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
Oneida Health Rehabilitation And Extended Care runs 160 certified beds as a nonprofit corporation, and its nursing hours come to 3.17 per resident day, roughly 18% under the national average of 3.86. Weekends drop about 15% below what the home itself staffs on weekdays, so coverage thins out exactly when families tend to visit. The inspection record shows 26 deficiencies, one serious enough to reach harm or jeopardy level, plus a single fine of $16,153, with the most recent survey dated January 27, 2026. No abuse-related citations appear. The staffing rating reflects those hours directly; the two-star inspection result reflects the deficiency history.
Maple Manor runs 45 beds in Langdon under nonprofit ownership, and its staffing rating sits at the bottom of the federal scale, one star, well below what CMS considers adequate. That thin coverage shows up alongside 24 deficiencies on the current record, including one serious enough to cause actual harm or place residents in jeopardy, plus a $31,694 fine. The most recent inspection was in September 2025, so the findings are fresh rather than stale. Quality measures land at two stars, inspections at two. Nothing here is abuse-related, but a home with this few staff and this many cited problems is one to ask hard questions about before moving someone in.
Midwest City Post Acute & Rehab has 40 deficiencies on its current record, including one at the harm or jeopardy level and five tied to abuse. That's a lot of paperwork for a 106-bed home. Federal inspectors were last inside on January 30, 2025, and the staffing picture is thin, one star, the lowest tier. For-profit, limited liability ownership, with two fines totaling $31,011 on the books. Quality measures land at two stars, health inspections at two. When staffing runs below average and the deficiency count runs high, families should ask direct questions about who is on the floor overnight and how complaints get handled.
Latimer Nursing Home runs a for-profit operation with 48 certified beds in Wilburton, and its staffing numbers are genuinely above average, 4.44 nurse hours per resident day against a national 3.86. That edge comes with a catch: weekends run about 16% leaner than weekdays, and annual turnover sits at 58.6%, well past the national 45.8%. Inspections tell a similar mixed story. The home was last surveyed in May 2025 and carries 21 deficiencies, none at the harm level and none abuse-related, but those produced 21 fines totaling $124,906. Quality measure scores land near the bottom while staffing scores hold up.
Saunders runs on 3.06 nursing hours per resident per day, roughly a fifth below the national average, and weekends drop about 15% below what it manages on weekdays. That shortfall shows up in the inspection record: 46 deficiencies, seven of them abuse-related and three serious enough to put residents in harm's way, with a one-star health inspection rating and a single fine of $14,433 behind it. Staff turnover sits at 54.2%, well above the national 45.8%, so the people providing that already-thin care are leaving faster than average. The last inspection was May 2025, so the record is current. A for-profit limited liability company operates its 180 certified beds.
Mountainview runs a nonprofit operation with 132 beds, and its 4.55 nurse hours per resident day sit about 18% above the national average, that part is genuinely good. The catch is consistency: weekend staffing drops roughly 17% below its own weekday level, and annual turnover hits 80.1% against a national 45.8%, meaning the people providing that care are largely new and cycling through. On inspections, the record is harder to defend: 27 deficiencies, including one at the harm level and one abuse-related, three fines totaling $15,324, and a November 2024 inspection that rated 2 out of 5 stars for health and just 1 for quality measures. Strong staffing numbers alone don't offset that pattern.
Durham-Hensley runs 75 beds in Chuckey under corporate ownership, and the staffing numbers are the first thing worth knowing. At 3.49 nurse hours per resident day, it sits about 10% under the national average, and weekends drop roughly 16% below its own weekday coverage, so care thins out exactly when families tend to visit. Annual turnover of 50.8% tops the national figure of 45.8%, meaning many of the aides you'd meet are relatively new. The good news: nine deficiencies on record, none at harm or jeopardy level, none abuse-related, and a four-star inspection rating from August 2023. Quality and staffing measures both land at two stars, which is where the softer grade comes from.
Seacrest runs 4.28 nurse hours per resident per day, roughly 11% above the national average, and weekend staffing only dips about 9% below weekdays, so direct care hours aren't the weak spot here. The inspection record is. Seventy-four deficiencies, six serious enough to put residents in harm's way, three tied to abuse, plus two fines totaling $109,708, and the most recent inspection is from March 2026. Staff turnover sits at 57.7% against a 45.8% national average, which means more than half the nursing staff leaves each year. For a family weighing a post-acute stay, the staffing numbers look better than the record they're attached to.
Vermont Healthcare Center runs 200 certified beds in Torrance under for-profit LLC ownership, and the staffing picture is mixed. Total nurse hours come in at 4.31 per resident day, about 12% above the national average, but weekends drop roughly 5% below the home's own weekday level, and annual turnover sits at 51.1% against a national 45.8%. The bigger problem is the inspection record: 96 deficiencies, seven at harm or jeopardy level and seven abuse-related, with five fines totaling $158,506. The most recent inspection was April 2026. High raw staffing hours often attract families, but here they coexist with a one-star health inspection rating and a long, serious deficiency history.
Brightmoor runs on thinner staffing than most homes you'll compare it to, about 3.28 nurse hours per resident per day against a national average of 3.86, and weekends drop roughly 12% below its own weekday coverage. That matters because turnover sits at 52%, meaning more than half the staff leaving in a year, and the federal staffing rating reflects it. The inspection record shows 13 deficiencies, none rising to harm or jeopardy, but three tied to abuse, which is the number to ask about directly. Ownership is a for-profit LLC, and the most recent inspection was in December 2025, so the record is current.
