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
Beach Gardens runs 3.11 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends dip about 11% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover sits at 26.9%, well under the national 45.8%, which suggests a steadier crew than most homes even with fewer hands on shift. The current record shows 12 deficiencies, four of them abuse-related, though none reached the harm or jeopardy level, and the last inspection was August 2025. Quality measures score mid-range while inspection and staffing both come in at 2 of 5 stars.
Ocean Gardens runs 280 beds in Arverne under corporate ownership, and its nurse staffing sits at 2.39 hours per resident day, roughly 38% under the national average of 3.86. Weekends dip about 7% below its own weekday levels, so coverage thins exactly when families tend to visit. The inspection record is the bigger concern: 35 deficiencies, one at the harm-or-jeopardy level and four tied to abuse, with the most recent inspection back in September 2023. Turnover at 34.1% is actually better than the 45.8% national figure, which suggests some consistency in who's showing up. The quality measure rating holds at 3 out of 5, but low staffing and that deficiency history are what a family should weigh first.
Finger Lakes Center For Living sits in Auburn with 80 certified beds, run by a nonprofit corporation. The staffing numbers are a real strength: 4.23 nurse hours per resident day, about 10% above the national average, and turnover at 33.7% beats the 45.8% national figure by a wide margin. Weekend coverage dips roughly 13% below weekday levels, which is worth asking about. The trouble is the inspection record, 11 deficiencies, three at harm or jeopardy level, four tied to abuse, and $101,300 in fines across two cases, with the most recent inspection in September 2024. Quality and staffing scores look strong on paper; the survey history tells a harder story.
Hempstead Park runs 251 certified beds under individual for-profit ownership, and its staffing is the first thing that stands out: 3.11 nurse hours per resident day, roughly 20% under the national average of 3.86, with weekends running about 11% thinner than weekdays. Turnover is genuinely better than average at 28.9% against 45.8% nationally, so the people who stay seem to stay. The concern is the record itself, 30 deficiencies, one at harm or jeopardy level and six tied to abuse, plus a $15,445 fine, with the most recent inspection in August 2025. Quality measures score well; the staffing and inspection sides don't.
Highpointe on Michigan runs one of the stronger staffing operations you'll see in Buffalo, 5.41 nurse hours per resident day, roughly 40 percent above the national average, and its 31.6 percent turnover beats the national rate by a wide margin. The problems sit elsewhere. Inspectors have cited 30 deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, and the health inspection rating is 1 out of 5. One fine totaling $129,149 has been assessed, with the last inspection in September 2024. Strong hands-on care, weak compliance history. If you're considering this one, ask directly how the abuse-related findings were resolved.
Medford Multicare Center for Living runs 320 beds under corporate ownership, and its numbers pull in opposite directions. Nurse staffing sits at 3.91 hours per resident day, barely above the national average, but weekends drop about 12% below its own weekday levels, and CMS rates staffing just 1 out of 5. Turnover is 36.2%, better than the 45.8% national figure, so the people who stay tend to stay. What weighs heaviest is the inspection record: 31 deficiencies, including 2 at harm or jeopardy level and 5 tied to abuse, with a $134,713 fine and a February 2025 inspection. Quality measures score well, but that's self-reported data. The state's findings are the ones worth trusting here.
White Oak Manor-Kings Mountain runs 154 beds under corporate ownership, and its nurse staffing sits at 4.03 hours per resident day, modestly above the national average of 3.86. That's the strongest number here, but not by much, and weekends drop about 12% below the home's own weekday coverage. Turnover is 46.5%, roughly in line with the national figure. The inspection record is where the concern sits: 13 deficiencies, including one at the harm level and three tied to abuse, plus a $53,811 fine. State inspectors last visited in August 2025.
Davis Health Care Center is a 115-bed nonprofit home in Wilmington, and its staffing numbers are the first thing to look at. Nurses provide 3.64 hours per resident day, about 6% under the national average, and weekends run roughly 8% thinner than weekdays. Staff turnover is the bigger concern: 64.7% annually against a national average of 45.8%, meaning most of the people caring for residents are relatively new. The current inspection record shows 14 deficiencies, three of them serious enough to involve harm or jeopardy, plus two fines totaling $63,996. The most recent inspection was in April 2025, so the picture is fairly current. Nonprofit ownership is a point in its favor; the turnover and harm-level deficiencies are what I'd ask about directly.
Lillington Health and Rehabilitation Center runs 129 certified beds under corporate for-profit ownership, and its staffing numbers are the first thing to look at. At 3.38 nurse hours per resident day, it sits roughly 12% under the national average, and weekends drop about 15% below its own weekday level, so coverage thins out exactly when families tend to visit. Annual turnover of 53% runs well above the 45.8% national figure, which matters because consistent caregivers know residents' routines. The inspection record is heavier: 35 deficiencies, including 3 at harm or jeopardy level and 4 abuse-related, with one fine of $14,945 and a May 2025 inspection. The quality measure score looks strong, but that's self-reported data, and staffing and inspection results tell a different story.
Western Horizons Care Center has 31 certified beds and runs on 4.75 nurse staffing hours per resident day, about 23% above the national average of 3.86, a real point in its favor, though weekend coverage drops roughly 15% below its own weekday level. The staffing star rating sits at 3/5, but the clinical and inspection record is where things get serious: 35 deficiencies on the current record, including 5 at the harm or jeopardy level and 3 abuse-related, plus three CMS fines totaling $62,703. The most recent inspection was September 4, 2025. It's a nonprofit corporation, and the quality measure rating comes in at 1/5. Stronger-than-average staffing is not offsetting the harm-level findings and fine history here.
