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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

Showing 361 to 380 of 4,510, best-graded first.

A

93/100

Glencliff Home For The Elderly

Glencliff, NH · Grafton County

CMS 2/5130 bedsGovernmentMedicaid
Nurse hours
4.23 /day
Staff turnover
14%
Serious cites
0

Glencliff Home for the Elderly runs on one of the steadiest nursing staffs you'll find. It's a state-run facility in Grafton County with 130 certified beds, and its 4.23 nurse hours per resident day sit about 9% above the national average. Turnover is the real standout: 13.9% a year, against a national average near 46%. That kind of retention usually means residents see the same faces month after month. The tradeoff shows up in inspections. CMS gives the home a single star for health inspections, and there are 11 deficiencies on the current record, though none involved actual harm or jeopardy, and none were abuse-related. The last inspection was October 2025, so the picture is recent. Weekend staffing dips about 12% below weekdays, worth asking about if your family visits then.

A

93/100

St Joseph's Home Al & Nc, Inc

Woodbridge, NJ · Middlesex County

CMS 5/551 bedsNon-profitMedicaid
Nurse hours
4.76 /day
Staff turnover
13%
Serious cites
0

St. Joseph's runs 4.76 nurse hours per resident day against a national average of 3.86, and its staff turnover sits at 13.2% while the country averages 45.8%, those two numbers together tell you people stay and there are enough of them. Weekend coverage dips about 12% below its own weekday pace, which is worth asking about if your family visits mainly on Saturdays and Sundays. Four deficiencies on record, none involving harm or abuse, and the most recent inspection was April 2025. A stable nonprofit workforce shows up where it matters.

A

93/100

New Jersey Veterans Memorial Home At Paramus

Paramus, NJ · Bergen County

CMS 5/5336 bedsGovernment
Nurse hours
5.77 /day
Staff turnover
22%
Serious cites
0

The state-run veterans home in Paramus has 336 beds and enough nurses to staff them well, 5.77 hours per resident day, roughly half again the national average. Turnover sits at 22% against a national norm near 46%, so the people caring for residents tend to stay. Inspections back that up: a perfect health inspection record, seven total deficiencies with none at the harm level, and a fresh survey from April 2025. One abuse-related citation is on the books, worth asking about directly. Weekend coverage dips about 9% below weekdays, a common pattern but still a gap. Quality measures land mid-pack at three stars, the one number here that isn't strong.

A

93/100

Job Haines Home For Aged People

Bloomfield, NJ · Essex County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
6.11 /day
Staff turnover
13%
Serious cites
0

Job Haines Home is a small nonprofit in Bloomfield, just 40 certified beds, and the nurse staffing number stands out first: 6.11 hours per resident day, roughly 58 percent above the national average of 3.86. Weekend coverage dips about 11 percent below its own weekday levels, though at that baseline even the thinner shifts are well staffed. Staff turnover sits at 12.7 percent against a national average of 45.8 percent, which suggests people stay. The inspection record shows four deficiencies, none tied to harm or abuse, with the most recent visit in April 2025. Quality measures come in at 3 of 5 stars, a quieter spot in an otherwise strong profile.

A

93/100

Wiley Mission

Marlton, NJ · Burlington County

CMS 5/586 bedsNon-profitMedicaid
Nurse hours
5.89 /day
Staff turnover
26%
Serious cites
0

Wiley Mission is run by a church-affiliated nonprofit, and the numbers show a home that spends heavily on people. At 5.89 nurse hours per resident day, it beats the national average by more than half, and weekend staffing dips only about 10% below its own weekday level, a smaller drop than many homes see. Turnover sits at 25.7%, well under the national 45.8%. The tradeoffs are on the record: 19 deficiencies, two tied to abuse, though none reached harm or jeopardy. Its last inspection was in September 2024, and its health and quality ratings sit mid-range at three stars each.

A

93/100

Jewish Home At Rockleigh

Rockleigh, NJ · Bergen County

CMS 4/5196 bedsNon-profitMedicaid
Nurse hours
5.00 /day
Staff turnover
21%
Serious cites
0

The Jewish Home at Rockleigh runs on unusually deep staffing for a 196-bed nonprofit: five hours of nursing care per resident per day, roughly 29% more than the national average, and that shows up in the top staffing rating. Just as telling is the 21.4% turnover rate, less than half the national figure, which suggests a workforce that mostly sticks around. Weekends dip about 9% below weekday coverage, and the record shows 22 deficiencies, one tied to abuse, though none rose to harm or jeopardy. Its most recent inspection came in July 2025, so the picture is current. Strong care numbers, some paperwork problems.

