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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

Showing 21 to 40 of 4,510, best-graded first.

A

99/100

Highland Oaks

Elgin, IL · Kane County

CMS 5/524 bedsNon-profitMedicaid
Nurse hours
5.25 /day
Staff turnover
28%
Serious cites
0

Highland Oaks runs 24 beds in Elgin under church-related nonprofit ownership, and the staffing numbers show it: 5.25 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, so ask how that plays out on a Sunday. Staff turnover sits at 27.5%, well under the 45.8% national figure, which matters for residents who need consistent faces. On record: six deficiencies, none at the harm level, one abuse-related, with the last inspection in August 2024. All three CMS star ratings, health inspections, quality measures, staffing, come in at five.

A

99/100

St Francis Manor

Grinnell, IA · Poweshiek County

CMS 5/578 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
28%
Serious cites
0

St Francis Manor runs on unusually deep staffing for a nursing home, 4.85 nurse hours per resident day, roughly a quarter above the national average, and its weekend coverage drops only about 12% from weekdays, which is a smaller dip than many homes show. Staff turnover sits at 27.6% against a national 45.8%, so the people caring for residents tend to stay. The inspection record is thin: two deficiencies total, none at the harm or jeopardy level, though one is abuse-related, which is worth asking about directly. The most recent inspection was in May 2026. As a nonprofit, there's no owner extracting a margin.

A

99/100

Iowa Veterans Home

Marshalltown, IA · Marshall County

CMS 5/5702 bedsGovernmentMedicaid
Nurse hours
4.74 /day
Staff turnover
25%
Serious cites
0

The Iowa Veterans Home in Marshalltown runs 702 certified beds as a state government operation, and the numbers behind its record are unusually steady. Nurse staffing sits at 4.74 hours per resident day, about 23 percent above the national average of 3.86, and weekend coverage dips only about 14 percent below its own weekday level, a gap that's common but worth knowing if your visits fall on Saturdays or Sundays. Staff turnover is 24.7 percent against a national average of 45.8 percent, meaning caregivers here tend to stay. The home carries just two deficiencies on its current record, neither at the harm level and none abuse-related, with its last inspection dated April 16, 2026.

A

99/100

Bethel Health Care Center

North Newton, KS · Harvey County

CMS 5/565 bedsNon-profitMedicaid
Nurse hours
4.91 /day
Staff turnover
31%
Serious cites
0

Bethel Health Care Center runs on 4.91 nurse hours per resident per day, roughly a quarter more staffing than the typical American nursing home. That time holds up reasonably well on weekends, dipping about 14% below its own weekday level, and only 31.3% of staff left last year against a national average near 46%. The inspection record is clean where it counts: five deficiencies total, none involving harm or jeopardy and none tied to abuse, with the most recent survey in December 2024. Three straight five-star ratings across health inspections, quality measures, and staffing, run by a nonprofit corporation, describe a home that is well-staffed, stable, and currently in good standing.

A

99/100

Nazareth Home

Louisville, KY · Jefferson County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
5.43 /day
Staff turnover
30%
Serious cites
0

Nazareth Home runs 5.43 nurse staffing hours per resident day, roughly 41 percent above the national average of 3.86, and its weekend hours dip only about 11 percent below its own weekday levels, a modest drop for a nursing home. Staff turnover sits at 29.5 percent against a national average near 46 percent, and the current record shows no deficiencies at all: none at the harm or jeopardy level, none abuse-related, with the most recent inspection completed April 17, 2025. As a nonprofit corporation with 118 certified beds, it pairs that clean record with top marks across health inspections, quality measures, and staffing. For families weighing a move, the numbers describe steady hands and a well-kept building.

A

99/100

Roland Park Place

Baltimore, MD · Baltimore City County

CMS 5/516 bedsNon-profit
Nurse hours
6.94 /day
Staff turnover
27%
Serious cites
0

Roland Park Place runs 16 certified beds as a nonprofit, and the staffing is the first thing that stands out: about 6.94 nurse hours per resident per day, roughly 80% above the national average. Weekend coverage dips only about 6% below its own weekday levels, and staff turnover sits at 27.3% against a national average near 46%, so the same caregivers are more likely to still be there next year. The tradeoff is paper: 18 deficiencies on the current record, two of them abuse-related, though none rose to the harm or jeopardy level, and the last inspection was in May 2025.

A

99/100

Transitional Care Services At Mercy Medical Center

Baltimore, MD · Baltimore City County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
6.21 /day
Staff turnover
20%
Serious cites
0

Nurse staffing at this 35-bed nonprofit home runs 6.21 hours per resident day, about 61 percent above the national average of 3.86, so there's more hands-on time per resident than at most places. Weekend coverage dips roughly 10 percent below its own weekday level, worth asking about if your family visits or calls on Saturdays and Sundays. Staff turnover sits at 20 percent against a national average near 46 percent, meaning aides and nurses tend to stay. Eighteen deficiencies appear on the current record, one abuse-related, but none at the harm or jeopardy level, and the most recent inspection was November 2025.