River Towne Center runs 210 beds in Columbus under corporate ownership, and the raw staffing number looks fine at first, 4.14 nurse hours per resident day, a bit above the national average of 3.86. But that average hides a scheduling problem: weekends run about 15% thinner than weekdays, and 60.2% of staff turned over in a year against a national 45.8%, which means the people delivering care keep changing. Inspectors have cited 24 deficiencies, two serious enough to involve harm or jeopardy, and fined the home $24,387. The most recent inspection was April 1, 2026. With a 2/5 inspection rating and 1/5 on staffing, a family should ask hard questions about who's actually on the floor on a Sunday.
Evervella Of White Hall runs on 2.86 nurse hours per resident per day, roughly a quarter below the national average, and weekends drop about 11% below what the home staffs on weekdays. Turnover sits at 64%, well above the 45.8% national figure, so the aides and nurses in the building keep changing. The current record shows 30 deficiencies, including one at the harm or jeopardy level and four tied to abuse; the last inspection was in August 2025. Greene County families weighing this one should focus on the staffing number and the inspection history together, because those tell the story the star ratings only hint at.
Miller Health Care Center runs 160 certified beds as a nonprofit corporation, and its staffing sits at 3.77 nurse hours per resident day, just under the national average of 3.86, with weekends about 12% thinner than weekdays. Staff turnover lands at 42%, actually below the 45.8% national figure, so retention isn't the main problem here. The inspection record is: 33 deficiencies, 5 of them at harm or jeopardy level, and $189,285 in fines from two events, with the most recent inspection in July 2024. CMS gives 2 of 5 stars for both health inspections and quality measures, 3 for staffing. Nothing abuse-related appears on the record. The pattern is a home that keeps its people but gets cited often, and sometimes seriously, for how it delivers care.
Lexington Premier runs 120 certified beds under for-profit LLC ownership, and the staffing numbers tell you a lot. At 3.54 nurse hours per resident day, it sits about 8% under the national average of 3.86, and weekends dip roughly 5% below its own weekdays, so coverage thins out exactly when families tend to visit. Turnover is 53.2% against a national 45.8%, meaning more than half the nursing staff leaves each year. The current record shows 42 deficiencies, seven of them serious enough to involve harm or jeopardy, plus one abuse-related citation and a $240,331 fine. Last inspection: August 2025.
Grace Nursing Home runs on 3.20 nurse hours per resident day, about 17% under the national average of 3.86, and weekends drop roughly 14% below what the home itself staffs during the week. Turnover sits at 46%, right in line with the national figure, so the concern here isn't churn so much as raw coverage. The record shows 36 deficiencies, including 2 at harm or jeopardy level and 6 tied to abuse, plus $48,357 in fines across two penalties. A December 2025 inspection is recent, which helps, but with 128 beds and corporate for-profit ownership, ask specifically how they cover weekends and what changed after those harm-level findings.
St. Jude's runs a decent number of nurse hours per resident, 4.14 a day, about 7% above the national average, so on paper there are people around. But that staff turns over at 72.1% a year against a national average near 46%, which means the faces change constantly and weekends run about 10% thinner than weekdays. The inspection record is where it gets harder to explain away: 53 deficiencies, seven of them serious enough to put residents in harm's way, eight tied to abuse, and six fines totaling $389,089. The most recent inspection was in January 2026, so the picture is current. Nonprofit ownership hasn't translated into a cleaner record here.
Evangeline Oaks runs 190 certified beds under corporate ownership, and its staffing numbers look fine at first glance, 3.92 nurse hours per resident day, just above the national average. But that average hides a lot: weekend staffing drops about 14% below the home's own weekday levels, and annual turnover sits at 78.2% against a national rate of 45.8%. The inspection record is harder to explain away. Sixty-three deficiencies, two of them abuse-related, and CMS rated all three of its star categories, health inspections, quality measures, and staffing, at 1 out of 5. The most recent inspection was May 2025. When every domain comes back at the bottom, the pattern matters more than any single number.
Oak Lane Wellness & Rehabilitative Center runs on thinner nurse coverage than most homes, 3.41 hours per resident day against a national average of 3.86, and weekends drop roughly another 14% below what it manages on weekdays. Staff turnover sits at 58.2%, well above the 45.8% national figure, which matters because constant churn makes it hard for residents to know who's caring for them. The inspection record is the heavier concern: 29 deficiencies, including two at the harm or jeopardy level and two tied to abuse, plus two fines totaling $96,785. A June 2025 inspection is recent, so that record reflects how the place runs now, not an old problem since fixed.
Good Samaritan Living Center runs 84 certified beds in Franklinton under nonprofit ownership, and its nurse staffing sits at 3.84 hours per resident day, essentially dead even with the national average of 3.86. That parity hides a real gap: weekend coverage drops roughly 23% below what the home staffs on weekdays, so care thins out exactly when families are less likely to be watching. The inspection record is heavier than the staffing number suggests, with 14 deficiencies on file including three at harm or jeopardy level and one tied to abuse, plus a single fine of $168,630. The most recent inspection was May 2026, so the picture is current.
Alden Court runs a nonprofit shop in Fairhaven with 142 beds, and the nurse staffing numbers look decent on paper, 4.24 hours per resident day, roughly 10% above the national average. The catch is weekends, when coverage drops about 14% below what the home staffs during the week. That matters for families whose visits or care concerns cluster on Saturdays and Sundays.
Turnover sits at 57.2%, well above the 45.8% national figure, so the people showing up may not be the same faces month to month. Inspections in June 2025 turned up 11 deficiencies, one serious enough to involve harm or jeopardy, though none tied to abuse. The health inspection rating reflects that relative cleanliness; the staffing and quality scores land in the middle.
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?