A

93/100

Maplewood Nursing Home Inc

Webster, NY · Monroe County

CMS 5/574 bedsFor-profitMedicaid
Nurse hours
6.07 /day
Staff turnover
43%
Serious cites
0

The numbers that stand out at Maplewood are on the staffing side: 6.07 nurse hours per resident per day, roughly 57% above the national average of 3.86. That's a lot of hands on deck, and it shows in the weekend data too, weekend coverage dips about 9% below weekdays, but from a high baseline, so it never falls to the thin levels common elsewhere. Turnover sits at 42.9%, a bit better than the 45.8% national figure. Trustees can look at the inspection record with some confidence: eight deficiencies on file, none at harm or jeopardy level, none abuse-related, and the most recent survey was May 2025. The corporation running it has kept the place clean on paper.

A

93/100

Sunshine Children's Home And Rehab Center

Ossining, NY · Westchester County

CMS 5/5122 bedsFor-profitMedicaid
Nurse hours
9.75 /day
Staff turnover
36%
Serious cites
0

Sunshine Children's Home in Ossining runs 9.75 nurse hours per resident per day, roughly two and a half times the national average, and weekend staffing dips only about 10% below its weekday level, so care doesn't thin out much when families visit. Turnover sits at 35.9%, well under the 45.8% national figure, which matters in a building where consistency of caregivers is half the job. Federal inspectors gave it top marks across health inspections, quality measures, and staffing, and the most recent survey in June 2025 produced four deficiencies, none at the harm level, though two were abuse-related, worth asking about directly.

A

93/100

St Mary's Center Inc

New York, NY · New York County

CMS 5/539 bedsNon-profitMedicaid
Nurse hours
3.10 /day
Staff turnover
45%
Serious cites
0

St Marys Center is a small nonprofit home in Manhattan, just 39 beds, and its inspection record is the strongest thing about it. Seven deficiencies on the current record, none at the harm or jeopardy level, and the last full inspection came in February 2025, so you're looking at recent information rather than something three years stale. The one abuse-related citation is worth asking about directly. Where it gets more mixed is staffing. At 3.10 nurse hours per resident day, it runs about 20% under the national average, and weekends dip another 10% below its own weekday numbers. Turnover sits at 44.8%, essentially the national rate. Small homes can stretch thin, so ask who covers a Saturday night.

A

93/100

The Osborn

Rye, NY · Westchester County

CMS 4/584 bedsNon-profit
Nurse hours
4.59 /day
Staff turnover
43%
Serious cites
0

The Osborn runs a leaner ship than most: 4.59 nurse hours per resident each day, roughly a fifth more staffing than the national average, and weekend coverage that dips only about 15% below weekday levels, a smaller gap than many homes show. Turnover sits at 42.6%, slightly better than the national 45.8%, though still meaning four in ten staff left last year. The inspection history is the softer spot: 19 deficiencies on record, none rising to harm or jeopardy and none abuse-related, with the most recent survey in February 2025. As a nonprofit, there's no ownership group extracting profit, which tends to show up in numbers like these.

A

93/100

St Margarets Center

Albany, NY · Albany County

CMS 4/592 bedsNon-profitMedicaid
Nurse hours
8.30 /day
Staff turnover
38%
Serious cites
0

St. Margarets Center runs on unusually heavy nursing hours, 8.30 per resident per day against a national average of 3.86, roughly double. Weekends dip only about 7% from weekday levels, so coverage stays fairly steady. Staff turnover sits at 38.4%, better than the 45.8% national figure but not low in absolute terms. The inspection record is the softer spot: 15 deficiencies, three tied to abuse, though none reached harm or jeopardy level, and the most recent inspection came in February 2025. Quality measures score 5/5; inspections 3/5. Nonprofit ownership under a corporation. The staffing and quality numbers carry this home; the survey history is what a family should read closely.

A

93/100

Peconic Landing At Southhold

Greenport, NY · Suffolk County

CMS 5/566 bedsNon-profitMedicaid
Nurse hours
5.09 /day
Staff turnover
46%
Serious cites
0

Peconic Landing sits in Greenport with 66 certified beds and a nonprofit owner, and its nurse staffing runs about 5.09 hours per resident day, roughly a third more than the national average of 3.86. Weekends dip about 11% below its own weekday coverage, so care can feel thinner on Saturdays and Sundays, though the current record holds just 8 deficiencies with none tied to harm or abuse. Staff turnover lands at 45.5%, essentially matching the national figure of 45.8%. The last health inspection came in April 2025.

A

93/100

The Knolls

Valhalla, NY · Westchester County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
4.70 /day
Staff turnover
24%
Serious cites
0

The Knolls runs a small house, 20 certified beds, under nonprofit ownership, and the staffing numbers are where it separates itself. At 4.70 nurse hours per resident day, it sits roughly 22 percent above the national average, and turnover of 24 percent is nearly half the national rate, which matters because consistent caregivers know the residents. Weekend coverage dips about 9 percent below weekday levels, so ask how that plays out on a Sunday. The inspection record shows 8 deficiencies with none at the harm level and none abuse-related, and the most recent survey dates to October 2023, so the picture is recent.

