure, which means this home keeps its nurses longer than many places do. The harder numbers are on the inspection side: 32 deficiencies on record, including three at the harm or jeopardy level and three abuse-related, plus a $106,301 fine. Its last inspection was March 2026. Quality measures score 1 out of 5, so whatever good the retention does, the care outcomes and compliance record are where families should focus their questions.
Meadow Green runs a 123-bed for-profit operation in Waltham, and the staffing numbers are the first thing to look at. Total nurse hours sit at 3.92 per resident day, just barely above the national average, but the staff star rating is 1 out of 5, and annual turnover is 64.7% against a national average of 45.8%. That's a lot of people cycling through, and the weekend gap means coverage thins out when families tend to visit.
The inspection record is harder to get past: 63 deficiencies, including 6 tied to abuse and 2 at the harm or jeopardy level, with $195,559 in fines. The most recent inspection was February 2026.
The Center At Blue Hills runs 3.37 nurse hours per resident day, roughly 13 percent under the national average of 3.86, and weekends dip another 7 percent below its own weekday staffing. That thin coverage shows up in a CMS staffing rating of 2 out of 5 and a health inspection rating of 2 out of 5, with 22 deficiencies on the current record, one at harm or jeopardy level and two tied to abuse. A single fine of $8,278 has been levied. The quality measure score of 5 out of 5 stands out against those numbers, and it's worth asking how that measure is collected before weighing it equally. The most recent inspection was November 20, 2025.
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?