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
Mcleansboro Rehab & Hlth C Ctr sits in Hamilton County with 43 certified beds and an individual for-profit owner. Inspectors have been in recently, June 2024, and the record shows 11 deficiencies, including two at the harm or jeopardy level and three tied to abuse. That's a heavy citation load for a home this small, and it comes with a $45,123 fine. The staffing picture is the other half of the story: the federal staffing rating is just 1 out of 5, meaning direct care hours fall well short of what CMS expects. A 4-star inspection rating doesn't cancel that out. When a facility is thinly staffed and has documented abuse and harm-level findings, families should ask direct questions about who's on the floor overnight and how complaints get handled.
Decatur Rehab & Health Care Center runs 58 certified beds under corporate ownership, and the federal numbers are rough across the board. Inspectors have logged 89 deficiencies on the current record, including 9 tied to abuse and 5 serious enough to put residents in immediate harm or jeopardy. Staffing levels sit far below what CMS expects, the one-star rating there means fewer caregivers per resident than the national average, which matters most when someone needs help with daily tasks or a quick response. The last full inspection was September 25, 2024, and the home has one fine on record for $25,500. When a building carries this many health and safety citations alongside thin staffing, families should ask hard questions before moving anyone in.
Oskaloosa Care Center runs 83 certified beds under corporate for-profit ownership, and the numbers raise real questions. Nurse staffing sits at 3.66 hours per resident day, about 5% under the national average, and weekends drop roughly another 10% below the home's own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover is 62.6% against a national average of 45.8%, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 30 deficiencies, including two at the harm or jeopardy level and three tied to abuse, plus a $45,354 fine. The most recent inspection was June 19, 2025.
Florence Park Care Center runs 150 beds under corporate ownership, and the numbers on the direct-care side are thin: 3.49 nurse hours per resident day against a national average of 3.86, with weekends dropping roughly 11% below its own weekday staffing. That gap matters because weekends are when families often visit and when residents still need help. Annual turnover sits at 57.4%, well above the 45.8% national figure, so the people providing care keep changing. The current inspection record shows 21 deficiencies, two serious enough to reach harm or jeopardy level. One bright spot: the most recent inspection was January 15, 2026, so the state has looked at this building recently.
Deerfield Nursing And Rehabilitation Center runs on thinner staffing than most homes its size, and the numbers show it. Nurses provide about 3.36 hours of care per resident each day, roughly 13% under the national average, and weekends dip about 12% below what the home itself staffs on weekdays, so a Saturday shift is the leanest stretch of the week. Turnover sits at 56.3%, well above the 45.8% national figure, meaning more than half the nursing staff leaves in a year. The inspection record backs that up: 25 deficiencies, one serious enough to involve harm or jeopardy and one abuse-related, plus a $8,281 fine.
Marlborough Hills runs 186 beds under for-profit LLC ownership, and its nurse staffing sits at 3.39 hours per resident day, roughly 12% under the national average, with weekends dipping about 9% below its own weekday levels. That thin coverage matters more given what inspectors found: 40 deficiencies on the current record, two at harm or jeopardy level and one tied to abuse, plus a $71,202 fine, from a March 2025 inspection. Staff turnover of 27.3% is genuinely lower than the 45.8% national figure, so there's some consistency in the workforce. But a 1/5 health inspection rating and 1/5 quality measure rating against 2/5 for staffing tell you where the trouble concentrates.
Twin Oaks Center runs on thin staffing, 3.02 nurse hours per resident day, roughly a fifth below the national average, and weekends dip further. That shortfall shows up in its federal ratings: one star each for health inspections and staffing, two for quality measures. The inspection record behind that single star includes 58 deficiencies, four of them serious enough to put residents at risk of harm, and three tied to abuse. The one fine on file is modest at $2,186, but the volume and severity of cited problems matter more. Turnover sits near the national average at 44.3 percent, so that's not the problem here. The last inspection was in June 2025.
Blue Circle Rehab And Nursing runs about 2.80 nurse staffing hours per resident day, roughly a quarter below the national average of 3.86, and weekends dip another 14% below its own weekday coverage. Staff turnover sits at 69.7% against a national 45.8%, so the people caring for residents keep changing. The inspection record is the harder part: 80 deficiencies, including four at harm or jeopardy level and three tied to abuse, with the most recent inspection in December 2024. That combination of thin staffing, heavy turnover, and serious citations is what sits behind the grade, not the 5/5 quality measure score. Worth asking direct questions before you decide.
Wauneta Care and Therapy Center runs on 3.11 nurse hours per resident per day, roughly 19% under the national average of 3.86, and weekends dip about 10% below its own weekday level. Staff turnover sits at 59.5% against a national 45.8%, which means a good share of the people caring for residents are still learning the building, and the staffing star rating of 1 out of 5 reflects that. The current record shows 14 deficiencies, including one at the harm or jeopardy level and one abuse-related. Quality measures score 1 out of 5. Its most recent inspection was May 2025.
Soldiers and Sailors Memorial Hospital Extended Care in Penn Yan runs on thinner staffing than most homes in the country, 3.57 nurse hours per resident day against a national average of 3.86, and it gets thinner on weekends, when coverage drops roughly 10% below its own weekday level. The bigger number to sit with is turnover: 68.3% of staff left over the past year, well above the 45.8% national rate, which means the people caring for residents are often new to the building. Federal inspectors cited 16 deficiencies, one serious enough to involve harm or jeopardy, and fined the home $21,733. The most recent inspection was in November 2024.