A

93/100

Unc Rockingham Rehab & Nursing Care Center

Eden, NC · Rockingham County

CMS 5/5121 bedsNon-profitMedicaid
Nurse hours
5.58 /day
Staff turnover
31%
Serious cites
0

The numbers here tell a steady story. Nurse staffing runs at 5.58 hours per resident day, roughly 45% above the national average, and that's the main reason the federal staffing rating comes back at the top of the scale. Weekend coverage dips about 13% below weekdays, which isn't unusual but is worth asking about if your family member needs more help on Saturdays and Sundays. Staff turnover sits at 31.4%, well under the national figure, so the people doing the work tend to stay. Seven deficiencies on record, none causing harm and none tied to abuse, with the last inspection in June 2025. Nonprofit ownership, 121 beds. Nothing here looks like a warning sign.

A

93/100

Unc Rex Rehab & Nursing Care Center Of Apex

Apex, NC · Wake County

CMS 5/5107 bedsNon-profitMedicaid
Nurse hours
4.62 /day
Staff turnover
25%
Serious cites
0

Unc Rex Rehab & Nursing Care Center Of Apex runs on 4.62 nurse hours per resident day, about a fifth more staffing than the typical American nursing home, which sits at 3.86. That extra help shows up on weekends too, though weekend coverage runs roughly 9% lighter than weekdays. Staff turnover lands at 25.2%, well below the 45.8% national average, meaning the people caring for residents tend to stick around. The home carries five deficiencies, none at the harm or jeopardy level and none abuse-related, with a clean inspection as recent as May 2025. Nonprofit ownership rounds out a picture of steady, well-staffed care.

A

93/100

Bethany On University

Fargo, ND · Cass County

CMS 5/5172 bedsNon-profitMedicaid
Nurse hours
5.40 /day
Staff turnover
52%
Serious cites
0

Bethany On University has a staffing story worth paying attention to: 5.40 nurse hours per resident day is roughly 40 percent above the national average, and the 5/5 staffing star rating reflects that. Weekend coverage dips about 11 percent below weekdays, so ask how that plays out on Saturdays and Sundays. The inspection record shows 10 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Staff turnover sits at 51.9 percent, higher than the 45.8 percent national figure, which matters for whether care feels consistent from shift to shift. As a nonprofit with 172 beds, its most recent inspection was February 2026, and quality measures score at the top of the federal scale.

A

93/100

Heritage Manor Jewish Hm For

Youngstown, OH · Mahoning County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.86 /day
Staff turnover
31%
Serious cites
0

Heritage Manor runs on 4.86 nurse hours per resident day, about a quarter more staffing than the typical American nursing home, and its weekend coverage dips only modestly below weekdays. Staff turnover sits at 30.9% against a national average near 46%, which matters because consistent caregivers tend to know residents and catch changes early. The home carries seven deficiencies on its current record with none at the harm level and none tied to abuse, and its last inspection was in March 2026. This is a nonprofit operation, so there's no ownership chain pushing toward margin. What stands out across the numbers is steadiness: strong inspection history, solid quality measures, and staffing that holds up.

A

93/100

Courtyard At Seasons

Cincinnati, OH · Hamilton County

CMS 4/545 bedsFor-profitMedicaid
Nurse hours
4.19 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Courtyard At Seasons runs about 4.19 hours per resident day, roughly 8% above the national average, and the weekend dip is fairly modest at around 8% below weekday levels. Staff turnover sits at 27.7%, well under the national 45.8%, which matters for consistency of care. On the inspection side, the home carries 23 deficiencies, but none at the harm or jeopardy level, and one abuse-related finding. The most recent inspection was September 2025, so the record is current. A 45-bed for-profit LLC with that staffing margin and low turnover is doing better than most on the things families notice day to day.

A

93/100

Birchaven Retirement Village

Findlay, OH · Hancock County

CMS 4/5118 bedsNon-profitMedicaid
Nurse hours
5.53 /day
Staff turnover
43%
Serious cites
0

Birchaven runs on a nonprofit model in Findlay, and the staffing numbers are its clearest strength, 5.53 nurse hours per resident day against a national average of 3.86. Weekend coverage dips only slightly below weekdays, so care doesn't thin out much when families tend to visit. Turnover sits at 42.9%, a touch better than the national 45.8%. What holds it back from a cleaner record is the inspection side: 28 deficiencies on file, none serious enough to cause harm, but six tied to abuse. That mix, strong daily staffing and quality marks, a longer-than-ideal deficiency history, is the tradeoff worth weighing. The last state visit was in January 2025.

A

93/100

Twin Towers

Cincinnati, OH · Hamilton County

CMS 5/575 bedsNon-profitMedicaid
Nurse hours
5.06 /day
Staff turnover
51%
Serious cites
0

Twin Towers runs on 5.06 nurse hours per resident day, well above the 3.86 national average, and its weekend staffing only dips about 8% below weekdays, a smaller drop than many homes show. Staff turnover sits at 51%, a bit above the 45.8% national figure, so that's the soft spot. Inspections found 12 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The last full inspection was February 2026, so the record is current. Nonprofit ownership, strong marks on quality measures, and nurse coverage that genuinely exceeds the norm are what's carrying this one.

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?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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