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
Pine Creek Rehabilitation and Nursing runs 34 certified beds in Salt Lake City under corporate ownership, and the staffing numbers are the first thing to notice: 2.81 nurse hours per resident day, roughly 27% under the national average of 3.86, with weekends running about 9% thinner than weekdays. Turnover sits at 80% against a national 45.8%, which means the aides and nurses caring for your relative are likely newer than the building itself. The inspection record shows 41 deficiencies, including 3 at harm or jeopardy level and 6 tied to abuse, plus one fine of $56,121. A recent October 2025 inspection is the one bright spot, ask what changed since.
Lindengrove New Berlin runs below average on nurse staffing, at 3.65 hours per resident day against a national figure of 3.86, and it thins out further on weekends, roughly 10% below its own weekday level, which matters when families visit and needs don't pause. The inspection record is the bigger concern: a one-star health inspection rating, 32 deficiencies on file including four at the harm or jeopardy level and four tied to abuse, plus two fines totaling just over $100,000. Staff turnover sits at 46.6%, essentially in line with the national rate. The most recent inspection was in January 2025.
Sauk County runs this 82-bed home in Reedsburg, and the staffing numbers are genuinely good on paper: 5.40 nurse hours per resident day, about 40% above the national average, with weekend coverage dipping roughly 11% below its own weekday level. What undercuts that is everything else. Staff turnover sits at 68.1% against a national average of 45.8%, so the people delivering those hours keep leaving. Inspectors cited 16 deficiencies on the current record, five at harm or jeopardy level and five abuse-related, with three fines totaling $160,977 and a survey as recent as April 2025. County ownership and strong staffing hours haven't translated into safe care here.
Parkview runs about 3.55 nurse hours per resident day, roughly 8% under the national average, and weekends dip another 9% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover sits at 57.6% against a national 45.8%, meaning more than half the nursing staff leaves in a year. The health inspection record is the strongest part here, a recent June 2025 survey with 18 deficiencies and none at harm or jeopardy level, though 5 are abuse-related and worth asking about directly. The 2/5 quality measure rating is where the day-to-day care concerns show up.
Stonewall Living Center in Aspermont gets top marks on health inspections, a five-star rating there, but that's where the good news mostly stops. The staffing picture is thin, rated one star, and annual turnover runs 55.8% against a national average of 45.8%, meaning more than half the caregivers leave each year. Quality measures sit at two stars, and the current record shows ten deficiencies, one serious enough to reach harm or jeopardy level, plus an $8,281 fine. It's government-owned through the hospital district, which can offer stability, but stable ownership doesn't fix a workforce that keeps cycling through. The last inspection was in February 2026, so the record is recent. Families weighing this one should ask specifically how the home keeps consistent aides on the floor.
The Estates at Shavano Park runs on thinner nursing coverage than most homes nationally, 3.67 nurse hours per resident day against a 3.86 average, and weekends get leaner still, dropping roughly 12% below its own weekday pace. That gap matters most when families visit on Saturdays and Sundays. Staff turnover sits at 63.4%, well above the 45.8% national figure, so the aides and nurses caring for residents are changing often. Inspectors cited 32 deficiencies, two tied to abuse, though none rose to the harm level; the most recent visit was March 2026, so the record is current. The for-profit LLC ownership structure adds no care capacity on its own.
Arabella Health and Wellness of Red Bay runs 90 certified beds under corporate ownership, and the staffing numbers are the first thing worth knowing: 2.96 nurse hours per resident per day, roughly 23% below the national average of 3.86. Weekends run about 10% thinner than weekdays, so the hours when families tend to visit are also the leanest.
The inspection record shows 13 deficiencies, including one tied to abuse, with no harm-level citations. Its last inspection was March 25, 2022, meaning the picture regulators have is getting old. All three CMS star ratings sit at 1 or 2 out of 5, which lines up with the thin staffing and the citation count. Ask about weekend coverage and what's changed since that 2022 visit.
Healthcare Centre Of Fresno runs 155 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.81 hours per resident day, just under the national average of 3.86. Weekends dip about 6% below its own weekday coverage, so the thinnest shifts land when families often visit.
The inspection record is where the real weight sits: 47 deficiencies, three at harm or jeopardy level, one tied to abuse, and $88,049 in fines across three events. A 2/5 inspection rating against a 4/5 quality measure score tells you the day-to-day care metrics look better than what surveyors actually found on the ground. The most recent inspection was May 2026.
Crescent Care of Elgin runs 88 certified beds under for-profit LLC ownership, and its staffing sits at 3.46 nurse hours per resident day, about 10% under the national average of 3.86, with weekends dipping roughly 17% below its own weekday coverage. Turnover runs 41.3%, a bit better than the 45.8% national figure, though the current inspection record carries 27 deficiencies, including three at harm or jeopardy level and two tied to abuse, plus six fines totaling $44,709. Inspections are recent, dated December 2025, and health inspection scores land at 4 of 5 stars against 2 of 5 for staffing, meaning the building's compliance history reads stronger than the day-to-day coverage behind it.
Richland Bean Blossom runs 74 certified beds in Ellettsville, and the staffing numbers are where the trouble shows. At 3.34 nurse hours per resident day, it sits about 14% under the national average of 3.86, and weekends drop roughly another 15% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 75.7% against a national average of 45.8%, which means most of the people caring for residents this year likely won't be there next year.
The current record carries 25 deficiencies, none at harm or jeopardy level but one abuse-related, and the last inspection was April 10, 2026. As a nonprofit corporation, it answers to a board rather than shareholders, but that structure hasn't translated into steadier staffing here.
