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
Appling Nursing and Rehabilitation Pavilion is a 101-bed nonprofit home in Baxley, and its federal record is about as rough as it gets. The staffing score sits at the bottom of CMS's scale, and a one-star health inspection history backs that up: 21 deficiencies on the current record, four of them serious enough to cause harm or put residents in jeopardy, plus two tied to abuse. That combination is why CMS placed it in the Special Focus Facility program, a designation reserved for the homes with the most persistent problems. Three fines totaling $18,966 have been levied, and the most recent inspection was March 13, 2025. If you're considering this home, those inspection details are worth reading in full.
Alpine Care of Evanston runs 124 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.16 hours per resident day, roughly 18% under the national average of 3.86, with weekends about 15% thinner than its own weekdays. The one number that stands out in the other direction is turnover: 15.8% against a national average near 46%, so the staff who are there tend to stay. What pulls the record down is the inspection history: 20 deficiencies, three at harm or jeopardy level and three tied to abuse, plus a $40,258 fine and a December 2025 inspection that leaves the quality measure rating at 2 out of 5.
Waukegan Health and Rehab runs about 3.07 nurse hours per resident per day, roughly a fifth below the national average, and weekends dip another 15% under its own weekday numbers, that's when gaps tend to show up. Turnover sits at 40.8%, a bit better than the national 45.8%, so leadership isn't the main problem here. The bigger concern is the record: 27 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with one fine of $8,328. A recent inspection in May 2025 and a 4-star health inspection rating help, but a 2-star quality measure score and the thin staffing keep this one worth watching closely.
Northbrook Health and Rehab runs lean on nursing hours, 3.05 per resident day against a national average of 3.86, and weekends drop roughly another 18% below its own weekday coverage. That staffing pattern is the main reason a home with a perfect 5-star inspection history lands at a C overall, since its 11 deficiencies include two at the harm level and one tied to abuse, and $10,059 in fines sit on the record. Turnover at 43.2% is slightly better than the national 45.8%. The last inspection was June 26, 2025, so the picture is current. The 2-star quality measure rating suggests the clinical numbers families watch don't match the strong survey history either.
Willows Of Richmond is county-owned and runs 87 beds, with a recent inspection on record from May 2025. The staffing picture is the main thing to know: 3.16 nurse hours per resident day sits about 18% under the national average, and weekends drop roughly 23% below what the home staffs on weekdays. Turnover is 35.8%, which is actually better than the 45.8% national figure, so people tend to stay. The tradeoff shows up in the inspection record: 21 deficiencies, none at harm or jeopardy level and none abuse-related, with middle-of-the-road marks across health inspections, quality measures, and staffing.
Poplar Care Strategies runs 62 beds in Loogootee under for-profit LLC ownership, and the numbers that stand out most are on the inspection side. Thirty-six deficiencies sit on its current record, including one at the harm or jeopardy level, with a single fine of $8,021 attached. Federal inspectors last visited in January 2026, so the record is recent rather than stale.
Staffing tells a similar story from a different angle. At 3.63 nurse hours per resident day, it runs about 6% under the national average of 3.86, and weekends drop roughly 14% below its own weekday level, meaning the thinnest coverage arrives when families often visit.
No abuse deficiencies appear on the record.
Kenwood Health and Rehabilitation Center in Richmond runs 93 certified beds under corporate for-profit ownership, and the staffing numbers are where the story starts. At 3.65 nurse hours per resident day, it sits about 5% under the national average of 3.86, and weekends drop roughly 15% below its own weekday coverage, so the thinnest shifts come when families tend to visit. Turnover at 40.7% is actually better than the 45.8% national figure, which matters for consistency of care. The inspection record is genuinely strong: a 5-out-of-5 CMS health inspection rating, one deficiency on the current record, none at harm level, none abuse-related, and a survey as recent as July 2025. Quality measures and staffing both rate 2 out of 5, though, which is the tension here, clean inspections, lighter day-to-day coverage.
Allen Oaks runs 3.73 nurse hours per resident day, a bit under the national average of 3.86, and weekends drop roughly 12% below its own weekday staffing. The inspection record is the bigger concern: 35 deficiencies, three of them at harm or jeopardy level and two tied to abuse, plus a single $133,224 fine. CMS gives it 2 stars for health inspections, 2 for staffing, and 1 for quality measures. The most recent inspection was July 2, 2025, so the record is current, and this is a for-profit limited liability company operating 91 certified beds.
If you're weighing Jewish Healthcare Center, the numbers pull in two directions. The state inspection record is genuinely clean for a 141-bed home, one harm-level deficiency out of 17 total, no abuse findings, and a recent survey in January 2026, and residents score well on the federal quality measures. Staffing is the problem. Total nurse hours sit near zero per resident day against a national average around 3.86, weekend coverage drops roughly 17% below weekdays, and 71% of staff turned over in a year versus about 46% nationally. That combination, good outcomes on paper, thin and unstable coverage, is what holds the grade down. Ask how they actually fill a weekend shift before you decide.
Willow Care runs about 3.67 nursing hours per resident per day, roughly 5% under the national average, and weekends drop about 17% below its own weekday staffing. That gap matters more than the headline number, because weekends are when families often visit and when fewer eyes are on residents. Annual turnover sits at 58.6%, well above the 45.8% national figure, which means the aides and nurses caring for people here are, more often than not, relatively new to the building.
The inspection record is the bright spot: a 4-out-of-5 health inspection rating, 16 deficiencies on file, and none of them at the harm or jeopardy level, with nothing abuse-related. The last inspection was January 8, 2026. Quality measures, though, score 1 out of 5, and that's the split worth asking about on a tour.
