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
Vernon Green runs a real staffing advantage, 4.44 nurse hours per resident day against a national average of 3.86, and turnover at 36.2% versus 45.8% nationally. That's the good news, and it's genuine.
The trouble sits on the inspection side. Forty-three deficiencies on the current record, three serious enough to involve harm or jeopardy, five tied to abuse. One fine of $87,896. A two-star health inspection and two-star quality measure score pull against the five-star staffing. Weekend coverage also drops about 15% below the home's own weekday levels, so the strong average doesn't hold steady across the week.
A nonprofit with 60 beds and recent inspection activity in January 2026, worth asking directly about the abuse-related findings and what changed since.
Nurse staffing at The Rehab Center At Bristol runs 3.94 hours per resident day, just above the national average, but weekends drop about 10% below its own weekday level, so the coverage your family sees on a Tuesday may not be what shows up on a Sunday. The bigger concerns sit elsewhere: 33 deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, plus a 1-out-of-5 rating on CMS quality measures. Staff turnover is 48.1%, higher than the 45.8% national average, and this for-profit limited liability company carries a $10,358 fine. Its last inspection was October 1, 2025, so that record is recent.
The Virginia Home in Richmond is a nonprofit with 130 certified beds, and its staffing tells a mixed story. Nurses provide 4.67 hours per resident day, about 21 percent above the national average, and turnover sits at 16.5 percent against a national average near 46, a big deal, since stable staff usually means residents see familiar faces. Weekends run roughly 7 percent lighter than weekdays, so coverage does dip.
The trouble is inspections. The current record shows 14 deficiencies, including two at the harm or jeopardy level and one involving abuse, and the last full inspection was in July 2023. Quality measures score well, but quality data is self-reported. The staffing and outcomes look good on paper; the survey history is what pulls this one down.
Bridges To Home is a twelve-bed nonprofit home in Shoreline, and its inspection record is the main thing to know before you call. Fifteen deficiencies on the current record, including one at the harm or jeopardy level and three tied to abuse, is a lot for a home this small, smaller buildings usually generate shorter lists, not longer ones. There's one fine on record, $8,278. The last inspection was August 4, 2025, so the findings are recent, not stale. With twelve beds, staffing is worth asking about directly: who covers nights, and what happens when someone calls out. Ask for the plan of correction and how the abuse-related findings were resolved.
Yakima Valley School is a state-run home in Selah with 112 beds, and its staffing is the headline: 16.60 nurse hours per resident day against a national average of 3.86. That's a different category of coverage than most families ever see, and turnover sits at 32.2% versus 45.8% nationally. Weekend staffing dips about 8% below its own weekday level, so the floor is thinner on Saturdays and Sundays even here. The inspection record is where it gets harder. Thirty-four deficiencies, four at harm or jeopardy level, eight abuse-related, and a 2/5 inspection rating, with the most recent survey dated May 2026. High staffing and a troubled regulatory history can both be true. Ask what those abuse deficiencies specifically involved.
Lakeland Village runs on state funding and employs nurses at a rate nearly triple the national average, 11.12 hours per resident day against 3.86. Weekend coverage dips only slightly, about 7% below weekdays, and turnover sits at 32.6%, well under the 45.8% national figure. That's genuinely strong staffing. The problem is what inspections keep finding: 26 deficiencies on the current record, including one at the harm or jeopardy level and 10 tied to abuse. Its last inspection was October 27, 2025, so the picture is current, not stale. High nurse hours don't cancel out harm-level findings, a C grade reflects a home where the caregiving capacity is real but the safety record isn't.
Clark County Rehabilitation & Living Center runs on county tax dollars, and the staffing numbers show it: 4.73 nurse hours per resident day, about 22% above the national average, with weekend coverage dipping roughly 12% below its own weekday levels. That staffing strength sits next to weaker marks elsewhere. The home carries 34 deficiencies on its current record, including one at the harm or jeopardy level and 11 tied to abuse. Staff turnover runs 53.2% a year, against a national average of 45.8%. Its last inspection was December 18, 2025. Plenty of hands on duty, but a record that still needs watching.
Lindengrove Menomonee Falls runs a nonprofit home with 73 certified beds, and the raw staffing number looks fine, 4.17 nurse hours per resident day, roughly 8% above the national average. The trouble shows up in the details around it. Weekend coverage drops about 8% below its own weekday level, and annual turnover sits at 61.8% against a national average of 45.8%, so the people providing that care cycle through quickly. The inspection record is the harder problem: 54 deficiencies on the current record, six at the harm or jeopardy level, six tied to abuse, and $142,393 in CMS fines across two penalties. The most recent inspection was March 3, 2025.
Lakeland Health Care Center is county-owned, and its staffing is the strongest part of the picture: 3.96 nurse hours per resident day, slightly above the national average, with a 5/5 staffing star. Turnover sits at 31.1%, well below the 45.8% national figure, which suggests a more stable workforce than most. But the inspection record is where the trouble is, 21 deficiencies, four at harm or jeopardy level, seven abuse-related, and an $84,168 fine. Weekend staffing drops about 22% below weekday levels, meaning the coverage families see on a Tuesday isn't what shows up on a Sunday. The most recent inspection was January 2026.
