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
Jefferson Community Health & Life Gardenside is a 39-bed nonprofit in Fairbury, and its inspection record is genuinely strong, a five-star health inspection rating, with five deficiencies on file and none rising to actual harm or jeopardy. The staffing number is where it falls apart. At 0.14 nurse hours per resident per day, this home reports roughly 96 percent less nursing time than the national average of 3.86, and weekends run about a third thinner than its own weekdays. Annual turnover sits at 53.3 percent against a national 45.8. Two of those five deficiencies are abuse-related, which matters more at a home this small. A clean inspection and almost no reported nursing hours can both be true at once, ask which one reflects daily life there.
Lafayette Center is a 72-bed for-profit home in Franconia, and the numbers behind its record are worth walking through slowly. Nurse staffing sits at 3.58 hours per resident per day, about 7% under the national average, and it thins out further on weekends. Staff turnover runs near 55%, well above the national figure, and CMS has placed the home in its Special Focus Facility program, a designation reserved for homes with a persistent pattern of problems. The current inspection record shows 29 deficiencies, including one at the harm level and two tied to abuse, plus a $50,164 fine and a one-star health inspection rating. A May 2025 inspection is recent, so the picture reflects current conditions rather than old ones.
Fairview Nursing Home sits just barely above the national average for nurse staffing, 3.92 hours per resident day against 3.86, but that thin margin comes with a catch: weekends run roughly 8% leaner than weekdays, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger number to sit with is turnover: 97.1% of staff leaving in a year, more than double the national rate of 45.8%, which means the aides and nurses caring for residents are, on average, still learning the building. Its inspection record shows 16 deficiencies, including two tied to abuse, and a one-star health inspection rating, though none of the current citations reached the level of actual harm or jeopardy.
Bridgeway Care and Rehab Center at Bridgewater runs 151 certified beds under corporate ownership, and its nurse staffing sits at 3.99 hours per resident day, a bit above the national average of 3.86, though weekends drop roughly 12% below what the home staffs on weekdays. Turnover is 45.3%, essentially in line with the national figure. The current inspection record shows 11 deficiencies, including 2 at the harm or jeopardy level and 2 tied to abuse, with one fine of $7,901. The most recent inspection was March 31, 2025, so the picture is current. A 4-star health inspection rating and 4-star staffing rating sit alongside a 3-star quality measure rating, which is where the mixed signals come from.
Rose Garden runs about 3.70 nurse hours per resident per day, roughly 4% under the national average of 3.86, and weekends drop about 17% below its own weekday coverage. Turnover sits at 41.7%, a bit better than the 45.8% national figure, but the current record shows 21 deficiencies, including one at the harm level and two tied to abuse, plus a $17,345 fine. State inspectors were last on site September 18, 2025, and the health inspection rating came back 2 out of 5 even as the quality measure score hit 4 out of 5, a split worth asking about, since that quality number partly reflects how well the home reports its own data. The individual for-profit owner means no chain resources to lean on. Ask what changed since September.
The New Mexico State Veterans Home in Truth Or Consequences runs 6.02 nursing hours per resident day, roughly 56% above the national average of 3.86, and weekend coverage stays within about 9% of weekday levels. That staffing cushion is doing real work, because the rest of the record is heavy: 65 deficiencies, 7 of them at harm or jeopardy level, 2 abuse-related, plus an $44,226 fine. Annual turnover hits 84.1% against a national 45.8%, meaning most of the people providing that generous staffing are new or on their way out. The last inspection was 2024-12-27, so the picture is current. Strong hours, unsettled workforce, and a long enforcement history, that combination is what drives the low overall grade.
Artesia Healthcare & Rehabilitation Center runs 65 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.24 hours per resident day, roughly 16 percent under the national average of 3.86. Weekends get thinner still, about 22 percent below the home's own weekday coverage, which matters most when families visit and when residents need hands-on help. Turnover is 34 percent, better than the 45.8 percent national figure, so the crew that is there tends to stay. Against that, the record shows 50 deficiencies, four tied to abuse, none flagged at harm or jeopardy level, with the most recent inspection dated February 26, 2026. Quality measures score low; staffing and inspections sit mid-range.