Wells Nursing Home runs on thinner staffing than most places: 3.23 nurse hours per resident day against a national average of 3.86, and weekends drop roughly 19% below what the home itself staffs on weekdays. That pattern matters, because falls and infections don't take Saturdays off. The inspection record shows 16 deficiencies, including two at the harm or jeopardy level and three tied to abuse, with one fine of $8,512 and a survey completed in September 2024. Quality measures score mid-range, but the staffing picture and the harm-level findings are the parts worth asking about directly.
The Graybrier runs a 128-bed for-profit home in Trinity, and its nurse staffing sits at 4.16 hours per resident day, about 8% above the national average. That cushion matters, but it thins on weekends, when coverage drops roughly 7% below the home's own weekday level.
The bigger concern is turnover: 60.7% of nursing staff leave each year, against a national average of 45.8%. High churn means unfamiliar faces, and that shows up in the record. Eight deficiencies are on file, one serious enough to involve harm or jeopardy, plus one fine of $8,512. Inspectors were last out in January 2026, and the quality measures score low even though the inspection history reads reasonably well.
Brantwood runs about 3.43 nurse hours per resident per day, roughly 11% under the national average, and weekends drop another 13% below its own weekday levels. Staff turnover sits at 64.3% against a national average of 45.8%, so the people around your family member change often. The inspection history is the stronger part: a recent March 2026 survey, nine deficiencies total, none at harm or jeopardy level, though two are abuse-related, worth asking about directly. The nonprofit ownership is a point in its favor. Ask how they cover weekends and what those abuse citations involved.
Platinum Ridge runs 3.31 nurse hours per resident day against a national average of 3.86, and weekends drop about 13% below its own weekday staffing, so coverage thins out exactly when families tend to visit. Its inspection record is the bigger concern: 79 deficiencies, five of them at the harm or jeopardy level, 11 abuse-related, and $97,450 in fines across four penalties, all under for-profit LLC ownership. Turnover sits at 46.3%, roughly in line with the national 45.8%, meaning nearly half the nursing staff leaves each year. A June 2025 inspection is recent, but the pattern in the numbers predates it.
Susquehanna Health and Wellness Center runs 173 certified beds in Columbia, and its nurse staffing sits at 3.03 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 9% below the home's own weekday coverage, right when families often visit. The inspection record is the bigger concern: 36 deficiencies, including 3 at the harm or jeopardy level and one tied to abuse, plus 10 fines totaling $117,308. Staff turnover of 47.7% runs slightly above the national 45.8%, meaning many of the people caring for residents are still learning the building. The most recent inspection was July 2025, so the record is current.
Dubois Nursing Home runs 3.38 nurse hours per resident day, about 12 percent under the national average, and weekends drop roughly 14 percent below its own weekday staffing. Annual turnover sits at 57.9 percent against a national 45.8 percent, so the people providing care keep changing. The inspection record is where things get serious: 49 deficiencies, five of them at harm or jeopardy level and two tied to abuse, with two fines totaling $17,225 and a survey date of April 30, 2026. CMS gives this home one star each for health inspections and quality measures, three for staffing. The nonprofit ownership doesn't offset what the numbers show.
Asbury Place At Maryville runs 181 certified beds under for-profit, limited-liability ownership, and its staffing numbers are the first thing worth knowing: 3.55 nurse hours per resident day against a national average of 3.86, with weekends about 8% thinner than weekdays. That gap shows up in the federal staffing rating, which sits at 1 out of 5. Annual turnover of 60%, well above the 45.8% national figure, means the people caring for residents are frequently new. On the record: 23 deficiencies, including one at harm level and two abuse-related, plus a $16,720 fine. The most recent inspection was January 14, 2026, so the picture is current. Quality measures score better than inspections do.
Mission Convalescent Home runs a 57-bed nonprofit operation in Jackson with a real strength and a real weak spot. The health inspection side looks solid, 20 deficiencies on record, none of them serious enough to cause harm or jeopardy, and no abuse findings, with the most recent inspection in July 2025. Where it struggles is daily hands-on care: 2.46 nurse staffing hours per resident day sits about 36% below the national average of 3.86, and weekend coverage dips slightly below its own weekday level. Annual turnover of 62.5% runs well above the 45.8% national figure, which makes it harder to keep consistent caregivers at the bedside. Good inspections, thin staffing, that's the tradeoff here.
Ridgecrest runs 90 certified beds in Waco under for-profit LLC ownership, and the numbers families tend to ask about first are staffing and turnover. Staff turnover here sits at 82.1 percent against a national average of 45.8, meaning most of the people caring for residents in a given year are new to the building. The staffing star rating of 1 out of 5 reflects that churn, and the health inspection record shows 27 deficiencies, including one at the harm or jeopardy level and two tied to abuse. Quality measures score 4 out of 5, so clinical metrics look better than the day-to-day picture. One fine totaling $14,267 is on record, and the last inspection was June 15, 2025.
Ashford Hall runs 206 certified beds in Irving under corporate ownership, and the numbers behind its record are worth sitting with. State inspectors have logged 35 deficiencies, six of them serious enough to put residents in immediate harm or jeopardy, and six tied to abuse. Fines total $301,255 across four penalties. Staff turnover sits at 77.1%, well above the 45.8% national average, which means the people caring for residents are constantly changing. Nurse staffing runs 3.71 hours per resident day, slightly under the national figure, and weekends dip about 8% below the home's own weekday levels. Low turnover and steady weekend coverage are what keep residents safe; here, neither is holding.
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?