New Glarus Home runs on better-than-average nurse coverage, 3.95 hours per resident day, just above the national figure, though weekends dip about 5% below its own weekday pace, and staff turnover sits at 50.8%, worse than the 45.8% national rate. The inspection record is where the trouble shows: 40 deficiencies, including 4 at harm or jeopardy level and 9 tied to abuse, plus a $60,466 fine. Its last inspection was March 2026, so that record is current, not stale. That combination, solid staffing scores undercut by a heavy, recent deficiency history at a church-affiliated nonprofit, is what pulls the overall picture down.
Heritage Lakeside runs 5.18 nurse hours per resident day, roughly a third more than the national average, and that staffing earns a 4 out of 5 from CMS. The problem sits elsewhere. Inspectors have cited 68 deficiencies, six of them at harm or jeopardy level and twelve tied to abuse, with a single $115,181 fine on record. The health inspection rating is 1 out of 5, and the most recent survey was April 2026. Weekend coverage also drops about 16% below weekday levels, so the strong average hides thinner stretches. Good hours, rough inspection history, that combination is what a family should weigh.
Weston County Health Services runs 58 certified beds as a nonprofit, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger concern is the weekend drop, when coverage runs about 9% below its own weekday level. Turnover is the sharper problem: 58.9% of staff leaving annually against a national 45.8% means caregivers are cycling through, which matters more in a small rural home where replacements aren't easy to find. The inspection record shows 18 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey in July 2024.
New Horizons Care Center is a hospital-district home in Lovell, and its strongest number isn't obvious at first glance. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so coverage does dip. What offsets that is stability: turnover is 33.9%, well below the national 45.8%, meaning the people showing up are more likely to already know the residents. Inspections are recent, from January 2025, and the record shows 12 deficiencies, including one at the harm level and two tied to abuse, with a single $7,521 fine. Read those together and you get a home that's steady on staff but has had real problems worth asking about directly.
Powell Valley Care Center runs on a hospital-district model, and the staffing reflects it: 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 24.2% against a national 45.8%. That consistency matters, though weekend coverage dips about 8% below weekdays. The trouble sits elsewhere. Two of the six deficiencies on record are serious enough to involve harm or jeopardy, and two are abuse-related, which is why the health inspection rating lands at 2 out of 5. Quality measures score 1 out of 5. Two fines totaling $29,120, and the last inspection was January 31, 2025. Staffing is the strength; the care record is the concern.
Goshen Healthcare Community runs 103 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The 45.8% annual turnover matches the national figure, but the inspection record is the heavier concern: 25 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $29,617 fine. The most recent inspection was July 24, 2025. If you're weighing this one, ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.
Mountain View is state-run, which is unusual, most Wyoming homes aren't, and that ownership shows up in a mixed record. The inspection side is where the trouble sits: 21 deficiencies on the current record, six of them at harm or jeopardy level, and six tied to abuse. One fine of $50,980 has been levied. That's a lot of serious findings for a 40-bed home, and it explains the two-star inspection rating. The quality measures look better at four stars, so resident care metrics aren't the weak spot. The last inspection was January 2025, so the record is recent. If you're considering this one, ask directly what changed after those harm-level findings, that's the question that matters here, not the quality score.
The state-run veterans' home in Buffalo is unusually well staffed, 7.88 nurse hours per resident day, roughly double the national average of 3.86, and weekends only dip about 14% below its own weekday level, which is modest for a nursing home. That helps explain the four-out-of-five staffing rating. The trouble is on the inspection side: 16 deficiencies on the current record, including one at the harm level and two abuse-related, and the health inspection rating sits at two out of five. The most recent survey was in January 2026. Strong staffing hasn't translated into a clean regulatory record here, and the abuse citations are the kind of thing families should ask about directly.
Seneca District Hospital's skilled nursing unit is small, 16 beds, and it's run by the hospital district, not a chain. The staffing numbers genuinely stand out: 6.07 nurse hours per resident day, well above the national average, and weekends only dip about 14% from weekday levels, which is better than many homes manage. Turnover, though, sits at 48.1%, slightly worse than average. And the inspection record is the real concern: 14 deficiencies on file, including 2 at the harm level and 3 tied to abuse, with one $11,408 fine. The last inspection was in December 2025. Strong daily coverage, but a recent survey history that warrants questions before you decide.
Miracle Mile Healthcare Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing sits at 4.05 hours per resident day, roughly 5% above the national average of 3.86. But weekends drop about 10% below its own weekday levels, and annual turnover hits 53.4% against a national 45.8%, so that headline number doesn't hold steady across the week.
The inspection record is where the real weight sits: 110 deficiencies, including 6 at harm or jeopardy level and 9 tied to abuse. Four fines total $295,952. The most recent inspection was March 2026, so the record is current. CMS rates health inspections 1 out of 5, staffing 2 out of 5, quality measures 3 out of 5.
St. Pauls Health Care Center sits in San Diego with 59 certified beds and a nonprofit corporation behind it. The nurse staffing number is genuinely strong, 4.78 hours per resident day, roughly a quarter above the national average, though weekends dip about 9% below what the home staffs on weekdays. That staffing strength is offset by a 62.5% annual turnover rate, well above the 45.8% national figure, and by 58 deficiencies on the current record, including one at the harm level and three tied to abuse. The most recent inspection was in June 2025. High direct-care hours and a troubling inspection history are both true here at once.
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?