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
Jackson County Medical Care Facility runs a county-owned home of 194 beds where the bedside math is genuinely strong: 5.37 nurse hours per resident day, about 39% above the national average, with weekend coverage dipping roughly 9% below its own weekday level. Staff turnover sits at 23.5%, well under the 45.8% national figure, which matters for residents who want to see the same faces. The trouble is inspection history, 20 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a single $68,744 fine, with the last inspection dated April 2026. Strong hands-on care and a troubled survey record can coexist, and here they do.
Meadow Brook Medical Care Facility is county-owned, with 133 certified beds in Bellaire. Three out of four caregivers left their jobs last year, 75.7% turnover against a national average of 45.8%, and CMS gives the home its lowest staffing rating, one star out of five. That instability shows up in the inspection record too: nine deficiencies currently on file, including two serious enough to reach harm or jeopardy and two tied to abuse. Health inspection and quality measure ratings each sit at two stars. State surveyors were last in the building in September 2025, so the picture is recent. For a family weighing this home, the turnover number and the abuse-related findings are the two things worth asking about directly before a tour.
Bay County Medical Care Facility runs on 6.39 total nurse hours per resident day, roughly two and a half hours more than the national average, and that staffing shows in a four-star CMS staffing rating. Weekends dip about 16 percent below weekday coverage, though, and annual turnover sits at 53.9 percent, higher than the 45.8 percent national figure, so the people delivering those hours keep changing. The county-owned home holds 31 deficiencies on its current record, seven at harm or jeopardy level and two tied to abuse, with $165,536 in fines and a two-star inspection rating from its April 2025 survey. Strong hands-on coverage, uneven consistency, and a recent inspection record that's the real concern here.
Grandvue runs a county-owned home in East Jordan with 113 certified beds, and the staffing numbers are its clearest strength, 4.39 total nurse hours per resident day, roughly 14% above the national average. Weekend coverage dips about 6% below its own weekday level, though staff turnover at 42.7% is slightly better than the 45.8% national figure.
The trouble sits on the inspection side. The current record shows 17 deficiencies, including three at the harm or jeopardy level and two tied to abuse. That combination, strong daily staffing beside serious cited problems, is why the two-star health inspection rating pulls the overall picture down despite the five-star staffing mark.
Grand Traverse Pavilions is county-owned and large, 240 beds, and its inspection record is the first thing to know. Sixty-five deficiencies on the current record, seven of them serious enough to involve actual harm or jeopardy, plus eight tied to abuse. Three fines totaling about $158,000. The last inspection was June 2025, so this isn't stale paperwork.
Staffing is the other problem. CMS rates it at the bottom of the scale, meaning residents here get fewer direct care hours than most homes nationally. The quality measure score looks better, but that number reflects clinical outcomes like rehospitalization rates, not whether someone answers the call light.
For a family weighing this placement, ask about direct-care hours per resident per day and how the last inspection's abuse findings were resolved.
Hillsdale County Medical Care Facility runs on county government ownership and 170 certified beds, and its staffing is genuinely heavy, 5.38 nurse hours per resident day against a national average of 3.86. Weekends dip about 13% below weekday levels, and turnover sits at 34%, better than the 45.8% national figure. The trouble is the inspection record: 25 deficiencies, including 5 at harm or jeopardy level and 8 tied to abuse, plus three fines totaling $314,537. The most recent inspection was February 26, 2026. Strong staffing and quality scores don't cancel out that many serious findings, read the actual inspection reports before deciding.
Lenawee Medical Care Facility has the staffing most families are looking for, 5.33 nurse hours per resident day, roughly 38% above the national average, and that holds up even with weekends running about 13% thinner than weekdays. The county runs it, so there's no corporate owner to answer to. What pulls the grade down is the inspection record: 24 deficiencies, including 5 at the harm level and 9 tied to abuse, plus a 2-star health inspection rating. Staff turnover sits at 50.5%, a bit above the national 45.8%, so the people delivering that generous staffing keep changing. Strong care hours, a troubling paper trail, worth a visit and hard questions before deciding.
Calhoun County Medical Care Facility is county-owned, with 120 beds in Battle Creek. Its 4.26 nurse hours per resident day sit about 10% above the national average of 3.86, and turnover at 41.8% is a bit better than the 45.8% national figure, but weekend staffing drops roughly 10% below its own weekday level, so coverage thins out when families tend to visit. The current inspection record carries 12 deficiencies, including one at the harm or jeopardy level and one abuse-related. With an April 2026 inspection and a 2/5 health inspection rating alongside a 3/5 quality measure rating, the recent survey history is the part worth asking about directly.
Autumn Woods runs 293 beds in Warren under for-profit LLC ownership, and its staffing sits a bit above the national average at 4.00 nurse hours per resident day. The catch is weekends, when coverage drops roughly 12% below what the home staffs during the week. Turnover comes in at 38%, better than the 45.8% national figure, which matters for consistency of care. Its last inspection was recent, in August 2025. The record shows 39 deficiencies, three tied to abuse, though none rose to the harm or jeopardy level. Combined with a 2-out-of-5 inspection rating, that's a lot of paperwork findings for a home this size.
Boulder Park Terrace runs 3.70 nurse hours per resident day, about 4% under the national average of 3.86, and weekends dip roughly 7% below its own weekday coverage. The inspection record is where the real concern sits: 58 deficiencies on file, seven of them at harm or jeopardy level and ten tied to abuse. The most recent inspection was June 5, 2025, so the findings are current, not stale. That combination, below-average staffing that thins further on weekends, alongside a one-star health inspection rating, explains why this nonprofit's overall standing lands at a C. Quality and staffing measures each rate three stars, but the health inspection side drags the whole picture down.
