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
Saint Joseph Care Center runs 60 beds in Louisville under corporate for-profit ownership, and its nurse staffing sits at 3.33 hours per resident day, roughly 14% under the national average of 3.86. Weekends drop another 13% below the home's own weekday coverage, and annual turnover of 54.1% means more than half the nursing staff leaves each year, well above the 45.8% national figure. The inspection record shows 29 deficiencies, including two at the harm or jeopardy level and four tied to abuse; that last inspection was January 5, 2026. With a 2-out-of-5 staffing rating and a 2-out-of-5 inspection rating against a 3-out-of-5 on quality measures, the pattern here is thin coverage, heavy turnover, and a recent record that warrants questions.
Rae Ann Geneva runs on thin staffing: 3.16 nurse hours per resident day, roughly 18% under the national average, and weekends drop about another 10% below its own weekday levels. That shortfall shows up in the numbers that matter most, a 69.3% annual turnover rate, a one-star CMS staffing rating, and a one-star health inspection rating. The current record carries 35 deficiencies, including one at the harm or jeopardy level and six tied to abuse. Its four-star quality measure rating reflects resident outcome data, but strong outcomes don't offset inspections that found real problems in May 2025, or a workforce where more than two-thirds of staff leave each year.
Bella Terrace runs on 3.17 nurse hours per resident day, roughly 18 percent under the national average, and weekends dip about 10 percent below its own weekday staffing. Turnover sits at 46.4 percent, basically in line with the national rate, so the shortfall isn't explained by churn alone, it's simply fewer hours per resident. The inspection record shows 58 deficiencies, three of them serious enough to put residents at harm or jeopardy, plus one $86,720 fine; the last inspection was July 2025. Corporate ownership and a one-star staffing rating round out the picture. The five-star quality measure score reflects reported care measures, not the hands available to deliver that care.
St Luke Lutheran Community-Portage Lakes is a 56-bed nonprofit in Akron, and the numbers tell a split story. Nurse staffing sits at 3.15 hours per resident day, roughly 18% under the national average, and the weekend gap makes it thinner when families visit most. An 81% annual turnover rate, nearly double the national figure, means the people caring for your relative are likely new and still learning the building. Inspections look better: the last one was in November 2024, and the record shows 24 deficiencies, three tied to abuse and one serious enough to cause harm. High quality-measure scores and a 4-star inspection rating don't cancel out a 1-star staffing picture. Ask directly how they hold shifts together on weekends.
Valley Oaks runs on 3.21 nurse hours per resident day, roughly 17% under the national average of 3.86, and that thin margin holds steady on weekends, so there's no extra coverage when families visit. The bigger strain is turnover: 88.1% of nursing staff left last year, nearly double the national rate of 45.8%. Consistent caregivers are hard to keep when nearly everyone is new. The record isn't alarming on safety, 14 deficiencies, none causing harm, none tied to abuse, and the most recent inspection was March 2026. Quality measures score well, but that staffing number sits at the bottom of CMS's scale, and it's the piece families feel daily.
Wayside Farm runs on 3.04 nurse hours per resident day, roughly a fifth below the national average, and weekends dip about 11% below its own weekdays. That thin coverage shows up in the inspection record: 19 deficiencies, two at harm or jeopardy level, one tied to abuse, and $165,448 in fines across two penalties. Staff turnover, at 45.3%, is essentially the national rate, so retention isn't the outlier here, daily staffing is. The 4/5 quality measure score reflects resident care measures, but those can look fine while hands-on time lags. The last inspection was August 2024. If you're considering this one, ask directly how many nurses are on the floor on a Saturday.
