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
Lebanon Valley Home runs a tight ship on the numbers that matter most. Nurses deliver 4.68 hours of care per resident each day, roughly a fifth more than the national average, and weekend coverage barely dips below weekday levels. Staff turnover sits at 17.7 percent, well under half the national rate, which means the people caring for residents tend to stick around. The inspection record backs it up: two deficiencies total, none causing harm and none tied to abuse, with the most recent state visit in September 2025. As a nonprofit, it isn't answerable to shareholders. The care hours are there, the staff are stable, and the record is clean.
Valley View runs on a nonprofit model with 163 certified beds, and its staffing is the strongest part of the picture: 4.47 nurse hours per resident day, about 16% above the national average, with a 5-star staffing rating to match. Turnover sits at 26.7% against a national average of 45.8%, which matters for whether your family sees the same faces month to month. The tradeoffs are elsewhere, 34 deficiencies on record including 5 abuse-related, though none reached harm or jeopardy, and weekend staffing dips roughly 10% below weekday levels. One fine totaling $11,788 and an April 2026 inspection round out a record that's solid but not spotless.
Redstone Highlands has the staff most families are looking for, 4.59 nurse hours per resident day, well above average, and turnover at 42.4% actually beats the national figure. But staffing is only one part of the picture, and the rest is troubling. The current inspection record shows 45 deficiencies, including 7 at the harm or jeopardy level and 4 abuse-related, plus six fines totaling $67,296. That inspection history is why the health inspection rating sits at 1 out of 5. Weekend coverage runs about 13% thinner than weekdays, so the strong weekday numbers don't hold steady across the week.
Monumentalpostacutecare at Woodside Park is a 180-bed for-profit partnership in Philadelphia, and its inspection record is the first thing a family should see. Fifty deficiencies on the current record, including two at the harm or jeopardy level and six tied to abuse, is a lot of documented trouble for one building. Staffing sits at the lowest federal tier while quality measures land mid-range, and two fines totaling $30,752 are on file. The last inspection was December 11, 2025, so the record is recent, not stale. If you're considering this home, ask directly about the abuse-related findings and how the current administrator has addressed them.
Little Sisters Of The Poor runs a tight ship on the staffing side, 5.26 nurse hours per resident day beats the national average by more than a third, weekend coverage holds up reasonably well, and turnover at 32.8% is well below the typical 45.8%. That's genuinely hard to find. The trouble is everything else. Forty-six deficiencies sit on the current record, four of them serious enough to put residents in harm's way, three tied to abuse, and the inspection history has drawn four fines totaling $59,057. The most recent state visit was January 22, 2026, so the record is current, not stale. Strong hours per resident don't mean much when the survey record shows this many repeated problems.
Fox Subacute At South Philadelphia runs on a nonprofit corporate structure and 53 certified beds, and its nurse staffing comes in at 5.71 hours per resident day, roughly 48% above the national average of 3.86. But the inspection record is where the story turns: 18 deficiencies on file, two of them serious enough to reach harm or jeopardy level, plus two abuse-related citations and a $12,735 fine. Weekend staffing drops about 10% below the home's own weekday level, so the coverage families see on a Tuesday isn't necessarily what shows up on a Saturday. Turnover sits at 42.7%, a bit better than the 45.8% national figure, and the most recent inspection was February 2026.
Tunkhannock Rehabilitation & Health Care Center runs 52 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.36 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 8% below its own weekday coverage, so the thinnest shifts land when families tend to visit. The inspection record carries six deficiencies, including one at the harm or jeopardy level and two tied to abuse, with the most recent inspection dated February 20, 2026. CMS gives it 2 out of 5 stars on health inspections, while quality measures and staffing each land at 3. If you're weighing this one, ask directly how the abuse findings were resolved and what weekend nurse coverage actually looks like on the schedule.
Delaware Valley Veteran's Home is state-run and holds 171 certified beds, and its staffing numbers are its strongest asset: 4.23 nurse hours per resident day, roughly 10% above the national average, with turnover at 29.6% compared to 45.8% nationally. Weekend coverage dips about 14% below weekday levels, so families should ask how that gap gets managed. The inspection record is where the picture dims. Twenty-two deficiencies are on file, three at harm or jeopardy level and two abuse-related, with a $10,036 fine and a survey completed in July 2025. Strong quality and staffing ratings sit alongside real regulatory findings, worth weighing carefully before deciding.
Hollidaysburg Veterans Home runs on unusually deep staffing for a nursing home, 5.13 nurse hours per resident day, roughly a third more than the national average, with weekend coverage dipping only about 10% below weekdays. Turnover sits at 23.3%, about half the national rate, which suggests aides and nurses tend to stay. The trouble shows up in inspections: 41 deficiencies on the current record, including three at harm or jeopardy level and five tied to abuse, and the state's most recent look came in June 2025. A state-run veterans home with steady staff and a thin inspection record is the tradeoff here, call about those harm-level findings before you visit.
Southwestern Veterans Center has real strengths on paper. Its 4.27 nurse staffing hours per resident day beats the national average by about 11%, and that shows up in a five-star staffing rating. But weekends run roughly 13% thinner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. The trouble sits elsewhere: 36 deficiencies on the current record, including three at harm or jeopardy level and two tied to abuse, plus a $245,564 fine. Staff turnover matches the national rate at 45.8%, meaning nearly half the nursing staff leaves each year. Quality measures look strong at four stars, but a two-star inspection record is what's dragging this home's overall standing down.