New Haven Care Center runs a tight ship on inspections, a perfect five-star health inspection rating and a recent March 2025 survey with 13 deficiencies, none of them causing harm or involving abuse. That's a real strength. The staffing picture is different. At 3.09 nurse hours per resident day, it sits roughly 20 percent under the national average, and weekends drop about 16 percent below its own weekday coverage, so care can thin out exactly when families tend to visit. Turnover at 38.2 percent is better than the national 45.8 percent, meaning workers stay longer than most places. Low quality-measure scores (1/5) round out the concern.
Northfield Retirement Communities Care Center runs 66 certified beds as a nonprofit corporation, and its overall nurse staffing of 3.88 hours per resident day sits roughly 1% above the national average of 3.86. That headline number looks fine until you notice weekends run about 16% thinner than weekdays, and annual turnover hits 65.8% against a national 45.8%, meaning most of the people caring for residents are relatively new to the building. The current record carries 28 deficiencies, three tied to abuse, with the last inspection in May 2025. CMS gives the home one star each for health inspections and staffing, two for quality measures.
Wingfield runs about 3.02 nurse hours per resident day, roughly a fifth below the national average of 3.86, and weekends drop another 15% below its own weekday coverage. That thinner weekend schedule matters most when families visit and when fewer supervisors are on the floor. The inspection record shows 42 deficiencies, including three at the harm level and five tied to abuse, with one fine of $75,670, and the last inspection was February 2026. Staff turnover of 45.3% sits essentially at the national rate, so continuity isn't the standout problem here, the short staffing and the inspection history are.
Haven Manor runs on 1.67 nurse staffing hours per resident per day, which is roughly 57% below the national average of 3.86. Weekends are thinner still, with staffing about 18% lower than the home's own weekday level, so the thinnest coverage lands when families tend to visit. Turnover of 27.3% is actually better than the national 45.8%, meaning the staff who are there tend to stay, there just aren't enough of them. The current record shows 19 deficiencies, none at harm or jeopardy level, but four tied to abuse, and the last inspection was in November 2023. For-profit, limited liability ownership, 240 beds.
Gracedale is a county-run home with 688 beds, and the numbers behind its record are worth understanding before you visit. Staffing sits at 3.68 hours per resident day, roughly 5% under the national average, and weekends drop about 12% below what the home provides on weekdays, so the coverage your family member gets on a Saturday looks different from a Tuesday. The inspection history is the bigger concern: 22 deficiencies on the current record, six at harm or jeopardy level, three tied to abuse, and $122,572 in fines. CMS has placed it in the Special Focus Facility program, which is reserved for homes with a pattern of serious problems. A 1-out-of-5 inspection rating reflects that pattern, not a single bad day.
Ryder Memorial Hospital Inc runs 62 certified beds as a nonprofit corporation in Humacao, Puerto Rico, and the staffing numbers are the first thing that stand out. At 3.07 nurse hours per resident day, it sits about 21% under the national average of 3.86, and weekends drop roughly 25% below its own weekday levels, so the hours are thin to begin with and thinner when families tend to visit. Annual turnover of 69.2% against a 45.8% national average suggests a workforce that doesn't stay long. Its last inspection was recent, March 2025, with 41 deficiencies on record, none at harm or jeopardy level and none abuse-related.
Bradley Health Care & Rehab runs 213 certified beds in Cleveland, and its nurse staffing sits at 3.42 hours per resident day, roughly 11% under the national average of 3.86, with weekend coverage dropping about 15% below what the home staffs on weekdays. Turnover runs 51% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record carries 13 deficiencies, two of them serious enough to reach harm or jeopardy level and two tied to abuse. That inspection was in November 2022, so it's been a while. With a 1-out-of-5 staffing rating and 2s for inspections and quality measures, the pattern is consistent.
Bells Nursing and Rehabilitation Center runs 120 certified beds under for-profit LLC ownership, and its nurse staffing averages 4.30 hours per resident day, about 11% above the national figure of 3.86. That headline number deserves a closer look, though: weekend staffing drops roughly 19% below the home's own weekday coverage, and annual turnover sits at 57.4% against a national average of 45.8%, so the aides and nurses at the bedside are changing often. The current record lists 13 deficiencies, three of them abuse-related, with none at the harm or jeopardy level. The last inspection was August 2025. Its quality measure rating is 1 out of 5, even as the health inspection rating reaches 4 out of 5, a split worth asking about directly.
Shuksan Rehabilitation runs 52 beds in Bellingham under corporate ownership, and the staffing numbers tell a story worth sitting with. At 3.36 nurse hours per resident day, it's roughly 13% under the national average, and weekends drop about 21% below its own weekday level, so care gets thinnest exactly when families tend to visit. Staff turnover of 55.2% runs well above the national 45.8%, which means fewer familiar faces at the bedside. The inspection record is the harder read: 59 deficiencies, five at harm or jeopardy level, seven tied to abuse, and a $74,794 fine, all with a most recent inspection in May 2025. The quality measure score of 5 out of 5 stands out against a 1 out of 5 on health inspections.
Trinity Health Care Of Mingo runs 90 certified beds in Williamson under corporate ownership, and its nurse staffing sits well above the national average, about 42% higher per resident day. That advantage thins on weekends, when coverage drops roughly 23% below the home's own weekday level. Staff turnover is the harder number to sit with: 60.4% a year, against a national average near 46%. The inspection record shows 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse, plus two fines totaling $25,237. A recent August 2025 inspection and a four-star health inspection rating count for something, but the quality measure rating lands at the bottom and turnover at that level makes consistent care hard to promise.
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?