Orchard Creek runs 5.75 nurse hours per resident day, roughly half again the national average, and its staff turnover sits just under the national figure, so the people caring for your relative tend to stay. Weekends are thinner, about 16% below weekday coverage, worth asking about if you visit Saturdays. The trouble is the inspection record: 19 deficiencies, two serious enough to put residents in harm's way, five tied to abuse. That mix, strong daily staffing, weak state survey results, is why this small for-profit home lands in the middle rather than near the top. Ask directly what changed since the September 2025 inspection.
Dj Jacobetti Home for Veterans runs on unusually deep staffing for a state-run home: 5.41 nurse hours per resident day, roughly 40% above the national average, with turnover at 21.2% against a national 45.8%. That retention shows up in resident outcomes, where the quality measure rating sits at the top of the scale. The tradeoff is on the health inspection side, where six deficiencies on the current record include one at the harm or jeopardy level and one abuse-related citation, and the inspection itself dates to December 2025. Weekend coverage also runs about 18% lighter than weekdays. Plenty of hands on deck most days, the compliance record is where the concerns concentrate.
Crest View Lutheran Home has 106 certified beds and runs on a nonprofit model, with total nurse staffing at 4.19 hours per resident day, roughly 8% above the national average of 3.86. That's a real strength. Weekend staffing, though, drops about 6% below its own weekday level, so coverage thins out when families tend to visit. The bigger concern sits in its inspection record: 48 deficiencies, including 4 at the harm or jeopardy level and 3 tied to abuse. One fine totaling $16,720 is on file, and the most recent inspection was June 26, 2025. Staffing looks solid on paper; the survey history is where the risk shows up.
Nurse staffing at Mayo Clinic Health System - Lake City runs 4.70 hours per resident day, about 22% above the national average, and CMS gives it 5 stars for staffing. Weekends dip roughly 9% below its own weekday levels, and turnover sits at 44.4%, essentially the national rate. The trouble is inspections: 22 deficiencies on the current record, including 3 at harm or jeopardy level and 4 abuse-related, with two fines totaling $145,117. Its most recent inspection was July 31, 2025. Strong hands-on care and a 4-star quality measure score are real, but a 2-star inspection rating and that deficiency history are what hold this home back.
Warroad Care Center runs on a paradox: 5.00 nurse staffing hours per resident day, roughly 29% above the national average, and a 4-out-of-5 staffing star to match. That's genuinely hard to find in a 49-bed rural home. The problem is everything else. Fifty deficiencies sit on the current record, including five at harm or jeopardy level and eleven tied to abuse, and CMS has levied seven fines totaling $280,774. Weekend staffing drops about 13% below the home's own weekday level, so the strong average doesn't hold every day. A 1-out-of-5 inspection rating with a December 2025 survey means the state has been watching closely. Good hours alone haven't kept residents safe here.
Stewartville Care Center runs on a paradox: 4.36 nurse hours per resident day, roughly 13% above the national average, yet the people providing that care turn over at 60.3% a year against a 45.8% norm. Weekends dip about 13% below weekday coverage, and the inspection record is thin for a 50-bed nonprofit, 33 deficiencies, two at harm or jeopardy level, three tied to abuse, and a 2-out-of-5 inspection rating. Quality measures sit at 1/5 even as staffing earns 4/5, which tells you the hands are present but the consistency and outcomes aren't holding. One fine totaling $11,911 and an April 2025 inspection round out the picture.
Fairway View Neighborhoods is city-owned, and the staffing shows it: 4.84 nurse hours per resident day, about a quarter above the national average, with turnover at 28.1% against a national 45.8%. Weekends run roughly 13% thinner than weekdays, so care can look different depending on when you visit. The harder reading comes from inspections, a two-star health inspection rating, nine deficiencies on record including one at the harm level and two tied to abuse, with the most recent inspection in May 2025. Quality measures sit at one star. Strong staffing is real here, but the inspection record is what a family should ask about directly.
Bigfork Valley Communities runs on unusually deep staffing for a 40-bed hospital-district home, 6.04 nurse hours per resident day against a national average near 3.86. Turnover sits at 26.7%, well under the 45.8% national figure, so the people caring for residents tend to stay. Weekend coverage dips about 19% from weekday levels, which is worth asking about directly. The inspection record shows 10 deficiencies, none tied to harm or abuse, and the most recent survey was in December 2025. Quality measures land mid-range, which is the one area where the numbers don't stand out.
Mission Nursing Home runs on 1.09 nurse hours per resident day, roughly a quarter of what the average U.S. nursing home provides. The weekend gap is small, but the baseline itself is the problem. Turnover sits at 24 percent, well below the national 45.8 percent, so the staff who are there tend to stay, there just aren't many of them per resident. On the inspection side, the record shows 33 deficiencies, including two at harm or jeopardy level and one abuse-related, with a $14,015 fine. Federal ratings put quality measures and health inspections at 2 out of 5, staffing at 1. The most recent inspection was May 2026.
The state-run veterans home in Fergus Falls runs leaner than most on staffing churn, 27.2% turnover against a national 45.8% means the aides and nurses who show up tend to stick around, and 5.17 nurse hours per resident day sits well above the 3.86 average. Weekends dip about 10% below weekday coverage, so that cushion isn't perfectly flat.
The trouble is inspections. Five deficiencies on record, including two at the harm or jeopardy level and two tied to abuse, plus a $23,520 fine. The most recent inspection came in May 2026, so the record is current. Strong staffing and quality scores, real problems on the health side.
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?