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
River Heights Healthcare Center runs 60 certified beds in Greenville under corporate for-profit ownership, and its 3.43 nurse staffing hours per resident day sit roughly 11 percent under the national average of 3.86. Weekends are the bigger concern, staffing drops about 21 percent below the home's own weekday level, which is when gaps tend to show up in real care. The inspection record carries 25 deficiencies, including two at the harm or jeopardy level and two tied to abuse, along with one $8,800 fine; the most recent inspection was May 2026. Federal ratings put health inspections and quality measures both at 2 out of 5, with staffing at 3. If you're weighing this one, ask directly how weekend coverage is handled and what changed after those abuse-related findings.
Arbor Walk runs about 3.43 nursing hours per resident day, roughly 11% under the national average of 3.86, and weekends drop about 22% below its own weekday staffing. That thin weekend coverage matters more than the weekday number, because that's when families tend to visit and when problems surface. The inspection record shows 25 deficiencies, including 3 at the harm or jeopardy level and 4 tied to abuse, with $8,165 in fines across two penalties. The most recent inspection was April 2025, so the record is current. It's a 60-bed nonprofit, and its last two inspection and quality ratings each came in at 2 out of 5.
Senatobia Healthcare & Rehab runs on thin margins where it counts. The 106-bed home, owned by a for-profit limited liability company, reports 3.93 total nurse hours per resident day, barely above the national average of 3.86, and weekend staffing drops roughly 15% below its own weekday levels, so coverage gets thinnest exactly when families tend to visit. Staff turnover sits at 74.6%, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record shows 21 deficiencies, including two at the harm or jeopardy level and two tied to abuse, with one fine totaling $8,021. Its last inspection was August 2025.
Cedars Health Center runs on unusually thin staffing margins in one direction and comfortable ones in another: 4.86 nurse hours per resident day against a national average of 3.86, but weekends drop roughly 10% below what the home itself staffs Monday through Friday. Turnover sits at 48.8%, a few points above the national figure, meaning nearly half the nursing staff cycles out annually. The inspection record is where the trouble shows: 17 deficiencies, one serious enough to reach harm or jeopardy, two tied to abuse, and a $16,153 fine. The most recent inspection was November 2025, so the picture is current, and it is mixed, strong daily coverage undercut by a citation history that a family should ask about directly.
Madison County Nursing Home in Canton runs on county money, and its staffing is the strongest thing it has going: 4.34 nurse hours per resident day, roughly 12 percent above the national average, with a 4-out-of-5 CMS staffing rating and turnover at 39.6 percent, better than the 45.8 percent national figure. But weekends run about 17 percent thinner than weekdays, and the care record is shakier than the payroll: a 2-out-of-5 inspection rating, 14 deficiencies including 2 at harm or jeopardy level and 3 tied to abuse, plus one $8,278 fine. The most recent inspection was April 30, 2026. Good coverage, uneven follow-through, worth asking about weekend shifts and those abuse findings directly.
Reginald P White Nursing Facility in Meridian runs on unusually heavy staffing for a 70-bed home, 7.04 nurse hours per resident day, roughly double the national figure, though weekends drop about 22% below its own weekday coverage. The tradeoff shows up elsewhere: a 2/5 health inspection rating with 15 deficiencies on record, four of them at the harm or jeopardy level and four tied to abuse, plus a 51.4% turnover rate that runs above the national average. State-owned and last inspected in May 2025, it carries $10,364 in fines. Strong hands-on coverage, but the record raises real questions.
Ascend At Aurora runs 125 certified beds under corporate ownership, and the numbers split in two directions. Nurse staffing sits at 4.24 hours per resident day, roughly 10% above the national average, but weekends drop about 13% below the home's own weekday levels, and turnover runs 54.4% against a national 45.8%. The inspection record is where it gets harder: 49 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, plus a $46,940 fine. Ownership changed within the past year, and the last inspection was April 2024. Ask about weekend coverage and what the new owners have fixed since taking over.
Garden View Care Center runs 80 certified beds in O'Fallon under corporate for-profit ownership, and its staffing is genuinely above average: 4.67 nurse hours per resident day against a national figure of 3.86. That advantage softens on weekends, when hours drop roughly 13 percent below the home's own weekday level. The harder numbers are elsewhere. Staff turnover sits at 62.1 percent, well above the 45.8 percent national average, and the current record carries 44 deficiencies, including one at the harm level and eight tied to abuse. State inspectors were last in on January 16, 2025, and fines total $3,145. Strong daily coverage, a thin margin on weekends, and a long inspection record.
Pine View Manor runs on a paradox: staff stick around far better than average, 28.6% turnover against a national 45.8%, yet the CMS staffing rating sits at 1 out of 5, which means the retention isn't buying enough hands per resident. The inspection record is the bigger worry. Eighteen deficiencies, including one at the harm level and two abuse-related, with the most recent survey just completed in May 2025. A 2/5 on health inspections and 2/5 on quality measures round out a picture of a nonprofit home that keeps its people but hasn't kept pace on care.
Seville Care Center in Salem carries 39 deficiencies on its current record, four of them abuse-related, and two fines totaling $17,290. No deficiency rose to the level of actual harm or jeopardy, but the count itself is high, and the abuse citations matter. Staff turnover sits at 59.3% against a national average of 45.8%, which means more than half the workforce left over the year, that's the kind of churn that wears down consistent care. Federal ratings put staffing and quality measures each at one star out of five, with inspections at two. The current owner is a for-profit limited liability company. The last state inspection was January 16, 2025, so the picture is recent.