A

99/100

Edenwald

Towson, MD · Baltimore County

CMS 5/570 bedsFor-profit
Nurse hours
4.95 /day
Staff turnover
25%
Serious cites
0

Edenwald runs on a level of nurse staffing that most homes in Maryland don't come close to, 4.95 hours per resident day against a national average of 3.86. Turnover sits at 25% when the national figure is nearly double that, which matters because steady staff know the residents. Weekend coverage does thin out, roughly 13% below weekday, so ask how that plays out on a Saturday. The inspection record is recent and clean at the harm level, though four of the twelve deficiencies are abuse-related, worth a direct question about what happened and what changed. For-profit corporate ownership, 70 beds.

A

99/100

Mary's Meadow At Providence Place

Holyoke, MA · Hampden County

CMS 5/540 bedsNon-profitMedicaid
Nurse hours
5.28 /day
Staff turnover
27%
Serious cites
0

Mary's Meadow runs on 5.28 nurse hours per resident day, roughly a third more than the national average, and its staff tends to stay, turnover of 27.1% against a national 45.8%. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your visits land on Saturdays or Sundays. The inspection record shows 10 deficiencies with none at the harm level and none tied to abuse, and the most recent state visit was in August 2025. As a church-affiliated nonprofit with 40 beds, it answers to a mission rather than shareholders, and the numbers above suggest that shows up in how it's run.

A

99/100

Tuscola County Medical Care Facility

Caro, MI · Tuscola County

CMS 5/5159 bedsGovernmentMedicaid
Nurse hours
5.95 /day
Staff turnover
25%
Serious cites
0

Tuscola County Medical Care Facility runs on a county government budget out of Caro, and the staffing numbers show it: 5.95 nurse hours per resident day, roughly 54% above the national average of 3.86. Turnover sits at 24.5% against a national 45.8%, meaning aides and nurses tend to stay. Weekends run about 14% leaner than weekdays, which is worth asking about if your relative needs help at predictable times. The tradeoff is inspections, 23 deficiencies on the current record, one at harm or jeopardy level, though none abuse-related, and the most recent survey was December 2025. Quality and staffing measures both score well; the health inspection side is the softer spot.

A

99/100

Marquette County Medical Care Facility

Ishpeming, MI · Marquette County

CMS 5/5140 bedsGovernmentMedicaid
Nurse hours
5.06 /day
Staff turnover
24%
Serious cites
0

Nurse staffing here runs about 5.06 hours per resident day, roughly 31% above the national average of 3.86, and weekends dip only about 10% below the home's own weekday level. Staff turnover sits at 23.8% against a national average near 46%, which matters over time because familiar caregivers tend to notice changes sooner. The tradeoff is in the inspection record: 8 deficiencies, 3 of them serious enough to involve harm or jeopardy, though none abuse-related, with the most recent inspection in May 2025. County-owned facilities often run leaner on frills and steadier on staffing, and the numbers here follow that pattern.

A

99/100

Holland Home Breton Rehabilitation & Living Centre

Grand Rapids, MI · Kent County

CMS 5/558 bedsNon-profitMedicaid
Nurse hours
5.14 /day
Staff turnover
28%
Serious cites
0

Nurse staffing at Holland Home Breton runs about 33% above the national average, and the weekend drop is only around 6%, small enough that care doesn't change much on Saturdays and Sundays. Staff turnover sits at 28.1% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record shows six deficiencies, none at the harm level and none related to abuse; the last state visit was in March 2025, so the picture is recent rather than stale. Three straight five-star ratings from CMS, health inspections, quality measures, and staffing, back that up. As a nonprofit, this is a home that has kept its numbers steady across every category the federal government tracks.

A

99/100

Fairview University Trans Serv

Minneapolis, MN · Hennepin County

CMS 5/528 bedsNon-profitMedicaid
Nurse hours
9.19 /day
Staff turnover
30%
Serious cites
0

Fairview University Trans Serv runs 28 certified beds in Minneapolis under nonprofit ownership, and the numbers behind it are unusually clean. Nurse staffing sits at 9.19 hours per resident day, roughly two and a half times the national average of 3.86, and weekend coverage only slips about 7% below weekday levels, so care doesn't thin out when families tend to visit. Staff turnover is 30%, well under the 45.8% national figure, which suggests people stay. The current record carries zero deficiencies, none at the harm level, no abuse citations, and the last inspection was November 2024, so nothing on file is stale. For a small nonprofit, that combination is rare.

A

99/100

Harmony Manor Skilled Nursing Facility

Winnemucca, NV · Humboldt County

CMS 5/542 bedsGovernmentMedicaid
Nurse hours
6.14 /day
Staff turnover
33%
Serious cites
0

Harmony Manor runs on unusually heavy staffing for a 42-bed hospital-district home, 6.14 nurse hours per resident day, roughly 59% above the national average, and the weekend dip of about 12% still leaves it well ahead of most places. Turnover sits at 32.7% against a national 45.8%, so the people caring for residents tend to stick around. The tradeoff shows up in its record: 24 deficiencies, three tied to abuse, though none rose to harm or jeopardy level. Its last inspection was April 2026, and it scores 4s and 5s across inspection, quality, and staffing measures.