The Neighborhood In Rio Rancho runs a nonprofit shop with 72 beds, and the raw nursing hours look generous, 4.83 per resident day against a national average of 3.86, roughly a quarter more hands-on time than most homes. But look at who's providing it: annual turnover sits at 82.3%, nearly double the national figure, and weekend coverage drops about 9% below weekday levels, so that staffing edge is fragile in practice.
The inspection record is where things get concerning. Thirty-eight deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. A 2-out-of-5 inspection rating and a November 2025 survey date back that up.
Laguna Rainbow runs on a nonprofit model in Casa Blanca, and its nurse staffing sits about 19% above the national average, a real edge, with 4.61 hours per resident day. But look closer and the picture splits: weekends run roughly a fifth thinner than weekdays, and turnover hits 70.2%, well past the 45.8% national mark. That churn matters more than the headcount suggests. The inspection record is the heavier concern, 38 deficiencies, six tied to abuse and one serious enough to reach harm or jeopardy, plus a $24,570 fine. The last survey was March 2026. Strong quality scores and steady weekday coverage sit alongside a staffing pattern that thins on weekends and a workforce that keeps turning over.
A Holly Patterson Extended Care is a 589-bed state-run home in Uniondale, and its numbers pull in different directions. Staff turnover sits at 15.7%, well below the 45.8% national average, yet total nurse staffing is 2.79 hours per resident day, roughly 28% under the national figure of 3.86, and weekends run about 14% leaner than weekdays. That gap matters more than the retention number, because steady staff who aren't there in enough numbers still can't cover the floor. The inspection record is the harder problem: 21 deficiencies, six at harm or jeopardy level and four abuse-related, with three fines totaling $141,265. New York State owns it, so there's no corporate chain to blame or petition, the accountability runs to Albany.
Aurelia Osborn Fox Memorial Hospital sits in Oneonta with 131 certified beds and a nonprofit owner. Staffing runs slightly under the national average at 3.80 hours per resident day, and weekends drop about 18% below its own weekday levels, so coverage thins out when families tend to visit. The bigger issue is the inspection record: 29 deficiencies, including one at the harm or jeopardy level and three tied to abuse, with a 1-out-of-5 health inspection rating. Turnover at 37.1% actually beats the national 45.8%, which suggests staff stick around. Ask about that harm-level finding and what changed after the April 2025 inspection.
Wesley Health Care Center runs 356 certified beds as a nonprofit corporation, and its nurse staffing sits at 4.00 hours per resident day, about 4% above the national average of 3.86. That margin shrinks on weekends, when coverage drops roughly 17% below the home's own weekday level, so the weekday-to-weekend gap is worth asking about directly. Annual turnover is 46.8%, nearly identical to the national 45.8%. The current record shows 19 deficiencies, none at the harm or jeopardy level and none abuse-related, with the last inspection dated November 19, 2024. CMS rates staffing 4 out of 5 and quality measures 3 out of 5, but health inspections just 2 out of 5, the weaker inspection history is the main thing pulling the overall picture down.
Montgomery Nursing and Rehabilitation Center runs about 3.07 nurse hours per resident day against a national average of 3.86, roughly a fifth less hands-on time, and weekends dip another 10% below its own weekdays. Turnover sits at 38.5%, better than the 45.8% national figure, so the people who stay tend to stay. Inspections are the weak spot: a 2-out-of-5 health inspection rating, 27 deficiencies on the current record including one abuse-related citation, though none rose to actual harm or jeopardy. The last survey was January 2025, so that record is recent. Quality measures score well at 4 out of 5, which softens the picture but doesn't change the staffing math.