Sunnyview runs in Trenton as a county-owned home with 94 certified beds, and its nurse staffing comes in at 4.46 hours per resident day, roughly 16% above the national average of 3.86. That sounds like a strength until you see who's delivering it: annual turnover is 63.9% against a national figure of 45.8%, and weekend coverage drops about 10% below the home's own weekday level. The current record carries 36 deficiencies, including one at the harm level and three tied to abuse, plus a $30,295 fine. State inspectors were last in on September 19, 2025. High hours with high churn and a stack of deficiencies is the pattern here.
Kingswood Senior Living runs 86 certified beds as a nonprofit, and its nurse staffing comes in at 4.03 hours per resident day, about 4% above the national average of 3.86. That's the strongest part of the picture. Weekends dip roughly 6% below weekday coverage, and annual turnover sits at 55.2% against a national 45.8%, so the people caring for residents keep changing. The inspection record shows 38 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. One fine on file, $14,069, with the last inspection in June 2025. Quality measure scores land at 2 out of 5 stars, which is worth asking about directly.
Morningside Center is county-owned, which usually buys some stability, but the numbers here tell a mixed story. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 14% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. Turnover runs 50.7%, above the 45.8% national figure, meaning the people at the bedside keep changing. The record shows 16 deficiencies, including one at harm-or-jeopardy level and one abuse-related, and the most recent inspection was January 2025. Quality measures score poorly; staffing scores well on paper.
Abbey Senior Health runs on a for-profit LLC model with 55 beds in O'Fallon, and its strongest signal by far is nurse staffing: 4.74 hours per resident day, roughly 23% above the national average, which is why CMS hands it five stars there. Turnover of 35.6% also beats the 45.8% national figure. The trouble sits elsewhere. Inspections in October 2024 turned up 28 deficiencies, including one at the harm level and three tied to abuse. Quality measures score two stars, inspections two. Weekends run about 13% thinner than weekdays. The people caring for residents appear to be there in numbers, what the record flags is what happens around them.
Clara Manor runs 90 certified beds in Kansas City under corporate ownership, and the staffing numbers are where things get uncomfortable, a one-star staffing rating means nurse hours sit below what CMS considers adequate for this resident population. The inspection record backs that up: 89 deficiencies, including six at the level where residents were actually harmed or put in immediate jeopardy, and twelve tied to abuse. A four-star quality measure rating looks better on paper, but those scores come from resident assessments the facility largely reports itself, and they don't cancel out a one-star inspection history. The most recent survey was October 2025, so the record is current, not stale. For a family weighing this placement, the staffing and abuse findings deserve direct questions before anything else.
Benefis Senior Services - Eastview runs a nonprofit operation with 64 certified beds in Great Falls, and its nurse staffing sits at 4.15 hours per resident day, roughly 7% above the national average, which is the strongest number here. But weekends run about 9% thinner than weekdays, and annual turnover hits 53.4%, well past the national 45.8%, so that staffing edge depends on a workforce that keeps changing. The inspection record is the real drag: 40 deficiencies, including three at harm or jeopardy level and five tied to abuse, plus two fines totaling $99,129, with the most recent inspection in June 2025. High direct-care hours and a troubled enforcement history can both be true at once.
If you're weighing Sheridan Memorial for a family member, the staffing number is the first thing to understand: 6.10 nurse hours per resident per day, roughly 58% above the national average of 3.86. That's a real difference in daily attention. Weekends dip about 13% below the home's own weekday level, so coverage isn't perfectly even.
The rest of the record is harder to read. Two of the 22 deficiencies on file are at the harm or jeopardy level, five are abuse-related, and one fine totaling $10,358 has been assessed. The last inspection was July 2025, so the picture is current. Staff turnover sits at 60% against a national 45.8%, which matters because consistent caregivers know residents' routines. Strong hours, unsettled oversight.
Wibaux County Nursing Home runs about 2.79 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekends drop another 20% beneath its own weekday coverage. That thin staffing shows up in the federal ratings: one star each for staffing and health inspections. The inspection record carries 30 deficiencies, including three at the harm or jeopardy level and three tied to abuse, plus one fine of $16,985, with the most recent inspection dated April 9, 2026. Turnover sits at 35%, better than the national 45.8%, so the people who stay tend to stay. With 40 certified beds under nonprofit ownership, this is a small rural home where the staffing math and inspection history are the main things to weigh.
Tobacco Root Mountains Care Center is county-owned and runs on unusually heavy staffing, 7.05 nurse hours per resident day, roughly double the national average. That's the strongest thing in its file. The problems sit elsewhere. Inspectors logged 11 deficiencies, two of them at harm or jeopardy level, and four tied to abuse; the most recent inspection was May 21, 2026. Staff turnover runs 72.7% a year against a national 45.8%, meaning most of the people delivering those generous hours are new. Weekend coverage also dips about 10% below weekday levels. High staffing with high churn and abuse findings is a mixed picture, the hours are there, but consistency and safety aren't fully keeping pace.
Park View Haven runs about 4.03 nurse hours per resident day, slightly above the national average, and weekends dip roughly 11% below its own weekday numbers. That's the good news. The trouble sits elsewhere: staff turnover is 72.2% against a 45.8% national average, meaning most of the people caring for residents weren't there a year ago. Its current record carries 13 deficiencies, including one at the harm level and three abuse-related, plus a $34,512 fine. The last inspection was April 2026, so the picture is recent. A 34-bed nonprofit in rural Cedar County can be a genuinely good fit for the right family, but ask hard questions about who's actually on shift, especially weekends.
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?