A

99/100

Applewood Village, Inc

Freehold, NJ · Monmouth County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.73 /day
Staff turnover
23%
Serious cites
0

Applewood Village is small, 60 beds, and it runs on a nonprofit model, which often shows up in the numbers. Nurse staffing sits at 5.73 hours per resident day, roughly 48% above the national average, and weekend coverage dips only about 6% below weekday levels, so the care doesn't thin out much on Saturdays and Sundays. Annual turnover is 22.8%, about half the national rate of 45.8%, meaning the people caring for residents tend to stay. On the inspection side, two deficiencies on record, neither at the harm level and none abuse-related, with the most recent inspection dated March 2026. All three CMS star categories, health inspections, quality measures, and staffing, come in at five out of five.

A

99/100

Cheshire Home

Florham Park, NJ · Morris County

CMS 5/535 bedsNon-profitMedicaid
Nurse hours
7.73 /day
Staff turnover
28%
Serious cites
0

Cheshire Home runs 35 certified beds in Florham Park under nonprofit ownership, and the staffing number is the first thing that stands out: 7.73 nurse hours per resident day, roughly double the national average. Weekend coverage dips about 10% below its own weekday level, which is worth asking about, but the base is high enough that even the dip stays well above typical. Staff turnover sits at 28.1%, meaningfully below the 45.8% national figure, so the people caring for residents tend to stick around. Fifteen deficiencies appear on the current record with none at the harm level, though two are abuse-related and worth reading directly. Morris County families comparing options should note the inspection was recent, January 2026.

A

99/100

Childrens Specialized Hospital Toms River

Toms River, NJ · Ocean County

CMS 5/526 bedsNon-profitMedicaid
Nurse hours
6.72 /day
Staff turnover
30%
Serious cites
0

Childrens Specialized Hospital Toms River runs 26 certified beds in Ocean County as a nonprofit, and its nurse staffing sits at 6.72 hours per resident day, roughly 74% above the national average of 3.86. Weekend coverage dips about 8% below its own weekday level, but with a base that high, even the lighter days stay well-staffed. Turnover is 30.3%, noticeably lower than the national 45.8%, which suggests a stable crew rather than a rotating door. Its inspection record shows 7 deficiencies, none tied to harm, jeopardy, or abuse, and the most recent visit was September 2024. The quality and staffing star ratings are both perfect fives.

A

99/100

John T Mather Memorial Hosp T C U

Port Jefferson, NY · Suffolk County

CMS 5/516 bedsFor-profitMedicaid
Nurse hours
7.99 /day
Staff turnover
3%
Serious cites
0

John T Mather Memorial's transitional care unit runs on 7.99 nurse hours per resident day, more than double the national figure of 3.86, and its 3.4% turnover is almost unheard of next to the 45.8% national average, meaning the people caring for your family member mostly stay put. Weekend staffing dips about 11% from its own weekday level, worth asking about if you're planning visits then. Twelve deficiencies sit on the current record, none at harm or jeopardy level and none abuse-related, with the last inspection in May 2025. It's a small for-profit unit, 16 beds, tucked inside a hospital.

A

99/100

Carolina Village Inc

Hendersonville, NC · Henderson County

CMS 5/558 bedsNon-profit
Nurse hours
6.25 /day
Staff turnover
22%
Serious cites
0

Carolina Village in Hendersonville runs on 6.25 nurse staffing hours per resident day, roughly 62 percent above the national average, and weekend coverage holds within about 12 percent of its weekday level. Staff turnover sits at 22.2 percent against a national average of 45.8 percent, meaning aides and nurses tend to stay. The nonprofit's record shows three deficiencies total, none at the harm or jeopardy level and none abuse-related, with a recent inspection in April 2026. All three CMS star ratings land at 5 out of 5. For a 58-bed home, the numbers describe steady hands and low churn rather than anything flashy.

A

99/100

River Landing At Sandy Ridge

Colfax, NC · Guilford County

CMS 5/560 bedsNon-profitMedicaid
Nurse hours
5.52 /day
Staff turnover
30%
Serious cites
0

River Landing at Sandy Ridge runs about 5.52 nurse hours per resident each day, roughly 43% above what nursing homes nationally average. Weekends dip about 11% below its own weekday staffing, so coverage isn't perfectly flat, but the baseline is high enough that the drop doesn't erase the advantage. Staff turnover sits at 29.5% against a national 45.8%, which matters because familiar aides tend to notice small changes sooner. The inspection record is clean where it counts: three deficiencies total, none causing harm or jeopardy, none abuse-related, with the most recent survey in January 2026. Under nonprofit ownership, that combination, strong hours, stable staff, no harm-level findings, is doing the work here.

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?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being independently owned mean a nursing home is safe?
No. Of the 4,490 graded independently owned homes in the United States, 1,309 grade A and 280 grade D or F.
Do independently owned nursing homes in the United States accept Medicaid?
4,250 of the 4,510 are certified to accept Medicaid. See Medicaid and nursing homes.

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