Easton Health Care Center runs thin on nursing hours, 2.63 per resident day against a national average of 3.86, roughly a third below it. Weekend coverage drops about 11% under the facility's own weekday level, so the gaps get wider when families tend to visit. The inspection record is heavy: 40 deficiencies, including three at the harm or jeopardy level and one tied to abuse, with two fines totaling $22,431 and a health inspection rating of 2 out of 5. State inspectors were last in the building on January 13, 2026. For-profit ownership through a limited liability company rounds out the picture.
River Oaks sits at 3.88 total nurse hours per resident day, which is technically above the national average of 3.86, a difference small enough to call even. The problem is how those hours land: weekends run about 9% thinner than weekdays, so the coverage your family sees on a Tuesday isn't what shows up on a Sunday. Federal inspectors have cited 16 deficiencies on the current record, including one abuse-related finding, though none rose to the harm or jeopardy level. The last inspection was July 2025, so the record is recent. A single fine of $6,380 is on file. For a 122-bed for-profit LLC, the staffing pattern and citation history are the things worth asking about directly.
Maison D'acadiens runs on thinner nursing coverage than most homes nationally, 3.37 hours per resident day against a 3.86 average, and weekends get even tighter, dropping roughly a fifth below what the building staffs on weekdays. Annual turnover sits at 50.8%, with about half the nursing staff leaving each year, which matters more when there's less margin to absorb it. The inspection side looks different: a 4-out-of-5 health inspection rating, 20 deficiencies on record with none at harm or jeopardy level and nothing abuse-related, and a recent survey from June 2025. Quality measures and staffing both came in at 1 out of 5, so the gap between how the place inspects and how it's staffed is the real story here.
Mymichigan Medical Center Sault runs 51 certified beds as a nonprofit corporation, and the federal numbers are rough across the board: one star each for staffing and quality measures, two for health inspections. The deficiency record is the part that should give you pause, 32 citations on the current record, four serious enough to involve harm or jeopardy to residents, and three tied to abuse. Staffing sits well below what CMS expects for a home this size, which matters most on the direct-care side. One fine totaling $2,797 is on file, and the last inspection was January 14, 2026, so the record is current. If you're considering this home, ask pointed questions about direct-care hours per resident and how the abuse-related findings were resolved.
Memorial Woodland Village has 132 certified beds and enough nurses on paper, 4.08 hours per resident day, a bit above the national average, but that average hides a problem: weekends run about 20% leaner than weekdays, so care thins out exactly when families tend to visit. The bigger red flag is turnover, which sits at 100% against a national average near 46%, meaning the staff who know your relative are largely gone within a year. Eighteen deficiencies sit on the current record, two tied to abuse; none rose to actual harm, and the most recent inspection was in June 2025. Federal quality measures rate 1 out of 5.
Choctaw County runs this 60-bed home in Ackerman, and it's been inspected fairly recently, April 2024, with 15 deficiencies on the current record, including two at the harm level and one tied to abuse. Staffing is where the numbers get hardest to ignore: the federal staffing rating sits at 1 out of 5, and quality measures land at the same bottom score, meaning resident outcomes and caregiver hours both trail what CMS expects. Two fines totaling $12,472 are on file. County ownership can mean stability, but it doesn't change what the inspection and staffing data show. If you're considering this one, ask specifically how they've addressed the harm-level findings and what direct-care hours a resident actually gets per day.
Chateau Girardeau runs 4.26 nursing hours per resident per day, roughly 10% above the national average, and its most recent inspection from January 2025 turned up no deficiencies at the harm or jeopardy level and nothing abuse-related. That part is solid. The strain shows in the workforce: 65.7% annual turnover, well above the 45.8% national figure, and weekend staffing drops about 17% below the home's own weekday levels, so the hands-on coverage your family sees on a Tuesday isn't what shows up on a Saturday. Fourteen deficiencies sit on the current record, none serious, but the low quality-measure score suggests outcomes haven't kept pace with the hours billed.
Luther Manor runs 64 certified beds as a nonprofit corporation, and its federal ratings land low across the board: one star each for staffing and quality measures, two for health inspections. The record shows 28 deficiencies, including three at the harm or jeopardy level and four tied to abuse, that's a pattern families should ask about directly, not just a number. Staffing sits far enough below what CMS expects to earn a single star, which matters most on nights and weekends when needs don't pause. One fine totaling $13,270 appears on the record, and the last inspection closed in October 2025, so the findings are recent rather than historical. Nonprofit ownership alone doesn't fix any of this.
Woodland Care & Rehab Center runs 94 certified beds in Springfield under individual for-profit ownership, and the staffing numbers are where I'd start. At 3.44 nurse hours per resident day, it sits about 11% under the national average of 3.86, and weekends drop roughly 19% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Staff turnover is 61.5% against a national 45.8%, which means by the time your relative settles in, a good share of the aides who know them may already be gone. The current record shows 43 deficiencies, six tied to abuse, though none at the harm or jeopardy level. State inspectors were last in on June 13, 2025.
Knox County Nursing Home District runs on county government ownership, which usually means stable funding but also slower movement on problems. The staffing numbers are close to average on paper, 3.83 nurse hours per resident day against a national 3.86, but weekends drop about 12% below the home's own weekday coverage, so the care your family member gets on a Saturday won't match a Tuesday. The inspection record is the bigger concern: 37 deficiencies, including two at the harm or jeopardy level and five tied to abuse, plus a $93,280 fine. The last inspection was February 2024, so that record is recent. Ask specifically how weekend shifts are covered 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?