The county-owned home in Mcville runs 35 beds and staffs above the national average, 4.07 nurse hours per resident day versus 3.86, which is the strongest thing in its file. But that staffing thins out on weekends, dropping roughly 15% below its own weekday level, and turnover sits at 51.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the real concern: 15 deficiencies, six tied to abuse and one serious enough to put a resident in harm's way, plus a $36,855 fine. The most recent inspection was April 2025. Good daily coverage, a troubling paper trail.
Dunseith Com Nursing Home runs on unusually heavy staffing, 5.50 nurse hours per resident day, roughly 42% above the national average, and that's the strongest thing in its file, reflected in a full five stars from CMS on staffing. The problems sit elsewhere. Inspectors have cited 31 deficiencies, three of them at the level where a resident was actually harmed or put in jeopardy, plus four tied to abuse; the health inspection rating is one star, and two fines total $92,954. Weekend coverage dips about 9% below weekday levels, and turnover runs 56.4% against a national 45.8%. City-owned, 30 beds, inspected most recently in May 2025. Plenty of hands, but the record shows they haven't always kept residents safe.
Spring Creek runs 120 certified beds in Green Springs under a for-profit LLC, and its staffing is the number that stands out. At 3.72 nurse hours per resident per day, it sits about 4% under the national average, and weekends drop roughly 7% below its own weekday level, so coverage thins out exactly when families tend to visit. Turnover at 41.3% is actually a bit better than the 45.8% national figure, which is the one bright spot. The inspection record is heavier: 31 deficiencies, including one at the harm level and two tied to abuse, plus a $77,618 fine. Its last inspection was February 2024.
Gardens Of North Olmsted runs on thinner nursing coverage than most homes, 3.27 hours per resident day against a national average of 3.86, with weekends dipping further below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale.
The inspection record is the bigger concern. The current file holds 56 deficiencies, including six tied to abuse, and the last full inspection was in December 2022, more than two years ago. A for-profit partnership operating 99 beds, this home also sees 58.5% of its nursing staff leave annually, well above the 45.8% national rate. Its quality measure scores look strong, but that data comes from the home's own reporting.
Marion Nursing & Rehab is a for-profit, 99-bed home where the numbers point in different directions. Nurse staffing sits at 3.47 hours per resident day, roughly 10 percent under the national average, and weekends run about 10 percent thinner than weekdays, a pattern that matters most when families visit and fewer hands are on the floor. Its 28 deficiencies include one at the harm level and one tied to abuse, alongside a $40,053 fine, and the most recent inspection was in February 2026. Staff turnover of 39.4 percent is actually better than the 45.8 percent national figure, so retention isn't the weak spot here. The inspection record and low staffing rating are.
Welcome Nursing Home in Oberlin runs a for-profit operation with 99 certified beds, and its staffing numbers are genuinely better than most: 4.09 nurse hours per resident per day, about 6% above the national average, with a 4/5 staffing rating to match. Turnover sits at 27.7%, well under the 45.8% national figure, which matters for consistency of care. The catch is inspections. The current record carries 22 deficiencies, including four tied to abuse, though none rose to the harm or jeopardy level. A 2/5 health inspection rating against a 4/5 on quality measures suggests the day-to-day clinical picture looks steadier than the survey history does. Weekend staffing drops roughly 13% below weekday levels, so ask how that plays out on Saturdays and Sundays.
Shady Lawn Nursing Home is a for-profit LLC operation in Dalton with 98 certified beds, and the numbers split sharply depending on where you look. The health inspection record is the real problem: 37 deficiencies on file, three of them serious enough to put residents in harm's way, plus five tied to abuse, and a single $40,950 fine. Staffing sits at 3.71 nurse hours per resident day, about 4% under the national average, and weekends drop roughly 6% below what the home itself manages during the week. Turnover at 42.1% is slightly better than the 45.8% national figure, so retention isn't the weak spot here, the inspection history is.
Lost Creek Rehabilitation and Nursing Center runs about 3.11 nurse hours per resident day, roughly 19% under the national average, and weekends drop another 13% below its own weekday pace. That thin coverage shows up in the staffing rating, which CMS puts at one star, and in turnover: 51.2% of staff leave annually against a national figure near 46%. Inspections tell a similar story, 29 deficiencies on the current record, three serious enough to involve harm or jeopardy, three tied to abuse, and $55,088 in fines across two cases. Ownership is for-profit, through a limited liability company. The most recent inspection was June 9, 2025, so the record is current.
Windsor Lane runs on a for-profit LLC model with 89 certified beds, and its staffing is genuinely better than most: 4.32 nurse hours per resident day, roughly 12% above the national average, with turnover at 39.8% compared to 45.8% nationally. That's a real strength, though weekends dip about 8% below the home's own weekday coverage. The trouble sits in inspections. A 2-out-of-5 health inspection rating and 42 deficiencies on record, one at harm or jeopardy level, seven abuse-related, tell you the day-to-day care environment has drawn repeated federal citations, most recently in July 2024. Strong quality scores and solid staffing numbers are offset by that inspection history, which is what pulls the overall picture down to average.
Wellspring Health Center runs 54 beds in Cincinnati under for-profit LLC ownership, and its nurse staffing sits at 3.67 hours per resident day, about 5% under the national average, with weekends running roughly 10% thinner than weekdays. That gap matters because staffing is thinner exactly when families tend to visit and when backup is hardest to call in. Staff turnover is 58.1% against a national 45.8%, and the inspection record shows 32 deficiencies, two of them serious enough to cause harm or jeopardy. The last inspection was in December 2025, so it's current, and there's one fine on record for $110,468. Quality measures look strong; the inspection and turnover numbers are the ones worth asking about directly.
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?