The Ohio Veterans Home in Sandusky runs on state government ownership, and its staffing numbers are genuinely strong, 4.86 nurse hours per resident per day, about a quarter more than the national average, with staff turnover at 36.2% against a national 45.8%. Weekend coverage dips roughly 9% below its own weekday level, which is worth knowing if your visits fall on Saturdays or Sundays. The friction sits in its inspection record: 23 deficiencies on file, including 3 at the harm or jeopardy level and 7 tied to abuse, with the last inspection in January 2024. Strong day-to-day care numbers and a troubled regulatory history can coexist at the same address.
Pocola Health and Rehab runs 90 certified beds under for-profit LLC ownership, and its staffing sits at 4.07 nurse hours per resident day, roughly 5% above the national average of 3.86. That's the strongest number here, though weekends drop about 13% below the home's own weekday levels, so coverage thins out when families tend to visit. Staff turnover is 50%, higher than the 45.8% national average. The inspection record is where it gets harder to explain away: 28 deficiencies, three at harm or jeopardy level, seven tied to abuse, and one fine of $14,069, with the most recent inspection in July 2025. CMS rates quality measures 1 out of 5 and inspections 2 out of 5.
Heritage Hills Living & Rehabilitation Center runs 81 certified beds in McAlester under individual for-profit ownership, and the numbers that stand out most are on the inspection side: 52 deficiencies on the current record, including one at the harm or jeopardy level and four tied to abuse. That's a lot of findings, and the one-star health inspection rating reflects it. Nurse staffing sits at 3.29 hours per resident day, roughly 15% under the national average of 3.86, with turnover at 54.4% against a national 45.8%. Weekend coverage holds level with weekdays, which is something. The last inspection was October 31, 2024, and there's one fine on record totaling $73,288. Ask about the abuse-related findings and how they've been corrected.
Baptist Village Of Oklahoma City runs a nonprofit operation with 120 certified beds, and its nurse staffing sits at 6.15 hours per resident day, roughly 59% above the national average of 3.86. That cushion matters, though weekend coverage dips about 14% below its own weekday level, and annual turnover of 54.9% tops the national 45.8%, so the people delivering those hours keep changing. The recent inspection picture is the harder read: 25 deficiencies on record, including four at the harm or jeopardy level and two tied to abuse, plus two fines totaling $28,695. The last inspection was October 2025. Strong staffing, but a citation history worth asking about directly.
Elmwood Manor runs 46 beds in Wewoka under for-profit LLC ownership, and its last health inspection in October 2024 left a serious paper trail: 34 deficiencies on the current record, three of them serious enough to cause harm or place residents in jeopardy, and four tied to abuse. That inspection history is why CMS gives the place one star for health inspections even though its staffing and quality measure scores look better on paper.
The staffing picture is mixed rather than reassuring. Nurse coverage sits at 3.80 hours per resident day, just under the national average, but weekend staffing runs roughly 13% below the home's own weekday level, so care thins out exactly when families tend to visit. Annual turnover of 48.8% tops the national rate, meaning the aides and nurses you meet may not be there long.
Fairfax Behavioral Health & Memory Care runs on 3.24 nurse hours per resident day, about 16% under the national average, and weekends dip roughly 21% below its own weekday staffing. That thin coverage shows up in the inspection record: 36 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $71,440 in fines across two penalties. CMS rated it 2 stars for health inspections, 1 for quality measures, and 2 for staffing. The corporation that owns it has kept the same problems on the books through a July 2025 inspection, which is recent enough to count as current, not past.
Chandler Therapy & Living Center runs a for-profit operation with 76 certified beds, and its nurse staffing sits around 4.22 hours per resident day, roughly 9% above the national average. That's a real strength, though weekend coverage dips about 8% below its own weekday levels. The harder numbers are elsewhere: staff turnover hits 81.4% against a national average near 46%, which means the people caring for residents are constantly changing. The current inspection record carries 54 deficiencies, including 4 at harm or jeopardy level and 5 tied to abuse, plus 17 fines totaling $136,524. The most recent inspection was in December 2025. High staffing and high turnover can coexist, and here they do.