Saint Elizabeth Home in East Greenwich runs a nonprofit operation with 168 beds, and its nurse staffing is genuinely strong, 4.92 hours per resident day, about 27% above the national average. Weekend coverage dips roughly 9% below its own weekday levels, so ask how that plays out on a Sunday. Turnover sits at 37.8%, better than the 45.8% national figure. The trouble is the inspection record: 22 deficiencies, including 2 at harm or jeopardy level and 5 abuse-related, with two fines totaling $64,230. That combination, good staffing, weak inspection history, is worth asking the administrator about directly before you decide.
South Kingstown Nursing & Rehab Center runs 112 certified beds as a for-profit corporation, and its nurse staffing sits at 3.58 hours per resident day, about 7% under the national average of 3.86. Weekends dip roughly 9% below its own weekday levels, so coverage thins out right when families tend to visit. The inspection record is the bigger concern: 12 deficiencies, two of them serious enough to involve harm or jeopardy, two tied to abuse, plus one fine of $14,069. That current record earned a 2-out-of-5 inspection rating from CMS, with quality measures also at 2. Last inspection was February 2025. Staff turnover, at 43.2%, actually runs slightly below the national rate.
C M Tucker Jr Nursing Care Center in Columbia runs on state government ownership and a big staff, 5.20 nurse hours per resident day, roughly a third more than the national average, though weekends drop about 17% below its own weekday level. What that staffing buys is a spotty record: 24 deficiencies on file, seven serious enough to put residents in harm's way, three tied to abuse, and four fines totaling $244,929. The last inspection was in May 2025, so the picture is current. High direct-care hours coexist here with repeated, sometimes dangerous, compliance failures, a split worth weighing carefully if you're choosing a place for someone.
Martha Franks Baptist Retirement Center sits in Laurens, and the numbers tell a mixed story worth sorting through. Nurse staffing runs 4.24 hours per resident day, roughly 10% above the national average, and weekend coverage holds up reasonably well even if it dips about 13% below weekdays. Staff turnover at 41.1% is slightly better than the national 45.8%, so people aren't fleeing. Where it gets harder: 11 deficiencies on the current record, including one at the harm level and two tied to abuse, with a $12,735 fine. The last inspection was September 2025. Good daily care hours, but a compliance record that needs a close look.
Senior Care Of Marion runs 95 certified beds under for-profit LLC ownership, and the numbers worth knowing sit in its inspection record: 15 deficiencies, two of them serious enough to reach harm or jeopardy, and two tied to abuse. Turnover runs at 54.7%, well above the 45.8% national average, which matters because it means the people caring for residents keep changing. CMS gave it 2 out of 5 stars on both health inspections and quality measures. A recent inspection in September 2025 didn't undo any of that, and two fines totaling $24,054 are on file. If you're considering this one, ask directly about staffing stability and how those abuse-related findings were resolved.
The staffing numbers at United Living Community look strong at first glance, 4.78 nurse hours per resident day, well above the national average, and CMS agrees, giving it 4 out of 5 staffing stars. But weekends run about 12% leaner than weekdays, so the coverage your family member gets on a Saturday won't match a Tuesday. Turnover sits at 50%, higher than the national 45.8%, meaning the people providing that care are often new. The inspection record is where things get concerning: 22 deficiencies, including 2 at the harm level and 5 abuse-related, plus $33,027 in fines. That combination is what pulls the overall picture down to a C.
Centerville Care and Rehab runs 42 certified beds under corporate ownership, and its nurse staffing sits at 3.31 hours per resident day, roughly 14% under the national average of 3.86. Weekends thin out further, running about 18% below the home's own weekday coverage, which matters when you're thinking about who's on hand on a Saturday night.
The inspection record shows 19 deficiencies, including one at the harm or jeopardy level and two tied to abuse. One fine totaling $55,059 has been levied. Staff turnover comes in at 43.9%, slightly better than the national 45.8%, and the most recent inspection was May 2025. The staffing and quality measure ratings both land at 2 out of 5.
Bethany Home in Brandon has plenty of hands on deck, 4.66 nurse hours per resident day, roughly a fifth more than the national average, and that staffing shows up in its four-out-of-five staffing rating. But the numbers stop looking good there. State inspectors have cited 27 deficiencies on the current record, four of them at the level where residents were actually harmed or put in jeopardy, and four tied to abuse. The health inspection and quality ratings both sit at the bottom of the scale, and the home has paid three fines totaling $51,350. Weekend coverage runs about 14 percent thinner than weekdays, and 54 percent of staff turned over last year, above the national rate.
Meridian Care of Alice runs 201 certified beds under individual for-profit ownership, and the staffing picture is mixed in a way worth understanding. Total nurse coverage sits at 3.21 hours per resident day, roughly 17 percent under the national average, and weekends drop about 14 percent below the home's own weekday level. The one number that looks better than average is turnover: 34.7 percent against a national 45.8 percent. But the inspection record is where the real concern lives: 18 deficiencies on file, four at harm or jeopardy level, three tied to abuse, and two fines totaling $211,990, with the most recent inspection dated March 2026. Strong quality measures and low turnover don't outweigh that harm-level history.
The Meadows runs on 2.90 nurse hours per resident day, roughly a quarter below the national average of 3.86, and weekend coverage dips even further below its own weekday levels. The current record shows 32 deficiencies, five of them at harm or jeopardy level and four tied to abuse, with $35,731 in fines across two penalties. Staff turnover sits at 58.1%, well above the 45.8% national figure, under for-profit LLC ownership. The quality measure score of 4 out of 5 may look reassuring, but it stands against a 1 out of 5 inspection rating and a 2 out of 5 on staffing, the numbers families weigh most heavily. The most recent inspection was January 15, 2025, so the record is current.
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?