Renaissance Rehabilitation and Nursing Care Center in Staatsburg is a for-profit home with 120 certified beds, and its staffing is the first thing that stands out: 2.10 total nurse hours per resident per day, roughly 46% under the national average of 3.86, with weekends running about 14% thinner than weekdays. That shortfall shows up in CMS's staffing rating of 1 out of 5, and the inspection record is worse, a 1-star health inspection rating, 56 deficiencies including 2 at harm or jeopardy level and 5 abuse-related, and placement in the federal Special Focus Facility program. Turnover at 23.9% is better than the 45.8% national figure, and the 4-star quality measure rating reflects resident outcome data, but the September 2024 inspection and the enforcement history carry more weight here.
Samaritan Keep is a 272-bed for-profit home in Watertown, and its numbers tell two different stories. The good one is quality measures, where it rates 4 out of 5, but that sits next to a 1-star health inspection record with 30 deficiencies, including three at harm or jeopardy level and four tied to abuse, plus two fines totaling $76,137. Staffing looks better on paper at 4.05 nurse hours per resident day, about 5% above the national average, but weekends run roughly 20% below its own weekday level, and CMS rates staffing just 2 stars. Its most recent inspection was March 2026, so the record is current. Ask about weekend coverage and how the abuse-related findings were resolved.
Jennie B Richmond Chaffee in Springville runs a nonprofit home of 80 beds where the day-to-day staffing is genuinely strong, 4.04 nurse hours per resident day, slightly above the national average, and its 32.6% turnover is well below the 45.8% typical elsewhere, which matters because consistent aides know the residents. Weekends thin out about 15% from weekday coverage, so ask how that plays out on a Sunday. The harder reading is the inspection record: 14 deficiencies, including two at harm level and four tied to abuse, plus a $68,591 fine, and the state's last visit was June 2025. Good care on paper, uneven oversight in practice.
St Johnland runs a 250-bed nonprofit home in Kings Park, and the staffing numbers are better than average: 4.14 nurse hours per resident day, about 7 percent above the national figure, with turnover at 39 percent versus 45.8 percent nationally. Weekends dip roughly 9 percent below weekday coverage, though. What pulls the record down is inspection history, 21 deficiencies on file, including two at the harm level and three tied to abuse, plus a $30,817 fine and a one-star health inspection rating, with the last survey in December 2024. The quality measure score is strong and staffing is decent, but the enforcement record is where a family should focus questions.
The Eastern Star home in Oriskany runs a nonprofit operation with 86 certified beds, and its staffing numbers are where the trouble starts: 3.42 nurse hours per resident day, about 11% under the national average, with weekend coverage dipping roughly 3% below its own weekday level. CMS gives staffing a single star, and that 65% annual turnover, well above the 45.8% national figure, means the people providing that care keep changing. Thirteen deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, and the last inspection was November 2024. Quality measures also land at two stars. Nothing here suggests danger, but the pattern is thin coverage and a lot of churn.
The county runs this 115-bed home in Machias, and its strongest number is staffing: 3.76 nurse hours per resident day, close to the national average, with turnover at 36.8% against a national 45.8%, people here tend to stay. Weekends tell a different story, running about 11% thinner than weekdays. The trouble sits on the inspection side: 12 deficiencies on the current record, including one at the harm or jeopardy level and five tied to abuse, plus a $125,453 fine, with the last inspection in February 2025. CMS rates quality measures 1 out of 5. Staffing is not the problem here; oversight and resident safety are what the record keeps flagging.
Terrace View is a 390-bed county-run home in Buffalo, and its numbers pull in different directions. Nurse staffing runs 4.28 hours per resident day, about 11% above the national average, which matters at this size, but weekends drop roughly 11% below the home's own weekday levels, so coverage thins out when families tend to visit. The inspection record is the harder part: 18 deficiencies on file, including two at the harm or jeopardy level and four tied to abuse, plus one fine of $30,843. The last inspection was August 2024. County ownership can mean steady funding; it doesn't erase those findings.
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?