The Cottage Extended Care has 176 beds and is run by an individual for-profit owner. Its nurse staffing sits at 3.95 hours per resident day, just above the national average of 3.86, but that margin is thin, and weekends run about 11% below its own weekday level, which is when families tend to visit and notice. The bigger issue is turnover: 84.7% of staff leave each year, nearly double the national rate of 45.8%. Inspections look decent on paper, with a 4/5 star rating and a recent January 2025 visit, but the current record carries 18 deficiencies, including one at the harm level and three tied to abuse. Quality measures rate 1/5.
McMahon-Tomlinson runs a nonprofit shop with 142 beds in Lawton, and the staffing number is the one bright spot: 4.05 nurse hours per resident day, about 5% above the national average. Weekends slip roughly 7% below its own weekday coverage, so the weekday-to-weekend gap is real.
The inspection record is where the trouble sits. Twenty-one deficiencies on the current record, two of them at harm or jeopardy level, three tied to abuse. CMS has fined the home once, for $9,750, and the most recent inspection closed in December 2025. All three star ratings, health inspection, quality measures, staffing, come in at 2 out of 5. Stronger-than-average hours haven't translated into a clean survey history, and that combination is worth asking the administrator about directly.
North Winds Living Center is a 29-bed for-profit home in Oklahoma City where the staffing numbers tell two different stories. Nurses provide about 3.12 hours of care per resident each day, roughly 19 percent under the national average of 3.86, yet CMS gives staffing 4 out of 5 stars, and weekend coverage actually runs slightly above weekday levels. Turnover is the harder fact: 56.5 percent of staff leave annually, well above the 45.8 percent national rate, which matters more in a small building where every departure is felt. The inspection record shows 17 deficiencies, including two at the harm level and two tied to abuse, with the most recent inspection in May 2025.
Oregon Veterans Home in The Dalles runs one of the stronger operations in the state on paper. Nurse staffing sits at 5.03 hours per resident day, roughly 30% above the national average, though weekends drop about 14% below its own weekday level, worth asking about if you're visiting on a Saturday or Sunday. Staff turnover at 41.2% is a bit better than the national 45.8%, which matters for consistency of care. Twelve deficiencies on the current record, none at harm or jeopardy level, but three are abuse-related, so read those inspection reports closely. The last inspection was March 2025, so the picture is current.
Staffing is where Lebanon Veterans Home stands out: 5.61 nurse hours per resident day, roughly 45% above the national average, with turnover at 35.6% against a national 45.8%. Weekend coverage dips about 14% below weekday levels, so care does thin out on Saturdays and Sundays. The catch is the inspection record, 35 deficiencies, four tied to abuse, and a two-out-of-five health inspection rating, though none of the findings rose to actual harm or jeopardy. State-run ownership and a September 2025 inspection mean the record is current. Strong staffing doesn't erase four abuse-related deficiencies; read the inspection reports before deciding.
Avalon Care Center - Portland runs 5.67 total nurse hours per resident day, well above the national average, and its staff turnover of 39.1% is better than the typical home. Those are real positives, and they show up in a 4/5 staffing rating and a 5/5 quality measure score. The problem is inspections: 32 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse. The health inspection rating sits at 2/5, and the most recent survey was July 2025. Weekend staffing also drops about 10% from weekday levels. Strong daily care numbers don't cancel out a long, serious inspection history, ask about that record directly.
Passavant Retirement and Health in Zelienople runs on strong staffing numbers: 4.51 nurse hours per resident day, roughly 17% above the national average, and turnover of 36.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits fall on Saturdays or Sundays. Then there's the inspection record, and it's the reason the grade lands where it does: 38 deficiencies on the current record, three at harm or jeopardy level and four abuse-related, with the most recent inspection dated February 27, 2026. A church-affiliated nonprofit with 102 beds, this home staffs well and scores well on quality measures, but its last survey turned up serious problems. Read that inspection report before you decide.
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?